PERFORMANCE EVALUATION
Interns should complete the goals and accomplishments sections with supervisor. Supervisors, using this form below
please evaluate the intern. The evaluation is used to assess the intern’s performance and accomplishments in their project
or experience for professional development and learning. Feedback should be provided with the intern.
******** INTERN AND SUPERVISOR COMPLETE ********
Intern Goals
Academic 1:
Academic 2 :
Professional Skill 1:
Professional Skill 2:
Personal Skill 1:
Personal Skill 2:
Major Tasks to Accomplish Goal
Was goal accomplished?
If not, describe how/when.
******** INTERN COMPLETE ********
What have you learned so far from this experience? ____________________________________________________________________
_______________________________________________________________________________________________________________
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What more would you like to accomplish? ____________________________________________________________________________
_______________________________________________________________________________________________________________
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******** SUPERVISOR COMPLETE ********
Performance and Skills Evaluation
Please rate the overall performance of each domain according to the following scale below.
Provide examples, comments, and descriptions in the space below each rating.
N/A
1
2
3
Not
Applicable
Not Acceptable / Far
Below Expectations
Needs Improvement /
Below Requirements
Acceptable
Performance / Meets
Requirements
Communication Skills


Expresses thoughts and ideas effectively.
Resolves conflict effectively and timely.
4
5
Above Requirements /
Far Above
Requirements /
Often Exceeds
Expectations
Consistently Exceeds
Expectations
Rating:


Keeps others adequately informed.
Exhibits good listening and comprehension.
Comments:______________________________________________________________________________________________________________
_______________________________________________________________________________________________________________________
_______________________________________________________________________________________________________________________
Analytical Thinking & Problem Solving Skills


Uses logic and reasoning to make decisions.
Clarifies key issues before reaching a decision.
Rating:


Gathers relevant information before making decisions.
Is guided by curiosity in developing solutions.
Comments:______________________________________________________________________________________________________________
_______________________________________________________________________________________________________________________
Professionalism & Attitude


Exhibits professional behavior and positive attitude.
Reports to work as scheduled and on-time
Rating:


Exhibits self-motivated approach to work
Requires minimal Supervision
Comments:______________________________________________________________________________________________________________
_______________________________________________________________________________________________________________________
_______________________________________________________________________________________________________________________
Organization Skills


Sets goals and objectives
Prioritizes and plans work activities/projects
Rating:


Able to balance competing demands
Able to minimize distractions
Comments:______________________________________________________________________________________________________________
_______________________________________________________________________________________________________________________
_______________________________________________________________________________________________________________________
Ability to Learn


Shows an openness and eagerness to learn from others
Listens, applies feedback, and knows when to ask questions.
Rating:


Open to new ways of doing things.
Is resourceful in seeking information when unsure.
Comments:______________________________________________________________________________________________________________
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Job Knowledge and Competency


Competent in required skills and knowledge
Seeks new developments in the field.
Rating:


Exhibits ability to learn and apply new skills in industry
Enhances expertise of others.
Comments:______________________________________________________________________________________________________________
_______________________________________________________________________________________________________________________
_______________________________________________________________________________________________________________________
Overall Performance Rating:
Strengths:
Comments:______________________________________________________________________________________________________________
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Areas for Growth:
Comments:______________________________________________________________________________________________________________
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Additional Comments:
______________________________________________________________________________________________________________________
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By signing below, you acknowledge that as the intern and supervisor you have met and discussed evaluation and feedback
of progress of goals and work performance.
Intern Signature:
_______________________________________
Date ___________________
Supervisor Signature:
_______________________________________
Date ___________________