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INTERNSHIP PERFORMANCE EVALUATION FORM
Intern’s Details
Name: ___________________________
Evaluation Period: ____________________________
Phone: ____________________________
E-mail: ____________________________
University Registration #: ____________________________
On-site Supervisor’s Details
Name: ___________________________
Organization Name: ___________________________
Designation: ___________________________
Phone/ Fax: ___________________________
E-mail: ___________________________
1. Quality of Work
1. Gets to internship on time and has regular attendance
□ Excellent □ Very Good □ Good □Adequate □ Marginal
2. Has a positive attitude towards work
□ Excellent □ Very Good □ Good □Adequate □ Marginal
3. Dresses appropriately for the work setting
□ Excellent □ Very Good □ Good □Adequate □ Marginal
4. Stays with tasks until completed
□ Excellent □ Very Good □ Good □Adequate □ Marginal
5. Completes tasks and assignments accurately
□ Excellent □ Very Good □ Good □Adequate □ Marginal
6. Takes responsibility for and is committed to work
□ Excellent □ Very Good □ Good □Adequate □ Marginal
2. Communication Skills & Interpersonal Effectiveness
1. Communicates clearly and concisely
□ Excellent □ Very Good □ Good □Adequate □ Marginal
2. Listens effectively to and understands what others are saying
□□ Excellent □ Very Good □ Good □Adequate □ Marginal
3. Interacts well with organization's staff
□ Excellent □ Very Good □ Good □Adequate □ Marginal
4. Deals effectively with uncooperative or difficult people
□ Excellent □ Very Good □ Good □Adequate □ Marginal
3. Problem-Solving and Decision-Making
1. Thinks in a disciplined, logical manner
□ Excellent □ Very Good □ Good □Adequate □ Marginal
2. Analyzes problems effectively
□ Excellent □ Very Good □ Good □Adequate □ Marginal
3. Is able to solve problems
□ Excellent □ Very Good □ Good □Adequate □ Marginal
4. Thinks of creative ideas and innovative actions
□ Excellent □ Very Good □ Good □Adequate □ Marginal
5. Takes initiative, where appropriate, as problems arise
□ Excellent □ Very Good □ Good □Adequate □ Marginal
4. Planning and Organization
1. Sets realistic work goals for assigned tasks
□ Excellent □ Very Good □ Good □Adequate □ Marginal
2. Manages time and tasks effectively
□ Excellent □ Very Good □ Good □Adequate □ Marginal
3. Meets deadlines
□ Excellent □ Very Good □ Good □Adequate □ Marginal
4. Follows directions
□ Excellent □ Very Good □ Good □Adequate □ Marginal
5. Learning & Potential Growth
1. Takes initiative to seek out new learning experiences
□ Excellent □ Very Good □ Good □Adequate □ Marginal
2. Seeks out answers to questions, when reasonable to do so
□ Excellent □ Very Good □ Good □Adequate □ Marginal
3. Seeks feedback for self-improvement
□ Excellent □ Very Good □ Good □Adequate □ Marginal
4. Accepts constructive criticism non-defensively
□ Excellent □ Very Good □ Good □Adequate □ Marginal
5. Works to strengthen identified weaknesses
□ Excellent □ Very Good □ Good □Adequate □ Marginal
6. Suggestions/Any other comment:
Date of Evaluation:__________ Official Stamp & Signature

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Sample of internship performance evaluation form

  • 1. INTERNSHIP PERFORMANCE EVALUATION FORM Intern’s Details Name: ___________________________ Evaluation Period: ____________________________ Phone: ____________________________ E-mail: ____________________________ University Registration #: ____________________________ On-site Supervisor’s Details Name: ___________________________ Organization Name: ___________________________ Designation: ___________________________ Phone/ Fax: ___________________________ E-mail: ___________________________ 1. Quality of Work 1. Gets to internship on time and has regular attendance □ Excellent □ Very Good □ Good □Adequate □ Marginal 2. Has a positive attitude towards work □ Excellent □ Very Good □ Good □Adequate □ Marginal 3. Dresses appropriately for the work setting □ Excellent □ Very Good □ Good □Adequate □ Marginal 4. Stays with tasks until completed □ Excellent □ Very Good □ Good □Adequate □ Marginal 5. Completes tasks and assignments accurately □ Excellent □ Very Good □ Good □Adequate □ Marginal 6. Takes responsibility for and is committed to work □ Excellent □ Very Good □ Good □Adequate □ Marginal 2. Communication Skills & Interpersonal Effectiveness 1. Communicates clearly and concisely □ Excellent □ Very Good □ Good □Adequate □ Marginal 2. Listens effectively to and understands what others are saying □□ Excellent □ Very Good □ Good □Adequate □ Marginal 3. Interacts well with organization's staff □ Excellent □ Very Good □ Good □Adequate □ Marginal
  • 2. 4. Deals effectively with uncooperative or difficult people □ Excellent □ Very Good □ Good □Adequate □ Marginal 3. Problem-Solving and Decision-Making 1. Thinks in a disciplined, logical manner □ Excellent □ Very Good □ Good □Adequate □ Marginal 2. Analyzes problems effectively □ Excellent □ Very Good □ Good □Adequate □ Marginal 3. Is able to solve problems □ Excellent □ Very Good □ Good □Adequate □ Marginal 4. Thinks of creative ideas and innovative actions □ Excellent □ Very Good □ Good □Adequate □ Marginal 5. Takes initiative, where appropriate, as problems arise □ Excellent □ Very Good □ Good □Adequate □ Marginal 4. Planning and Organization 1. Sets realistic work goals for assigned tasks □ Excellent □ Very Good □ Good □Adequate □ Marginal 2. Manages time and tasks effectively □ Excellent □ Very Good □ Good □Adequate □ Marginal 3. Meets deadlines □ Excellent □ Very Good □ Good □Adequate □ Marginal 4. Follows directions □ Excellent □ Very Good □ Good □Adequate □ Marginal 5. Learning & Potential Growth 1. Takes initiative to seek out new learning experiences □ Excellent □ Very Good □ Good □Adequate □ Marginal 2. Seeks out answers to questions, when reasonable to do so □ Excellent □ Very Good □ Good □Adequate □ Marginal 3. Seeks feedback for self-improvement □ Excellent □ Very Good □ Good □Adequate □ Marginal 4. Accepts constructive criticism non-defensively □ Excellent □ Very Good □ Good □Adequate □ Marginal 5. Works to strengthen identified weaknesses □ Excellent □ Very Good □ Good □Adequate □ Marginal
  • 3. 6. Suggestions/Any other comment: Date of Evaluation:__________ Official Stamp & Signature