Academic Internship Evaluation Form

To be Filled by Site Engineer/Supervisor

Your assessment of the intern is essential in evaluating the performance of the student as well as giving the
university a better understanding of what the student has accomplished. Please take a few moments to
complete this form.

Name of Intern: __________________________________________________________

Organization Name:

Supervisor Information:
(Please include name, address, telephone & email)

Please describe the assigned work/tasks/duties of the intern performed:

In addition to indicating the skill levels below, please comment on the interns work performance:
Academic Internship Evaluation Form
To be Filled by Site Engineer/Supervisor

Quality of work:
Excellent
Good
Average
Fair
Poor
1. Attitude:
Outstanding enthusiasm & initiative
Interested & industrious
Average diligence & interest
Indifferent
Definitely not interested
2. Written/Verbal communication:
Outstanding
Good
Average
Marginal
Unsatisfactory
3. Problem solving skills
(engineering/science/mathematical):
Excellent
Good
Average
Fair
Poor
4. Ability to learn:
Learns very quickly
Learns readily
Average in learning
 Academic Internship Evaluation Form
To be Filled by Site Engineer/Supervisor

Slow to learn Usually dependable

Sometimes neglectful or careless
5. Relations with others: Unreliable
Exceptionally well accepted
Works well with others 7. Overall performance:
Gets along satisfactorily Outstanding
Has difficulty working with others Good
Works poorly with others Average
6. Dependability: Marginal
Above average in dependability Unsatisfactory