Employers: The following is a sample. To submit an evaluation, please visit the Supervisor Evaluation site.
Please respond to the following statements:
The student-intern reports to work as scheduled and on-time.
- Yes
- No
Dress and appearance of the student-intern are appropriate.
- Yes
- No
Please rate the student's performance honestly and objectively in the following areas using the numerical scale below. Note that the designations exceptional (5) and unsatisfactory (1) should be marked only for truly outstanding or unacceptable performance. Please elaborate on the bottom section of this form.
| Number | Meaning | Explanation |
|---|---|---|
| 5 | Exceptional | Consistently exceeded expectations |
| 4 | Commendable | Sometimes exceeded expectations |
| 3 | Good | Met expectations |
| 2 | Uncomplimentary | Rarely met expectations |
| 1 | Unsatisfactory | Did not meet expectations |
| Work Habits | 5 | 4 | 3 | 2 | 1 | N/A |
|---|---|---|---|---|---|---|
| Exhibits a positive and professional attitude | 5 | 4 | 3 | 2 | 1 | N/A |
| Effectively handles routine problems and/or sees routine tasks through to their conclusion | 5 | 4 | 3 | 2 | 1 | N/A |
| Effectively manages his/her time | 5 | 4 | 3 | 2 | 1 | N/A |
| Ability/Willingness to Learn | 5 | 4 | 3 | 2 | 1 | N/A |
| Shows willingness to learn/be taught by supervising personnel | 5 | 4 | 3 | 2 | 1 | N/A |
| Asks pertinent and purposeful questions | 5 | 4 | 3 | 2 | 1 | N/A |
| Seeks out and utilizes appropriate resources | 5 | 4 | 3 | 2 | 1 | N/A |
| Accepts responsibility for mistakes and learns from experiences | 5 | 4 | 3 | 2 | 1 | N/A |
| Reading/Writing/Computation Skills | 5 | 4 | 3 | 2 | 1 | N/A |
| Comprehends and follows written materials/instructions | 5 | 4 | 3 | 2 | 1 | N/A |
| Communicates ideas and concepts clearly in writing | 5 | 4 | 3 | 2 | 1 | N/A |
| Uses appropriate mathematical procedures and/or computer applications | 5 | 4 | 3 | 2 | 1 | N/A |
| Communication Skills | 5 | 4 | 3 | 2 | 1 | N/A |
| Listens to others in an active and attentive manner | 5 | 4 | 3 | 2 | 1 | N/A |
| Demonstrates effective communication skills in one-on-one settings | 5 | 4 | 3 | 2 | 1 | N/A |
| Demonstrates effective communication skills in group settings | 5 | 4 | 3 | 2 | 1 | N/A |
| Demonstrates effective visual communication skills | 5 | 4 | 3 | 2 | 1 | N/A |
| Creative Thinking and Problem Solving | 5 | 4 | 3 | 2 | 1 | N/A |
| Breaks down complex tasks/problems into manageable pieces | 5 | 4 | 3 | 2 | 1 | N/A |
| Incorporates a holistic perspective in addressing or managing problems | 5 | 4 | 3 | 2 | 1 | N/A |
| Demonstrates initiative in defining and solving non-routine problems | 5 | 4 | 3 | 2 | 1 | N/A |
| Professionalism/Potential for Growth and Advancement | 5 | 4 | 3 | 2 | 1 | N/A |
| Exhibits a self-motivated approach to work | 5 | 4 | 3 | 2 | 1 | N/A |
| Demonstrates ability to set appropriate priorities/goals | 5 | 4 | 3 | 2 | 1 | N/A |
| Takes the initiative/is self-directed when appropriate | 5 | 4 | 3 | 2 | 1 | N/A |
| Teamwork/Interaction with Colleagues | 5 | 4 | 3 | 2 | 1 | N/A |
| Establishes effective working relationships with co-workers | 5 | 4 | 3 | 2 | 1 | N/A |
| Works within appropriate authority and decision-making channels | 5 | 4 | 3 | 2 | 1 | N/A |
| Accepts criticism in a professional and constructive manner | 5 | 4 | 3 | 2 | 1 | N/A |
| Accepts responsibility for his/her role in a problem or conflict situation | 5 | 4 | 3 | 2 | 1 | N/A |
| Demonstrates professionalism in addressing conflicts | 5 | 4 | 3 | 2 | 1 | N/A |
| Interaction with Clients/Customers | 5 | 4 | 3 | 2 | 1 | N/A |
| Relates well with clients/customers | 5 | 4 | 3 | 2 | 1 | N/A |
| Works effectively with clients/customers | 5 | 4 | 3 | 2 | 1 | N/A |
| Character Attributes | 5 | 4 | 3 | 2 | 1 | N/A |
| Brings a sense of values and integrity to the job | 5 | 4 | 3 | 2 | 1 | N/A |
| Respects the diversity (religious/cultural/ethnic) of co-workers | 5 | 4 | 3 | 2 | 1 | N/A |
| Profession or Position-Specific Skills Please note any professional skills or competencies that have not been listed and assess the intern accordingly. |
5 | 4 | 3 | 2 | 1 | N/A |
| Profession or Position-Specific Skills | 5 | 4 | 3 | 2 | 1 | N/A |
| Profession or Position-Specific Skills | 5 | 4 | 3 | 2 | 1 | N/A |
| Profession or Position-Specific Skills | 5 | 4 | 3 | 2 | 1 | N/A |
| Overall Performance | 5 | 4 | 3 | 2 | 1 | N/A |
| 5 | 4 | 3 | 2 | 1 | N/A |
Comments
What are the student's strongest assets?
What qualities and characteristics should the student strive to improve?
Has the student intern added value to your organization? If so, how?
Other observations/comments:
Would you like to host another Penn State Altoona intern?
- Yes
- No
