Quincy University

Early Exploratory Internship Program

 

 

 

Co-Evaluation Internship Assessment Form

This from is designed to provide information about the work experience from the point of view of both intern

 and employer.  The results will be used to help improve the program and should be seen as positive and

confidential.  For performance appraisal, the employer and the intern should each (on separate forms) rate job

 indication if the internship led to improvement in the performance area.

 

Interns Name: _________________________      Site: _________________________

 

Indicate Person Completing this form (Intern or Supervisor): ______________________

 

 

1.        Quality of Work (thorough, neat, and accurate work that meets acceptable standards for the job):

1………………2…………………3………………….4………………5

Unacceptable                                  Satisfactory                                             Excellent

Comments:

 

2.        Quantity of Work (produces acceptable volume of work:

1………………2…………………3…………………4….……………5

Very low                                         Normal                                                    High

Comments:

 

3.        Knowledge of  job (clear understanding of all factors relating to the job):

1………………2…………………3…………………4……………….5

Unsatisfactory                                Satisfactory                                             Excellent

Comments:

 

4. Contact with others (how well intern worked with and for others in the company):

        1……………...2………………….3………………….4……………….5

Ineffective                                       Satisfactory                                             Effective

Comments:

 

5.  Dependability (conscientious, thorough, reliable, able perform with minimum of supervision:

1…………….2…………………..3………………….4……………….5

Unreliable                                        Satisfactory                                             Very Reliable

Comments:

 

6. Initiative (seeks increased responsibilities):

        1……………2…………………..3………………….4………………..5

Has to be told                                 Satisfactory                                             Takes Initiative

Comments:

 

7. Development (how intern develops):

        1……………2………………….3…………………..4……………….5

Very Slowly                                    Normally                                                Very Rapidly

Comments:

 

8. Judgment (decisions based on sound knowledge):

        1…………...2………………….3…………………..4……………….5

Poor Judgment                                Usually Sound                                        Very Good

Comments:

 

Leadership Traits: Please indicate if the following traits are:   a) undeveloped; b) being developed; c) developed.

1. Integrity                                                                      a)             b)             c)

2. Ability to get along with others                                  a)             b)             c)

3. Industrious                                                                  a)             b)             c)

4. Intelligence                                                                  a)             b)             c)

5. Business Knowledge                                                   a)             b)             c)

Return form to: Early Exploratory Internship Program, Quincy University, Quincy IL  62301 (FAX 228-5257)