Supervisor Final Evaluation

Intern's First Name:		Intern's Last Name:
Supervisor's First Name:		Supervisor's Last Name:
Placement Site:		Supervisor Email Address:
Semester:

Section I: Work Habits/Job Performance

Scale:	0	No Knowledge or Not Applicable
	1	Poor
	2	Below Expectations
	3	Acceptable
	4	Above Expectations
	5	Excellent

Section II: Task Performance Skills
Completes assigned tasks:
0 1 2 3 4 5
Completes tasks on time:
0 1 2 3 4 5
Completes tasks accurately:
0 1 2 3 4 5
Attends to details:
0 1 2 3 4 5
Manages time and energy well:
0 1 2 3 4 5
Understands and follows instructions:
0 1 2 3 4 5
Shows good judgment when seeking further guidance:
0 1 2 3 4 5
Demonstrates specific skills necessary for the job (research, technology, communication):
0 1 2 3 4 5
Demonstrates ability to communicate clearly and effectively:
0 1 2 3 4 5
If you have any comments about this section, please place them here.

Section III: Human Relations Skills
Is sensitive to the needs of others:
0 1 2 3 4 5
Is a good listener, attentive:
0 1 2 3 4 5
Copes well with unexpected problems:
0 1 2 3 4 5
Demonstrates tact:
0 1 2 3 4 5
Asserts own views and concerns effectively:
0 1 2 3 4 5
Has tolerance for ambiguity:
0 1 2 3 4 5
Able to communicate well with co-workers and clients:
0 1 2 3 4 5
Expresses ideas clearly:
0 1 2 3 4 5
If you have any comments about this section, please place them here.

Section IV: Commentary

What would you consider this student's primary strengths?

What major contribution did this student make to your organization, if any?

What areas of development should the student continue to improve upon in order to succeed in this field?

In your opinion, how well was this placement suited to the student's abilities and interests?

Did the student intern demonstrate the ability to work as a contributing team member?

Did the intern fulfill his or her time and task commitments? Approximately how many days did they not report to work? Did they make up for this time?

How often did you meet with the student?

Did you provide regular feedback to the intern during the semester? How often?

Is there anything about your role as an intern supervisor that you would like our staff to discuss with you? Was this a satisfactory experience for you?

Do you have any suggestions for the Office of Internships and Experiential Education?

If you have any comments about this section, please place them here.

Section V: Portfolio Review

Verification: Do the contents of the portfolio accurately portray the efforts, progress, and/or accomplishments of the intern?
Yes No
Please explain your answer:

Confidentiality: Do the contents of the portfolio meet your organization's acceptable standards of privacy and confidentiality?
Yes No
If not, what steps have you recommended to the intern in order to meet these standards?

Technical / Research-Oriented Information. Do the contents of the portfolio present technical components, research techniques, processes and conclusions accurately?
Yes No Not Applicable

Professional Feedback. If this portfolio were presented to you in a job interview, would you be impressed with the quality of its appearance and content?
Yes No

If you have any comments about this section, please place them here.

Untitled Document

Contact Information

Office of Experiential Learning and Community Engagement-Internship Programs

Email: intern@etal.uri.edu
Phone: 401-874-2160
Fax: 401-874-4320

We are located in Roosevelt Hall in the South Side Lobby

Is punctual and dependable:
0 1 2 3 4 5
Dressed neatly and appropriately:
0 1 2 3 4 5
Has a pleasant, positive demeanor:
0 1 2 3 4 5
Is self-reliant (when appropriate)
0 1 2 3 4 5

Identifies and evaluates problems and recommends solutions:
0 1 2 3 4 5
Looks for new responsibilities and takes initiative:
0 1 2 3 4 5
Demonstrates active desire to learn from AND contributes to the organization
0 1 2 3 4 5
Has an open mind: Does not rush to judgement:
0 1 2 3 4 5

Accepts and makes positive use of feedback:
0 1 2 3 4 5
Understands and accepts necessity of some dull or repetitive tasks:
0 1 2 3 4 5
Willing to accept new challenges:
0 1 2 3 4 5
Is cooperative, flexible, and adaptive:
0 1 2 3 4 5