Mid-Internship Intern Evaluation (Form 5) 
(OPTIONAL—at the discretion of the Faculty Internship Advisor)

Intern’s Name 		                                               	    Internship Advisor       

Site Supervisor’s Name                                            	    Period Covered           

Employer                                                       	 	    Due Date                       

Please review the above intern’s progress to date by placing the appropriate number in the corresponding category below.  Please evaluate in comparison to other student employees/interns.  If desired, make additional comments on separate sheet.

 5 excellent     4 above average     3 satisfactory     2 improvement needed     1 unsatisfactory     NA not applicable

 Evaluation	 Rating	 Comments/Examples	
Quality of work			
Quantity of work			
Oral expression			
Written expression			
Problem-solving ability			
Academic preparation			
Ability to use resources			
Completion of assignments			
Acceptance of responsibility			
Acceptance of constructive comments			
Ability to take direction			
Relationships with others			
Work attitudes (i.e., initiative, enthusiasm)			
Progress toward learning goals			
 Overall Rating			

What are the intern’s strengths?

Areas needing improvement:

Suggestions for the reminder of the semester:

Site Supervisor’s Signature:  ____________________________________________________  Date: _________