Mid-Internship Self-Evaluation (Form 4) 
(OPTIONAL—at the discretion of the Faculty Internship Advisor)

Intern’s Name 					    	    Faculty Sponsor

Site Supervisor’s Name 				    Period Covered

Employer 						    Major 

Please review your progress to date by placing the appropriate number in the corresponding category below. Please evaluate yourself in comparison to other interns or entry level employees.  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 your strengths?

Areas needing improvement:

Suggestions for the remainder of the semester:

Student Signature:  ___________________________________________________  Date: _________