Site Supervisor Evaluation Form
Site Supervisor Evaluation Form
Site Supervisor Evaluation Form
IUMW also relies on the site supervisor’s informed evaluation of the internship student in assessing the quality of
her/his performance and degree of learning. We ask you to take the time to provide a thorough and accurate
assessment of the performance of the intern named below. By sharing honestly and constructively of the
student’s performance, you will contribute significantly to her/his personal, intellectual, and professional
development.
Using the scale provided, respond to the following statements about this intern’s performance and academic
capabilities. Please add additional comments as needed.
1= strongly disagree
2= somewhat disagree
3= neither agree nor disagree
4= somewhat agree
5= strongly agree
NA= Not applicable
2. Has the intern demonstrated professional growth and insight? Please be specific.
4. What areas of performance or knowledge/skill deficiencies should the intern address to enhance his/her professional
potential?
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5. What constructive feedback would you offer to help the intern get more out of his/her next internship or to achieve success
at his/her first job upon graduation?
6. Which areas of the intern’s academic preparation appear to be strong or in need of improvement?
How would you rate the intern’s overall performance? Circle/highlight the appropriate descriptor and number.
Benchmark the evaluation against the 20 criteria above as well as others you deem appropriate.
Poor: Recommend that academic credit not be awarded based on insufficient effort and performance as well as
lack of demonstrated learning
Below Average: Intern demonstrated effort, but performance was unsatisfactory and below expectations
Average: Intern satisfactorily met established learning standards and job performance expectations
Above Average: Intern somewhat exceeded average undergraduate learning standards and work performance
expectations based on criteria listed
Excellent: The intern demonstrated learning and development well exceeding the average and her/his
performance was exemplary on all standards
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1. Site Supervisor
Supervisor:
Signature:
Title:
Phone/Email:
2. Student Intern
I have read my supervisor’s evaluation and/or discussed the evaluation with my supervisor.
Signature:
Date:
Signature:
Date:
Note:
Intern/student has to return the form by attaching it with the final report to the IUMW Internship Coordinator.