UH Intern Evaluation

This form must be completed by the intern’s supervisor.

Instructions

FOR SUPERVISOR USE ONLY. Thank you for your effort in mentoring our student during the internship. This form should be completed online at the end of the internship. Evaluation results will be kept confidential; however, you are encouraged to provide constructive feedback directly to the student.

Student Information











Supervisor Information











Performance Assessment

Evaluation of intern's professional qualities during the internship. Please check the appropriate box for each.

Professional Attributes

Excellent Good Average Poor NA
Excellent Good Average Poor NA
Excellent Good Average Poor NA
Excellent Good Average Poor NA
Excellent Good Average Poor NA
Excellent Good Average Poor NA
Excellent Good Average Poor NA
Excellent Good Average Poor NA
Excellent Good Average Poor NA

Interpersonal Skills

Excellent Good Average Poor NA
Excellent Good Average Poor NA
Excellent Good Average Poor NA
Excellent Good Average Poor NA

Overall Evaluation *

Excellent Good Average Poor NA
Yes No

Comments & Suggestions