INTERNSHIP EVALUATION FORM
A. INTERN DETAILS
Name
Intern ID
Programme
Internship Duration From To
B. ORGANISATION DETAILS
Organisation Name
Department/Division
Field Supervisor Contact Number
Designation Email Address
C. JOB DESCRIPTION
1.
2.
3.
4.
5.
D. EVALUATION
Evaluation of personal qualities of the intern observed during the internship according to the point breakdown
below. Select one evaluation level for each area by marking next to the level that represents the intern’s
performance.
Point Breakdown
Poor : 1 pt Underdevelop : 2 pts Average : 3 pts Good : 4 pts Outstanding : 5 pts
QUALITY OF WORK POINTS
Demonstration of Competency in performing assigned tasks
Performed tasks meet established standards
Work within the time allowed (deadline)
Clearly organization of the information and tasks provided
Total /20
JOB KNOWLEDGE/TECHNICAL SKILLS POINTS
Demonstration of skills required to perform assigned tasks
Ability to use tools, materials and equipment effectively
Ability to use computer and related technologies effectively
Carrying out tasks in accordance to established standard operating procedure (i.e. ethics
and safety protocols)
Total /20
COMMUNICATION & INTERPERSONAL SKILLS POINTS
Dear and effective communication
Listening and understanding of others’ communication (i.e. colleagues, customers,
partners and superiors)
Ability to work in a team to perform tasks effectively
Demonstration of mutual respect towards colleagues
Total /20
INITIATIVE/LEADERSHIP QUALITIES POINTS
Demonstration of commitment to the job
Initiative and motivation
Ability to think analytically
Ability to generate creative solutions to problems
Total /20
PERSONAL DEVELOPMENT/LEARNING POINTS
Ability to adapt to changing dynamics in the working environment
Disposition to learn new skills and knowledge
Ability to receive feedback
Endeavor to pursue opportunities for professional growth
Total /20
TOTAL /100
ADDITIONAL COMMENTS/AREAS OF DEVELOPMENT
Field Supervisor’s Signature: _____________________________________________________________
Name: ________________________________________________________________________________
Company’s Stamp: _____________________________________________________________________
Date: _________________________________________________________________________________
NB: MUST BE STAMPED WITH OFFICIAL SEAL.