Company Name: [Company Name]
Department: [Department Name]
Supervisor Name: [Supervisor Full Name]
Supervisor Title: [Job Title]
Date of Evaluation: [Date]
Intern Full Name: [Full Name]
Internship Title: [Internship Title]
Department: [Department Name]
Internship Start Date: [Start Date]
Internship End Date: [End Date]
2. Evaluation Period
This evaluation covers the following period:
From: [Start Date]
To: [End Date]
Evaluation Type:
☐ Mid-Internship Review
☐ Final Evaluation
☐ Other: [Specify]
Please evaluate the intern in the following areas:
Attendance and Punctuality:
☐ Excellent
☐ Good
☐ Satisfactory
☐ Needs Improvement
Quality of Work:
☐ Excellent
☐ Good
☐ Satisfactory
☐ Needs Improvement
Communication Skills:
☐ Excellent
☐ Good
☐ Satisfactory
☐ Needs Improvement
Teamwork and Cooperation:
☐ Excellent
☐ Good
☐ Satisfactory
☐ Needs Improvement
Initiative and Motivation:
☐ Excellent
☐ Good
☐ Satisfactory
☐ Needs Improvement
Professional Conduct:
☐ Excellent
☐ Good
☐ Satisfactory
☐ Needs Improvement
Ability to Follow Instructions:
☐ Excellent
☐ Good
☐ Satisfactory
☐ Needs Improvement
4. Strengths
The intern demonstrated the following strengths:
[Insert comments]
5. Areas for Improvement
The intern could improve in the following areas:
6. Projects or Duties Completed
During the internship, the intern worked on or assisted with:
[Project or duty]
[Project or duty]
[Project or duty]
7. Overall Evaluation
Overall performance rating:
☐ Excellent
☐ Good
☐ Satisfactory
☐ Needs Improvement
General comments:
[Insert summary comments]
8. Recommendation
Based on this evaluation, I would:
☐ recommend the intern for future opportunities
☐ recommend the intern with reservations
☐ not recommend the intern at this time
Additional recommendation comments:
9. Signatures
Supervisor Signature: __________________________
Name: [Supervisor Full Name]
Title: [Job Title]
Date: [Date]
Intern Signature: __________________________
Name: [Intern Full Name]
Date: [Date]