Internship Evaluation/Verification Form

To be completed by on-site supervisor.

Quality of Work: *
Quality of Work:	Very Good	Adequate	Needs Improvement
Arrives on time and has regular attendance	Arrives on time and has regular attendanceVery Good	Arrives on time and has regular attendanceAdequate	Arrives on time and has regular attendanceNeeds Improvement
Has a positive attitude towards work	Has a positive attitude towards workVery Good	Has a positive attitude towards workAdequate	Has a positive attitude towards workNeeds Improvement
Dresses appropriately for the work setting	Dresses appropriately for the work settingVery Good	Dresses appropriately for the work settingAdequate	Dresses appropriately for the work settingNeeds Improvement
Completes tasks and assignment accurately	Completes tasks and assignment accuratelyVery Good	Completes tasks and assignment accuratelyAdequate	Completes tasks and assignment accuratelyNeeds Improvement
Takes responsibility for and is committed to work	Takes responsibility for and is committed to workVery Good	Takes responsibility for and is committed to workAdequate	Takes responsibility for and is committed to workNeeds Improvement

Communication *
Communication	Very Good	Adequate	Needs Improvement
Communicates clearly and concisely	Communicates clearly and conciselyVery Good	Communicates clearly and conciselyAdequate	Communicates clearly and conciselyNeeds Improvement
Listens effectively	Listens effectivelyVery Good	Listens effectivelyAdequate	Listens effectivelyNeeds Improvement
Interacts well with organization's staff	Interacts well with organization's staffVery Good	Interacts well with organization's staffAdequate	Interacts well with organization's staffNeeds Improvement
Manages difficult situations	Manages difficult situationsVery Good	Manages difficult situationsAdequate	Manages difficult situationsNeeds Improvement
Takes initiative as problems arise	Takes initiative as problems ariseVery Good	Takes initiative as problems ariseAdequate	Takes initiative as problems ariseNeeds Improvement

Learning/Potential Growth *
Learning/Potential Growth	Very Good	Adequate	Needs Improvement
Seeks feedback for self-improvement	Seeks feedback for self-improvementVery Good	Seeks feedback for self-improvementAdequate	Seeks feedback for self-improvementNeeds Improvement
Accepts constructive criticism non-defensively	Accepts constructive criticism non-defensivelyVery Good	Accepts constructive criticism non-defensivelyAdequate	Accepts constructive criticism non-defensivelyNeeds Improvement
Works to strengthen identified weakness	Works to strengthen identified weaknessVery Good	Works to strengthen identified weaknessAdequate	Works to strengthen identified weaknessNeeds Improvement