Qualtrics Survey | Qualtrics Experience Management

Employer Evaluation of Student Intern

Department of Communication Studies

Bloomsburg University

Instructions: After the internship has been completed, we invite the immediate supervisor to evaluate the student, comparing him/her with other students of comparable academic level, with other personnel assigned the same or similarly classified jobs, or with individual standards. We encourage you to share this report with the student if appropriate. Please fill in the responses below, review for accuracy, and then submit the evaluation. Thank you!

Student Name:

Name of Organization:

Experience Dates (begin/end):

Total Number of Hours Worked:

Please rate the intern in the following categories:

Please rate the intern in the following categories:
	Excellent	Above Average	Average	Below Average	Poor	Not Applicable
Oral Communication Skills	Excellent	Above Average	Average	Below Average	Poor	Not Applicable
Written Communication Skills	Excellent	Above Average	Average	Below Average	Poor	Not Applicable
Ability to Think Critically	Excellent	Above Average	Average	Below Average	Poor	Not Applicable
Decision-Making Skills	Excellent	Above Average	Average	Below Average	Poor	Not Applicable
Use of Technology	Excellent	Above Average	Average	Below Average	Poor	Not Applicable
Leadership Skills	Excellent	Above Average	Average	Below Average	Poor	Not Applicable
Ability to Work in Teams	Excellent	Above Average	Average	Below Average	Poor	Not Applicable
Conflict Management	Excellent	Above Average	Average	Below Average	Poor	Not Applicable
Respect for Diversity	Excellent	Above Average	Average	Below Average	Poor	Not Applicable
Overall Performance	Excellent	Above Average	Average	Below Average	Poor	Not Applicable

Additional Remarks:

Has this report been discussed with the student?

Yes

No

Supervisor's Name and Title

Telephone number:

E-mail:

Please Type in your Name and the Date for your Signature

Thank you for your willingness to supervise this student intern and for filling out this evaluation.