Northern Vermont University-Johnson Internship Program
INTERN SELF-EVALUATION
Instructions:
The evaluative process is extremely important and is a critical part of the internship process. This form is used for five primary purposes:
To provide the student with evaluative feedback concerning performance of his or her major areas of responsibility in this assignment;
To identify areas in which the student needs to strive for improvement;
To give the student an idea of their current strengths and weaknesses as related to the pursuit of a career;
To allow the intern to assess the ability of the site to host an interns and the quality of supervision from both the site supervisor and the NVU
faculty supervisor; and
To help the faculty supervisor determine a satisfactory/unsatisfactory grade for the student’s performance.
Not only does this evaluation give you, the student, the chance to reflect upon the internship experience, it also gives you the opportunity to help improve the
experience for future interns and the site supervisors who host them. Therefore, both the student and the site supervisor are requested to complete the same
evaluation form. The supervisor and the student should complete these evaluations independently and then discuss them jointly in an evaluation conference.
Knowing it is difficult to remain objective with evaluation forms, please exercise your best personal and professional judgment in completing this evaluation.
Please complete this form and return to the Northern Vermont University faculty supervisor by the date specified on the internship contract.
Note: Should the site supervisor have an agency evaluation form available and prefer to use that form, it may be substituted for this form.
Check one: Mid-term End-of-term
Date:
Intern Name:
Email:
Term: Fall Spring Summer Year:
Internship Site:
Site Supervisor:
Site Supervisor’s email:
NVU Faculty Supervisor:
NVU Faculty Supervisor’s Email:
Section A.
Intern Self-Evaluation: Please make a judgment for each area listed below. Descriptive phrases and words have been included to provide a clearer
understanding of each area. Use the following rating scale:
(1) Poor (2) Fair (3) Adequate (4) More than Adequate (5) Excellent (6) N/A
Individual Characteristics Rating Professional Characteristics: Rating Overall Internship Evaluation: Rating
Personal Appearance: Appropriately Knowledge of Position: Displays an Quality of total performance on the basis
dressed; well-groomed operational knowledge of the skills and of job requirements, assignments and
duties required to perform in this objectives
position, commensurate with educational
level; examples include knowledge of
philosophy, administrative practices, and
programming methods and materials; can
apply these principles to job performance
Dependability: Reliable; punctual; Leadership: Conducts self well before My academic program prepared me for
completes assignments on or before due groups; displays flexibility and ability to the internship
date make decisions; displays mature
judgment
Initiative: Able to think and work Creativity: Displays imagination; uses The internship experience has prepared
independently; looks for and finds physical and human resources well; me for a successful transition into a
meaningful work; self-starter generates and implements new ideas professional job
Personality: Enthusiastic, courteous and Judgment: Possesses common sense; Comments:
tactful; friendly; displays a concern for prioritizes tasks; evaluates before making
others; displays a sense of humor a decision; uses tact
Ability to Accept Feedback: Is willing to Commitment: Displays a zeal for the
accept suggestions, direction and critical profession; accepts assignments willingly;
evaluation; is critical of own performance is active in professional organizations
and quality of work; works to improve
performance following suggestions
Comments: Relationships: Relates will to other If you were required to assign a Pall/Fail grade for
employees; relates well with public yourself in respect to this internship experience,
(clients) and/or other agencies it would be (check one):
Pass Fail
Comments: Student’s Signature:
Section B.
Student Evaluation of Internship Site/Site Supervisor: Please be honest and constructive in your response and use the following scale:
(2) Poor (2) Fair (3) Adequate (4) More than Adequate (5) Excellent (6) N/A
Internship Site: Please evaluate the quality of your internship site, Rating Internship Site Supervisor: Please evaluate the quality of the site Rating
rating the strengths and weaknesses of the site in terms of meeting supervision you received from your site supervisor during your
your needs as an intern. Please rate the following items, but internship. Please rate the following items, but include other
include other information you feel pertinent in the comments information you feel pertinent in the comments section.
section.
Acceptance of you as a functional member of the staff; willingness to Quality of orientation to your site
integrate you into all appropriate levels in activities, programs and
projects Willingness to discuss the full range of your activities at the site
Willingness of agency staff to provide professional development Ability to respond to your problems and to help you work toward
opportunities through training programs, seminars and similar solutions
activities
Adequate number of supervisory meetings
Assistance in helping you meet your personal and professional goals Quality of supervisory meetings
and objectives
Adequate resources available (desk, phone, computer, library, Sensitivity to your needs in accomplishing your objectives
equipment, supplies, tools, etc.)
Employment of qualified, professional staff with demonstrated Provided appropriate mentorship
capability to provide competent mentorship and professional
support Understanding of philosophy and practices in the profession
Opportunities to relate classroom theory to practical situations Openness to change, innovation and new techniques
Comments: Comments:
