Supervisor Internship Evaluation Form

SOCIAL SCIENCES DEPARTMENT

EMPLOYER EVALUATION OF INTERN

Date:                                                                                        Quarter:                                                          

Name of Intern:                                                                                                                                                             

Agency/Business:                                                                                                                                                         

Person Completing Form:                                                                                                                                              

Title:                                                                     Phone or email:                                                                                

1.     How many hours did the intern completed this quarter?                    

2.     Briefly describe intern's job duties:                                                                                                                     

3.     Overall, what adjectives best describe the intern's performance?                                                                      

4.     Briefly describe the intern's strongest assets:                                                                                                    

5.     Briefly describe areas for further growth:                                                                                                           

6.     Is this intern someone you would be willing to hire if a position was available?                                                 

If no, please explain:                                                                                                                                                      

7.     Will you accept another intern to work with your agency/business in the future?                                                

If no, please explain:                                                                                                                                                         

8.     Is there anything you would like Cal Poly Department of Social Sciences faculty/staff to improve with regard to internships?

9.     Please rate the Intern in each of the following areas:

10. Additional Feedback/Comments:                                                                                                                         

(Optional) Please attach on agency letter head, a letter confirming the intern's completion of the required internship hours, as well as the intern's strengths and skills. Ideally, the student will be able to use this letter as a recommendation if you were satisfied with his or her performance.  

Signature of Evaluator:                                                                                                Date:                           

Please return this form and letter to:

Karen Moro

Social Sciences Department

California Polytechnic State University

San Luis Obispo, CA 93407-0329 

Phone:  805-756-2210    Fax: 805-756-7019

klmoro@calpoly.edu