SOUTHERN ILLINOIS UNIVERSITY AT CARBONDALE
COLLEGE OF APPLIED SCIENCES AND ARTS- INFORMATION SYSTEMS (ISAT 419)
WORK SITE SUPERVISOR'S MIDTERM EVALUATION OF STUDENT INTERN  

Name of Student: __________________________________________________________________

Work Site/Company Name: __________________________________________________________

Internship Work Site Supervisor: ______________________________________________________

Title: _________________________________________ Phone: ____________________________

Directions: Please use the scale below to evaluate the student intern in the following categories;
circle the number that best matches your response.

1 = Poor, 2 = Needs Attention,  3 = Average,   4 = Good, 5 = Outstanding, N/A = Not Applicable

General Technical Skills and Knowlege

1. Knowledge level of terms and concepts related to job

 1 2 3 4 5 N/A

2. Technical ability to perform tasks related to job

            

      a. Computer hardware and/or networking

1 2 3 4 5 N/A

      b. Computer software support (technical support to users)

1 2 3 4 5 N/A

      c. Computer programming

 1 2 3 4 5 N/A

      d. Web design and development

 1 2 3 4 5 N/A

      e. Database design and development

 1 2 3 4 5 N/A

      f. Systems analysis and design

 1 2 3 4 5 N/A

      g. Other (please specify) _________________________

1 2 3 4 5 N/A

3. Decision-making

 1 2 3 4 5 N/A

4. Problem-solving

 1 2 3 4 5 N/A

5. Thinking skills (i.e., thinking "outside the box")

 1 2 3 4 5 N/A

Communication-Related Skills

1. Written communication

 1 2 3 4 5 N/A

2. Oral communication

1 2 3 4 5 N/A

3. Listening skills

 1 2 3 4 5 N/A

4. Communication with supervisor(s)

 1 2 3 4 5 N/A

5. Communication with other workers

 1 2 3 4 5 N/A

Non-Technical (Soft) Skills

1. Motivation /enthusiasm

 1 2 3 4 5 N/A

2. Initiative

 1 2 3 4 5 N/A

3. Dependability

 1 2 3 4 5 N/A

4. Willingness to learn new tasks

 1 2 3 4 5 N/A

5. Willingness to follow instructions and do as asked

 1 2 3 4 5 N/A

6. Overall attitude

 1 2 3 4 5 N/A

7. Professional appearance (appropriate for work site)

 1 2 3 4 5 N/A

Suggested Area to Work on for Improvement: ___________________________________________

________________________________________________________________________________

Additional Comments:_______________________________________________________________

________________________________________________________________________________

________________________________________________________________________________


________________________________________________________________________________
Student Signature                                                            (Date)

________________________________________________________________________________
Work Site Supervisor Signature                                        (Date)

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