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Internship Program

Performance Appraisal

INTERN’S NAME ______________________________________ SITE & POSITION__________________________________

SUPERVISOR’S NAME__________________________________ REVIEW PERIOD: FROM _________ TO ___________

This appraisal should reflect an accurate and objective critique of the intern's work performance during the specified review period.
In order to provide maximum learning experience, please discuss your ratings and comments with the intern. Consider each factor
independently and circle your response.

1. JOB KNOWLEDGE AND SKILL: How adequate is the intern's knowledge and skill level for the
requirements of the position?
Outstanding Good Average Marginal Unsatisfactory
5 4 3 2 1
Comment:

2. INITIATIVE: How well did the intern perform without supervision?


Outstanding Good Average Marginal Unsatisfactory
5 4 3 2 1
Comment:

3. PLANNING AND ORGANIZING: How effectively does the intern plan, organize and complete workload assignments?
Outstanding Good Average Marginal Unsatisfactory
5 4 3 2 1
Comment:

4. COMMUNICATIONS: How effective is the intern's verbal and written communications with peers, co-workers, and
customers?
Outstanding Good Average Marginal Unsatisfactory
5 4 3 2 1
Comment:

5. LEARNING: How well has the intern learned the procedures and principles associated with this position?
Outstanding Good Average Marginal Unsatisfactory
5 4 3 2 1
Comment:

6. DEPENDABILITY: How dependable is the intern in regards to attendance and punctuality?

Was the intern ever late to work? Yes_____ No_____ If yes, how many times_____

Did the intern miss any days of work? Yes_____ No_____ If yes, how many times_____

Did the intern ever leave work earlier than scheduled? Yes_____ No_____ If yes, how many times_____
Comment:

7. ATTITUDE: How satisfactory was the intern's attitude toward the job itself?
Outstanding Good Average Marginal Unsatisfactory
5 4 3 2 1

Comment:

How satisfactory was the intern’s attitude toward other employees?


Outstanding Good Average Marginal Unsatisfactory
5 4 3 2 1

Comment:

How satisfactory was the intern’s attitude toward customers?


Outstanding Good Average Marginal Unsatisfactory
5 4 3 2 1

Comment:

8. IMPROVEMENT: Which areas of the intern's performance were above expectations? Which areas need improvement?

Comment:

This Performance Appraisal was discussed with my Onsite Supervisor.

INTERN SIGNATURE:__________________________ Date: __________ FAX TO: 931-221-7355 (ATTN: Cockrell)