University of Central Punjab

Internship Evaluation Form

Please sign the completed evaluation and return it to the student. The student will not receive credit for the internship until this
form is processed. Thank you for your assistance.

Student Name: ___________________________________ Date: ___________________

Evaluator Name: _________________________Evaluator Title: ____________________

Organization/host Name: ___________________________________________________

Address: ________________________________________________________________

Evaluation of personal qualities of the intern observed during the internship. Select one evaluation
level for each area.

excellent good average poor does not

apply

Ability to adapt to a
variety of tasks

Decision making;
judgment; setting
priorities

Persistence to
complete tasks

Ability to plan with &

work cooperatively
with others

Enthusiasm for the

experience

Attention to
accuracy and detail

Willingness to ask
for and use
guidance

Ability to cope in
stressful situations

Signature of Evaluator ____________________________________