Internship Evaluation by Student

Student __________________________ Date _________________

Site _____________________________ Supervisor ________________________________

Please use a check mark () to indicate your responses.

Not Strongly Disagree Neutral Agree Strongly
SITE Applicable Disagree 2 3 4 Agree
0 1 5
1. The facility was adequate.

2. This agency was clearly setup

to have interns.
3. The atmosphere at the agency
was professional.
4. Would you consider accepting
employment at this agency?
5. Would you recommend this site
to other interns?

Not Strongly Disagree Neutral Agree Strongly

SITE SUPERVISOR Applicable Disagree 2 3 4 Agree
Name: 0 1 5
1. Interns were encouraged to ask
questions and/or give opinions.
2. The supervisor’s development
and presentation of material were
consistent with the goals of the
internship.
3. The supervisor’s presentation of
materials was of the highest quality
level.
4. The supervisor was accessible to
you and concerned about your
progress.
5. The supervisor’s overall
capability was of the highest quality
level.
6. I would consider working for this
supervisor.

Please use the space below if you would like to provide additional information about the site:

______________________________________________________________________________

______________________________________________________________________________

Revised August 2014

Revised August 2014
 Internship Evaluation by Student of UHCL Faculty

Current semester and year: _____________________________________

This is an anonymous evaluation which will be review by the instructor. The information you
provide will be used by the instructor as s/he plans for future internship students.

Please use a check mark () to indicate your responses.

Not Strongly Disagree Neutral Agree Strongly

Internship Coordinator Applicable Disagree 2 3 4 Agree
(Joyce Delores Taylor) 0 1 5
I was encouraged to ask questions
and/or give opinions.
The internship coordinator was
accessible to me and concerned about
my progress.
The application process (forms and
procedures) was clear and accessible.
The internship coordinator talked with
me about internship options.
The internship coordinator’s overall
capability was of the highest quality.

Not Strongly Disagree Neutral Agree Strongly

Course Instructor Applicable Disagree 2 3 4 Agree
(if different than above) 0 1 5
I was encouraged to ask questions
and/or give opinions.
The academic advisor was accessible to
me and concerned about my progress.
The academic advisor’s development
and presentation of material was clear.
The faculty instructor’s overall
capability was of the highest quality
level.

Please use the space below if you would like to provide additional information about UHCL:

______________________________________________________________________________

______________________________________________________________________________

______________________________________________________________________________

______________________________________________________________________________
Thank you!
Your responses are important for the ongoing development of the internship program.

Revised August 2014