Performance Assessment Form

PERFORMANCE EVALUATION FORM

FOR THE INTERNSHIP PROGRAM

IN THE DEPARTMENT OF BUSINESS ADMINISTRATION

GROVE CITY COLLEGE, GROVE CITY, PA

This form is to be completed by the intern’s supervisor. Please return the completed form either to the student to be delivered to his/her faculty sponsor, or mail or fax it directly to the faculty sponsor. The student is responsible to ensure that his/her faculty sponsor receives this form.

NAME OF INTERN ______

Last First MI

Name of host organization ______

Name of evaluator ______

EVALUATION OF JOB TASKS (Enter task description in space provided and mark scale below task)

TASK 1 ______

|______|______|______|______|______|______|

Exceptional Very Good Good Average Fair Poor Unsatisfactory

TASK 2 ______

|______|______|______|______|______|______|

Exceptional Very Good Good Average Fair Poor Unsatisfactory

TASK 3 ______

|______|______|______|______|______|______|

Exceptional Very Good Good Average Fair Poor Unsatisfactory

TASK 4 ______

|______|______|______|______|______|______|

Exceptional Very Good Good Average Fair Poor Unsatisfactory

TASK 5 ______

|______|______|______|______|______|______|

Exceptional Very Good Good Average Fair Poor Unsatisfactory

TASK 6 ______

|______|______|______|______|______|______|

Exceptional Very Good Good Average Fair Poor Unsatisfactory

EVALUATION OF GENERAL JOB SKILLS (Mark scale below each job skill)

Oral Communications

|______|______|______|______|______|______|

Exceptional Very Good Good Average Fair Poor Unsatisfactory

Written Communications

|______|______|______|______|______|______|

Exceptional Very Good Good Average Fair Poor Unsatisfactory

Following instructions

|______|______|______|______|______|______|

Exceptional Very Good Good Average Fair Poor Unsatisfactory

Interactions with fellow employees

|______|______|______|______|______|______|

Exceptional Very Good Good Average Fair Poor Unsatisfactory

Personal appearance

|______|______|______|______|______|______|

Exceptional Very Good Good Average Fair Poor Unsatisfactory

Courtesy

|______|______|______|______|______|______|

Exceptional Very Good Good Average Fair Poor Unsatisfactory

Attention to detail

|______|______|______|______|______|______|

Exceptional Very Good Good Average Fair Poor Unsatisfactory

Promptness and timeliness

|______|______|______|______|______|______|

Exceptional Very Good Good Average Fair Poor Unsatisfactory

Decision making

|______|______|______|______|______|______|

Exceptional Very Good Good Average Fair Poor Unsatisfactory

Initiative

|______|______|______|______|______|______|

Exceptional Very Good Good Average Fair Poor Unsatisfactory

Creativity

|______|______|______|______|______|______|

Exceptional Very Good Good Average Fair Poor Unsatisfactory

Attitude

|______|______|______|______|______|______|

Exceptional Very Good Good Average Fair Poor Unsatisfactory

STRENGTHS AND AREAS FOR IMPROVEMENT

Please state three strengths that the intern exhibited during the internship:

1. ______

2. ______

3. ______

Please state three areas in which improvement would upgrade the performance of the intern:

1. ______

2. ______

3. ______

OVERALL EVALUATION

Considering the intern’s performance on specific job tasks, the intern’s performance with respect to general job skills, the strengths and areas for improvement the intern exhibited, and the quality of the experience having the intern work for the host organization, please provide an overall assessment of the internship.

|______|______|______|______|______|______|

Exceptional Very Good Good Average Fair Poor Unsatisfactory

Please provide additional comments about the intern’s performance and the internship in general:

______

Have you reviewed this assessment with the intern? Yes _____ No _____

If no, may the intern’s faculty sponsor review this assessment with the intern? Yes _____ No _____

Signature of Evaluator ______Date ______

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2/27/2007