Internship Supervisor - Evaluation Form

Film and MediaInternship Supervisor - Evaluation Form

We hope this semester’s exchange of work for learning has been mutually beneficial to both our student intern and your organization. Please take a few minutes and fill out this evaluation form. We welcome any additional comments concerning the student intern, or our program in general.

Host organization
Host supervisor name
Supervisor phone number (with area code; numbers only, please) Supervisor phone number (with area code; numbers only, please) - ### - ### ####
Supervisor email address
Student name Student name First Last
Number of hours for which student is registered (at 40 hours per credit)
Were these hours completed by the student?
Host signature

Draw or Type

I understand this is a legal representation of my signature. Clear

Full Name

I understand this is a legal representation of my signature.

Please select the response that best represents your experience with the student intern
	Always	Usually	Never	N/A
Is reliable in getting to work on time.	Is reliable in getting to work on time.Always	Is reliable in getting to work on time.Usually	Is reliable in getting to work on time.Never	Is reliable in getting to work on time.N/A
Is dependable in fulfilling assignments.	Is dependable in fulfilling assignments.Always	Is dependable in fulfilling assignments.Usually	Is dependable in fulfilling assignments.Never	Is dependable in fulfilling assignments.N/A
Is capable of working with little supervision.	Is capable of working with little supervision.Always	Is capable of working with little supervision.Usually	Is capable of working with little supervision.Never	Is capable of working with little supervision.N/A
Works effectively with co-workers.	Works effectively with co-workers.Always	Works effectively with co-workers.Usually	Works effectively with co-workers.Never	Works effectively with co-workers.N/A
Manages time efficiently.	Manages time efficiently.Always	Manages time efficiently.Usually	Manages time efficiently.Never	Manages time efficiently.N/A

Comments (optional)
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