Midterm Internship Evaluation Form for Site Supervisors
Dear Site Supervisor,

This evaluation has been created for you to consider what kind of work your student intern has done thus far and to list some goals to be achieved by the end of the semester. Please fill out this evaluation as completely as possible as it will be used to determine the midterm grade for your KCAI student intern.
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Email *
Semester and Year for this Internship (ex. Fall 2020) *
Name of KCAI Student Intern *
Company Name *
Site Supervisor Name *
Site Supervisor Phone Number *
Please rank your intern's performance thus far:
Dependable and present during scheduled work times (0 - 5; 0 = Poor; 5 = Superior) *
Poor
Superior
Takes and follows direction and follows through on tasks. (0 - 5; 0 = Poor; 5 = Superior) *
Poor
Superior
Has the ability to understand and learn new ideas and practices. (0 - 5; 0 = Poor; 5 = Superior) *
Poor
Superior
Takes initiative and is self-motivated. (0 - 5; 0 = Poor; 5 = Superior) *
Poor
Superior
Professional in their manner and communication. (0 - 5; 0 = Poor; 5 = Superior) *
Poor
Superior
Meets deadlines. (0 - 5; 0 = Poor; 5 = Superior) *
Poor
Superior
Uses good judgement in relation to the job. (0 - 5; 0 = Poor; 5 = Superior) *
Poor
Superior
Is receptive to instruction, supervision, and criticism. (0 - 5; 0 = Poor; 5 = Superior) *
Poor
Superior
What skills or practices do you feel are the intern's strengths? *
What constructive feedback can you provide to help the intern get even more out of this experience? *
Additional comments (optional)
A copy of your responses will be emailed to the address you provided.
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