Mid-Experience Intern Self-Evaluation Form: Student
To be completed by the student intern by Friday, March 22, 2024.

To help you reflect on your internship experience and learning, please consider the following questions and provide a self-assessed rating for each item. 

Reflecting on your skills and goals will increase your self-awareness and growth, and this form will provide your Faculty Supervisor with an update so they can determine what guidance and support will be most helpful throughout the rest of your internship.

You will receive an emailed copy of this evaluation form after you submit it, at the email address you provide. Once you receive it, forward it to your Faculty Supervisor (a requirement for your grade) and On-Site Supervisor (so you can have a conversation about your performance and progress in your internship)

Contact Karen Eilers at internships@montreat.edu with any questions. 
Sign in to Google to save your progress. Learn more
Email *
Intern First Name *
Intern Last Name *
On-Site Supervisor First and Last Name *
Organization *
Please rate your effectiveness in using the following skills as an intern:
1-Poor     2-Below Average     3-Average     4-Above Average     5-Excellent     Did not observe-Leave blank
Leadership: Using interpersonal skills, managing personal emotions, coaching and developing others, along with organizing, planning, and delegating work. Able to manage his/herself as well as leverage the strengths of others to achieve common goals.
Poor
Excellent
Clear selection
Oral & Written Communication: Effectively communicating an idea clearly and confidently to others through reports, letters, public speaking, emails, etc. Able to articulate thoughts appropriately with a wide variety of individuals.
Poor
Excellent
Clear selection
Collaboration & Teamwork: Building collaborative relationships with colleagues and customers representing diverse viewpoints. Able to work within a team structure, and negotiate and manage conflict.
Poor
Excellent
Clear selection
Global & Intercultural Fluency: Valuing, respecting, and learning from diverse cultures, races, and experiences. Demonstrates openness, inclusiveness, sensitivity and the ability to interact respectfully with all people and understand individuals’ differences.
Poor
Excellent
Clear selection
Information & Technology Application: Selecting and using appropriate technology to accomplish tasks and goals. Able to adapt effectively to new and emerging technology
Poor
Excellent
Clear selection
Professionalism & Work Ethic: Acting responsibly and fair in personal and work activities. Able to demonstrate integrity and ethical behavior, act responsibly with the interests of the larger community in mind, and to learn from mistakes.
Poor
Excellent
Clear selection
Critical Thinking & Problem Solving: Analyzing available information, making decisions, solving problems, and thinking on one’s feet. Able to obtain, interpret, and use knowledge, facts, and data in this process, and may demonstrate originality and inventiveness.
Poor
Excellent
Clear selection
Intern's comments on the above ratings:
Please comment on your areas of strength: *
Please comment on the areas in need of improvement: *
Please comment on your progress towards goals listed on the Learning Contract: *
Please indicate the number of hours you have completed for your internship as of today: *
Today's Date: *
MM
/
DD
/
YYYY
Additional Comments:
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
This form was created inside of Montreat College. Report Abuse