UofL MUP Internship Mentor Evaluation
Please evaluate your experience with the student intern based on the statements and questions below using the following rating scale.

Rating Scale:

1: Poor
2: Below Average
3: Average
4: Good
5: Superior

Name of Student Intern
Your answer
Mentor's name (Person filling out this evaluation)
Your answer
Title
Your answer
Name of Agency
Your answer
Date
MM
/
DD
/
YYYY
Email Address
Your answer
Ability to Work with Agency/Community
Please evaluate your experience with the student intern based on the statements and questions below using the following rating scale.

Rating Scale:

1: Poor
2: Below Average
3: Average
4: Good
5: Superior

Understanding of agency purpose/function:
Ability to understand and use agency policies and procedures:
Ability to plan, organize and use time effectively:
Knowledge and use of available resources:
Ability to obtain pertinent information/facts when needed:
Ability to distinguish relevant from irrelevant materials:
Ability to plan a course of action:
Written communication skills (memos, reports, briefs):
Presentation skills (meetings, proposals):
Ability to relate/apply theoretical knowledge to a given problem or agency function:
Ability to communicate with staff/others:
Ability to obtain relevant facts from materials:
Professional Development
Please evaluate your experience with the student intern based on the statements and questions below using the following rating scale.

Rating Scale:

1: Poor
2: Below Average
3: Average
4: Good
5: Superior

Integration of theory and practice:
Shows pattern of continuous learning:
Ability to focus on problems/needs of agency:
Attitude towards authority:
Attitude toward assuming leadership role/additional responsibilities:
Promptness:
Dependability:
Additional comments:
Would you feel confident in hiring/recommending this intern for a job?
Your answer
What suggestions, if any, do you have for the improvement of the MUP Program?
Your answer
Additional comments
Your answer
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