Area 46 Intern Assessment
Supervisors Can use this tool to record their assessments of the Interns that they are working with

The purpose of this form is to provide the intern with feedback about the intern’s work and professional skills and competencies.

Please be objective and candid in your assessment and discuss this with the intern. The assessment ratings ranges from 1 to 5 are as follows :

1 = Unsatisfactory - Never demonstrates this ability / does not meet expectations
2 = Needs Improvement - Seldom demonstrates this ability / rarely meets expectations
3 = Fair - Sometimes demonstrates this ability / meets expectations
4 = Good - Usually demonstrates this ability / sometimes exceed expectations
5 = Excellent - Always demonstrates this ability / consistently exceeds expectations

Student Intern First Name
Student Surname
Start Date of Internship
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