CCE Technology Division: CM Intern Evaluation

This form must be completed by the intern’s supervisor.

Instructions

FOR SUPERVISOR USE ONLY. Thank you for your effort in mentoring our student during the internship. This form should be completed online at the end of the internship (i.e., after at least 400 hours of internship). Evaluation results will be kept confidential; however, you are encouraged to provide constructive feedback directly to the student.

Student Information

Student First Name

Student Last Name

Student ID

Student Job Title

Student Email

Intern Start Date

Intern End Date

Average Work Hours Per Week

Detail duties of the intern (e.g. estimating, field supervision etc.)

Supervisor Information

Supervisor First Name

Supervisor Last Name

Job Title

Email (required for confirmation email)

Phone Number

Company Name

Company Address

Company City

Company State

Company Zip Code

Performance Assessment

Professional Attributes

Questions	Excellent	Good	Average	Poor	N/A
Knowledge relevant to assigned duties:	Excellent	Good	Average	Poor	N/A
Quality of work produced:	Excellent	Good	Average	Poor	N/A
Communication skills (Oral and written):	Excellent	Good	Average	Poor	N/A
Planning and organizational skills:	Excellent	Good	Average	Poor	N/A
Problem solving skills:	Excellent	Good	Average	Poor	N/A
Ability to learn:	Excellent	Good	Average	Poor	N/A
Attention to details and accuracy:	Excellent	Good	Average	Poor	N/A
Attention to safety issues:	Excellent	Good	Average	Poor	N/A
Ethics & professionalism:	Excellent	Good	Average	Poor	N/A

Interpersonal Skills

Questions	Excellent	Good	Average	Poor	N/A
Attendance and punctuality:	Excellent	Good	Average	Poor	N/A
Teamwork spirit & skills:	Excellent	Good	Average	Poor	N/A
Ability to work independently:	Excellent	Good	Average	Poor	N/A
Ability to accept constructive feedback:	Excellent	Good	Average	Poor	N/A

Overall Evaluation

Questions	Excellent	Good	Average	Poor	N/A
Overall performance against expectation:	Excellent	Good	Average	Poor	N/A

Would this be the type of employee you would hire on a permanent basis?

Yes

If no, briefly state why not:

Evaluation of intern's professional qualities during the internship. Please check the appropriate box for each.

Comments & Suggestions

Comments on areas of performance for intern to improve:

Suggestions on improving our internship program at UH:

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