Academics

Faculty/Staff Assessment for an Internship Candidate

Internship Assessment Form

Information about you (submitter)

Name

Date

Relationship to student

Number of semesters you have known the student.

Student information

First Name

Last Name

On a scale of 1 to 5 (with 5 being the highest ability), please rank the student’s abilities in the following areas.
Examples:
3. John did well but needs reminders.
Unknown. I did not directly supervise Jane.

Ability to manage time in general.

Ability to organize belongings.

Ability to manage personal hygiene and grooming.

Ability to self-advocate by using resources.

Ability to be flexible and to adjust to unfamiliar conditions.

Ability to problem solve in a stressful situation.

Ability to maintain appropriate social boundaries.

Ability to regulate emotions.

Ability to communicate appropriate concerns.

Ability to respect rules and regulations.

Ability to function independently.

Ability to maintain confidentiality and have access to confidential information.

Ability to follow directions in order to complete a task.

Ability to complete tasks involving writing without prompting.

Ability to complete tasks involving reading without prompting.

Ability to multi-task and shift attention between tasks.

Ability to determine priorities when given several tasks and projects.

If you were managing this student in a workplace setting, what concerns would you have about this student?

Is there any other information you would like to share about this student?

Check here if you would like a Career Connections counselor to contact you.