HISTORY 398
HISTORY INTERN EVALUATION

Intern Performance Evaluation Form to Be Completed by the Site Supervisor

Name of Intern:__________________________

Name of Supervisor:____________________________

Site Name, City & State:____________________________ Supervisor

Title:_______________________

Intern's Starting Date:_____________ Ending Date:___________ No. of Hours Worked Per Week:______
Dept(s). in Which Intern Worked:_______________________ Date of

Evaluation:_________________
1) Briefly describe the tasks the Intern was expected to perform:



2) List the skills learned and abilities demonstrated by the Intern during the semester:




3) In your opinion, based on the list in 2) above, identify any deficiencies the Intern should work to rectify:



4) How would your assess the overall contribution that the Intern made to your agency or organization?

For each of the following statements, circle your answer where 5=strongly agree, 4=agree, 3=undecided, 2= disagree, 1=strongly disagree, 0=not applicable (Intern has had no opportunity to demonstrate these abilities)
I am satisfied with the Intern's...

SA A U D SD NA
a. Knowledge of history 5 4 3 2 1 0
b. Research skills 5 4 3 2 1 0
c. Oral communication skills 5 4 3 2 1 0
e. Proficiency in use of information technology 5 4 3 2 1 0
f. Ability to spot & correct mistakes 5 4 3 2 1 0
g. Responsiveness to suggestions & criticism 5 4 3 2 1 0

I am satisfied with the Intern's... SA A U D SD NA
h. Initiative 5 4 3 2 1 0
i. Level of creativity 5 4 3 2 1 0
j. Dependability and dedication 5 4 3 2 1 0
k. Organizational skills 5 4 3 2 1 0
l. Ability to meet deadlines 5 4 3 2 1 0
m. Ability to work independently 5 4 3 2 1 0
n. Ability to cooperate with others 5 4 3 2 1 0

I am satisfied with the Intern's... SA A U D SD NA
o. Level of courtesy to others 5 4 3 2 1 0
p. Personal appearance related to job requirements 5 4 3 2 1 0
q. Confidence & positive self-image 5 4 3 2 1 0
r. Ability to adapt to rules & policies of job site 5 4 3 2 1 0
s. Ability to resolve problems & conflicts 5 4 3 2 1 0
t. Flexibility 5 4 3 2 1 0
u. Punctuality & regularity in attendance 5 4 3 2 1 0
What grade would you recommend be assigned to the Intern's overall performance this semester?
(Circle one) A B+ B C+ C D+ D F

May we have your permission to share this evaluation with the Intern? Yes____ No____
Comment:

Would you be willing to accept another Loyola University History Intern in the future?
Yes____ No____ Comment: