Penn State Information Sciences & Technology Internship Program

MID-POINT Employer Evaluation of Student and Student Evaluation

It is mandatory to fill out and submit this form to your IST Internship Advisor.

Student Name:_____________________________ Option:_______________________

Student ID Number:_________________________

Circle one: IST 295B IST 495 Circle one: Fall Spring Summer Year: ________

Employer Name:___________________________________________

Employer Location:_________________________________________

Section 1: To be completed by the student’s supervisor and the student together

In an effort to ensure that the student is receiving feedback from his/her employer throughout the internship assignment, we ask that the supervisor complete this section of the mid-point evaluation and review it with the student.

Rate the student’s performance in the following skills using the numerical scale explained below:

5 – Superior; 4 – Very Good; 3 – Good; 2 – Fair; 1 – Poor; NA – Not Applicable

	5	4	3	2	1	NA
Understands and utilizes written and oral communication effectively	_	_	_	_	_	_
Ability to handle multiple priorities efficiently and effectively	_	_	_	_	_	_
Maintains a sense of responsibility for a task or project until completion	_	_	_	_	_	_
Analyzes appropriate information. Uses good judgment when developing and evaluating alternatives	_	_	_	_	_	_
Employed technical ability effectively	_	_	_	_	_	_
Can initiate and convey ideas and gain support from others	_	_	_	_	_	_
Worked independently without constant supervision	_	_	_	_	_	_
Adapted to change	_	_	_	_	_	_
Maintains commitment to expected productivity levels	_	_	_	_	_	_
Exhibited leadership	_	_	_	_	_	_
Overall performance	_	_	_	_	_	_

Please discuss the student’s strengths and weaknesses with him/her in conjunction with this review.

Supervisor’s signature: _______________________________ Date: ______________________

Section 2: To be completed by the student after the above evaluation has taken place. This section does not need to be reviewed with the supervisor.

What aspects of your internship are you most satisfied with?

What aspects of your internship are you least satisfied with?

Are you experiencing any problems than you would like an office representative to call you about immediately? ___Yes ____No

Do you have any concerns that you would like an office representative to call you about immediately? ___Yes ____No

If yes, please provide the best time to call: ___ Day ___Evening

Phone # __________________________

Student Signature: _________________________________________ Date: ___________