Summer Intern Evaluation Form for Industry Guide

Please send this feedback Form latest by 25th June 2022

Name of the Intern: *

Enrolment No.: *

Programme:

Name & Designation of Industry Guide: _

Date of Commencement: Date of Completion:

Project Title:

Company’s Name and Contact Details

Select one evaluation level for each area by marking an "X" under the level that represents
the intern's performance ranging from 5 for excellent to 0 for Very Poor.

Part 1: Personal Qualities in a scale of 5

5 4 3 2 1 0

1. Ability to adapt to a variety of

2. Persistence to complete tasks
3. Reliability and dependability
4. Attention to accuracy and detail
5. Ability to cope in stress
Total Marks Obtained in Part 1 = ……………..

Part 2: Professional Abilities

5 4 3 2 1 0

Communication Skills
Analytical skills
Ability to work in a team
Creating possible solutions to
Professionalism
Total Marks Obtained in Part 2 = ……………..
Part 3: Other Qualities

5 4 3 2 1 0

Willingness to learn
Decision-making
Quality of work
Creative ability
Leadership ability

Comments

1.______________________________________________________________________

2.______________________________________________________________________

3.______________________________________________________________________

4.______________________________________________________________________

5.______________________________________________________________________

Total Marks Obtained in Part 3 = ……………..

Part 4: Overall Satisfaction of Industry Guide

On a scale of 1to5 ,with 1 being Very Dissatisfied to 5 being Very Satisfied, please circle the
number that best expresses the extent of your overall satisfaction level about the performance
of the student.

1 2 3 4 5

Total Marks obtained in Part1+ Part2 +Part3 +Part4 =…….

Additional Comments

Would you like to recruit him/her as a part of your team/Organisation (Why)?

Please guide on the critical areas for his/her further development.

Please give us your valuable suggestions as to how we can improve the interaction between
the institute and the industry and how can we make it more fruitful?
Date: Signature of the Industry Guide

Company’s Stamp

(Please attach your visiting card)