Administration New York Internship Programme

Annex L: SUPERVISOR FEEDBACK FORM

Intern Performance Evaluation

Supervisors must provide feedback designed to give the intern a constructive assessment
concerning his or her performance during the course of the internship. A supervisor may
provide this feedback orally or in written form. The use of this evaluation form is optional.
Should a supervisor decide to provide the intern with some structured feedback, this form
may be utilized. The feedback provided to the intern in any manner is confidential and
solely for the intern’s benefit. Please take some time to discuss your feedback with
the intern.

You can click the button “Fill & Sign” on the top right side to add checkmarks or text.

Part I
The following scale is provided to assist the supervisor in assigning the most appropriate
rating of the intern’s performance.

1 = Major Improvements Needed/Poor

2 = Some Improvements Needed/Fair
3 = Meets Expectations/Adequate
4 = Often Exceeds Expectations/Good
5 = Consistently Exceeds Expectations/Excellent

1. Knowledge, Skills & Abilities

a. Please consider the degree to which the intern demonstrates his/her knowledge of his/her
role in the office.

1 2 3 4 5

b. Please consider the degree to which the intern demonstrates his/her skills to perform
his/her internship functions.

1 2 3 4 5

2. Quality of Work

a. Does the intern complete his/her assignments with accuracy?

1 2 3 4 5

b. Does the intern complete his/her assignments with effectiveness?

1 2 3 4 5

c. Does the intern complete his/her assignments with thoroughness?

1 2 3 4 5
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d. Does the intern perform work in a productive and timely manner?

1 2 3 4 5

3. Planning & Organization

a. Please consider how well the intern plans and organizes his/her work.

1 2 3 4 5

b. Please consider how well the intern coordinates with others.

1 2 3 4 5

c. Please consider, if applicable, how well the intern establishes appropriate priorities.

1 2 3 4 5

4. Work Attitude & Initiatives

a. Does the intern demonstrate a positive, cooperative attitude towards work assignments
and office requirements?

1 2 3 4 5

b. Does the intern show initiative, anticipate needs and/or seek greater responsibility?

1 2 3 4 5

5. Communication & Cooperation

a. Does the intern verbally express his/her ideas clearly in the working language of the
department?

1 2 3 4 5

b. Does the intern express his/her ideas clearly in writing in the working language of the
department?

1 2 3 4 5

c. Does the intern demonstrate good listening skills?

1 2 3 4 5

d. Does the intern respond effectively in conversation?

1 2 3 4 5

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e. How well does the intern work with others as a team member, maintaining a good
rapport with others and showing a willingness to help?

1 2 3 4 5

6. International Experience

a. Please consider how well the intern understands the international dimensions of the work.

1 2 3 4 5

b. Please consider how well the intern adjusts to the multi-cultural working environment and
demonstrates respect for diversity.

1 2 3 4 5

Part II

1. Please outline the intern’s particular strengths and comparative weaknesses.

2. What competencies or skills do you suggest the intern should further develop to advance
his/her career prospects?

3. What additional research, literature or training do you think may be appropriate and
helpful to the intern’s development?

4. Do you have any advice/suggestions regarding the intern’s intended career path choice?

5. Please kindly provide any additional comments or remarks you may feel appropriate for
the intern.

Thank you very much for your cooperation.

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