Internship Evaluation Form


A Walker Institute intern from Weber State University has served in your office during this semester. The effective performance of the intern’s activities and responsibilities form a percentage of his/her academic credit. Please provide your evaluation of the intern’s performance. We appreciate your support of our internship program. Please submit your confidential evaluation by filling out this online form, by mailing a hard copy to 1299 Edvalson St., Dept 1219 Ogden, UT 84408, or email your evaluation to Leslie Skinner at Please rate your intern on the scale and provide comments as necessary.

Intern Name:  
Supervisor Name: Supervisor Email:

Please rate the Intern on the following:

Initiative / Responsibility: Excellent Good Poor
   1   2   3   4   5 
Comments on Initiative/Responsibility:
Professionalism: Excellent Good Poor
   1   2   3   4   5 
Comments on Professionalism:
Communication Skills: Excellent Good Poor
   1   2   3   4   5 
Comments on Communication Skills:
Overall Performance: Excellent Good Poor
   1   2   3   4   5 
Comments on Overall Performance:
Submit your form here