Assessment Form
Assessment Form
Overall Performance 1. Would you like to work with this candidate? 2. Would you consider this candidate again? 3. Overall Performance of this intern: Unsatisfactory Poor Average
No No
Uncertain Uncertain
Outstanding
Introduction: The intention of this assessment instrument is to provide the candidate with feedback concerning both general and specific professional skills and competencies. We ask that you be objective and candid in your assessment and that you discuss it with the candidate. Assessment ratings range from 1 (low) to 5 (high) as follows: 1 Unsatisfactory (Never demonstrates this ability/does not meet expectations) 3 Average (Sometimes demonstrates this ability/meets expectations) 5 Exceptional (Always demonstrates this ability/consistently exceeds expectations) NA (Not applicable or not observed in this internship experience) . Please do not feel compelled to write comments in each section. A. Ability to Learn 1. Observes and/or pays attention to others 2. Asks pertinent and purposeful questions 3. Seeks out and utilizes appropriate resources 4. Accepts responsibility for mistakes and learns from experiences 5. Open to new experiences Comments:
1 2 3 4 5 NA 1 2 3 4 5 NA 1 2 3 4 5 NA 1 2 3 4 5 NA 1 2 3 4 5 NA
B. Reading/Writing/Computation Skills 1. Reads/comprehends/follows written materials 2. Communicates ideas and concepts clearly in writing 3. Works with mathematical procedures appropriate to the job Comments:
1 2 3 4 5 NA 1 2 3 4 5 NA 1 2 3 4 5 NA
1|Page
C. Oral Communication/Listening Skills 1. Listens to others in an active and attentive manner 2. Comprehends and follows verbal instructions 3. Effectively participates in meetings or group settings 4. Demonstrates effective verbal communication skills Comments:
1 2 3 4 5 NA 1 2 3 4 5 NA 1 2 3 4 5 NA 1 2 3 4 5 NA
D. Creative Thinking & Problem Solving Skills 1. Seeks to comprehend and understand issues in their larger context 2. Breaks down complex tasks/problems into manageable pieces 3. Brainstorms/develops options and ideas 4. Respects input and ideas from other sources and people 5. Demonstrates an analytical capacity Comments:
1 2 3 4 5 NA 1 2 3 4 5 NA 1 2 3 4 5 NA 1 2 3 4 5 NA 1 2 3 4 5 NA
E. Professional & Career Development Skills 1. Seeks to understand personal strengths and weaknesses 2. Exhibits self-motivated approach to work 3. Demonstrates ability to set appropriate priorities/goals 4. Exhibits professional behavior and attitude 5. Shows interest in determining career direction Comments:
1 2 3 4 5 NA 1 2 3 4 5 NA 1 2 3 4 5 NA 1 2 3 4 5 NA 1 2 3 4 5 NA
F. Interpersonal & Teamwork Skills 1. Relates to co-workers effectively 2. Manages and resolves conflict in an effective manner 3. Supports and contributes to a team atmosphere 4. Controls emotions in a manner appropriate for work 5. Demonstrates assertive but appropriate behavior Comments:
1 2 3 4 5 NA 1 2 3 4 5 NA 1 2 3 4 5 NA 1 2 3 4 5 NA 1 2 3 4 5 NA
2|Page
G. Organizational Effectiveness Skills 1. Seeks to understand and support the organizations mission/goals 2. Works within the norms and expectations of the organization 3. Works within appropriate authority and decision-making channels 4. Demonstrates confidentiality 5. Interacts effectively and appropriately with supervisor Comments:
1 2 3 4 5 NA 1 2 3 4 5 NA 1 2 3 4 5 NA 1 2 3 4 5 NA 1 2 3 4 5 NA
H. Basic Work Habits 1. Reports to work as scheduled 2. Is prompt in showing up to work and meetings 3. Exhibits a positive and constructive attitude 4. Dress and appearance are appropriate for this organization Comments:
1 2 3 4 5 NA 1 2 3 4 5 NA 1 2 3 4 5 NA 1 2 3 4 5 NA
I. Character Attributes 1. Brings a sense of values and integrity to the job 2. Seeks to serve others even at the risk of personal inconvenience 3. Respects the privacy of others 4. Behaves in an ethical manner 5. Respects the diversity (religious/cultural/ethnic) of co-workers J Experience while evaluating the answer booklet 1. Understands the concepts 2. Creative in answering 3. Understands the problem 4. Dedicated and Time Bound
1 2 3 4 5 NA 1 2 3 4 5 NA 1 2 3 4 5 NA 1 2 3 4 5 NA 1 2 3 4 5 NA
1 2 3 4 5 NA 1 2 3 4 5 NA 1 2 3 4 5 NA 1 2 3 4 5 NA
3|Page