Mid-Term Internship Mentor Feedback Form
Internship Institution: __________________________________________
Intern Name: ______________________________________________
Date: ____________________
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The intern I supervise |
Strongly Agree |
Agree |
Not Sure |
Disagree |
Strongly Disagree |
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1. |
…is a benefit to my organization. |
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2. |
…is well prepared for this internship experience. |
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3. |
…is responsible (i.e. prompt for appointments). |
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4. |
…works well with colleagues. |
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5. |
…works well with clients/patients/customers. |
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6. |
…benefits from the internship experience. |
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Upon reflection |
Strongly Agree |
Agree |
Not Sure |
Disagree |
Strongly Disagree |
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7. |
…I am looking forward to recruiting additional UALR interns in the future. |
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8. |
… I enjoy mentoring this intern. |
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9. |
…I realize I need an intern with different skill sets or interests than the current intern. |
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10. |
…I realize I need to be contacted by the internship coordinator to discuss some aspect of the current internship or future internships. |
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