CNFDNT
Supervisor Evaluation Form
Intern Information
Intern Name:
Internship Track(s):
Internship Term:
Evaluation Type:
Midpoint
Final
Supervisor Information
Supervisor Name:
Supervisor Title / Role:
Organization:
Relationship to Intern:
CNFDNT Primary Supervisor
Partner / Functional Supervisor
Email:
Rating Scale
1 = Unsatisfactory
2 = Needs Improvement
3 = Meets Expectations
4 = Exceeds Expectations
5 = Exceptional
Section 1: Attendance & Professional Conduct
Section 2: Execution & Work Quality
Section 3: Learning & Growth
Section 4: Systems & Thinking
Section 5: Collaboration & Communication
Section 6: Deliverable Completion
Please indicate whether the intern completed the following required components:
Case study
Yes
No
Portfolio of executed work
Yes
No
Systems documentation / SOP
Yes
No
Capstone presentation
Yes
No
Partner-facing deliverable (if applicable)
Yes
No
Internship testimonial
Yes
No
Section 7: Overall Performance
Overall Performance Rating:
Unsatisfactory
Needs Improvement
Meets Expectations
Exceeds Expectations
Exceptional
Would you recommend this intern for future opportunities?
Yes
No
With Conditions
Section 8: Supervisor Feedback
Strengths demonstrated by the intern:
Areas for improvement:
Additional comments (optional):
Section 9: Academic & Program Confirmation
I confirm that this intern participated in structured, supervised work aligned with experiential learning objectives and completed responsibilities consistent with the CNFDNT Internship Program™.
Supervisor Signature:
Date:
CNFDNT Internship Program™ — cnfdnt.co/internship