Student:___________________________ Date Form Completed:___________
Form Completed by:_________________________________(Internship supervisor)
Evaluate the student’s performance twice: once in the first half of the internship and once at its completion. If there has not been an opportunity to observe the traits or behaviors listed below, enter N/O (no opportunity to observe) in the first column. Please review and discuss the evaluation with the intern mid-way through the internship and at its end. Sign and date the form at the indicated lines. Mail completed evaluations, -and/or- any other written evaluation that you feel is appropriate to: UMD Exercise Science Internship Supervisor, 110 SpHC, 1216 Ordean Court, 10 University Dr., UMD, Duluth, MN, 55812.
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Professional attitudes towards: |
Exceptional |
Satisfactory |
Not Satisfactory |
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Mid |
Final |
Mid |
Final |
Mid |
Final |
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1. Host agency |
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2. Clientele |
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3. Profession |
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Comments:
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Knowledge of: |
Exceptional |
Satisfactory |
Not Satisfactory |
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Mid |
Final |
Mid |
Final |
Mid |
Final |
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1. Exercise Science |
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2. Fitness Testing |
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3.Fitness Programming |
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4.Host Site |
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5. Profession |
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Comments:
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| Ability to work with: |
Exceptional |
Satisfactory |
Not Satisfactory |
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| Mid |
Final |
Mid |
Final |
Mid |
Final |
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| Professional co-workers |
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| Clientele |
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| The public |
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| Leadership ability: |
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| Respect of others |
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| Take & receive criticism |
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| Organization |
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| Time Management |
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| Decision making ability |
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| Assumption of responsibility |
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| Judgment |
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| Respect of others |
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| Enthusiasm |
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| Accuracy |
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| Work Speed/Pace |
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| Written communication |
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| Oral communication |
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| Computer literacy |
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| Work as team member |
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| Comments:
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Personal Appearance |
Comments
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Growth/Improvement |
Comments
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Awareness of Personal Assets/Liabilities |
Comments
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Adverse Mannerisms/Characteristics |
Comments
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Special Aptitudes/Strengths and/or Weaknesses |
Comments |
Signature:_________________________________(Supervisor) Date:_________
Signature:___________________________________(Intern) Date:_________