Division of Kinesiology and Health

College of Heath Sciences

SITE SUPERVISOR/EVALUATOR -- MID-TERM EVALUATION

The internship experience is strengthened by an early evaluation of your experience. This form is used for four primary purposes:

1. To give the student an idea of his/her current strengths and weaknesses as related to the pursuit of a career in Kinesiology related fields.

2. To provide the student with evaluative feedback concerning the performance of his/her major areas of responsibility in this assignment.

3. To identify areas where the student needs to strive for improvement.

4. To help the university supervisor determine a satisfactory/unsatisfactory grade assessment of the student’s performance thus far.

The evaluative process is considered extremely important. It is suggested that both supervisor and student discuss them jointly in an evaluation conference. It is extremely difficult to eliminate the subjectivity of such evaluative forms. Therefore, please exercise your best personal and professional judgment in completing this evaluation.

Reflect upon the student's work and make an honest judgment in each category. Descriptive phrases and words have been included to provide a clearer understanding of each area. Use the space between each category to make specific comments as needed. Indicate “N/A” when appropriate.

Name of Student Intern:
Name of Internship Site:
Name of Site Supervisor:
Name of Evaluator (if different):
Industry (work habits, willingness to work):
Excellent Good Adequate Marginal Poor N/A
Thoroughness (accuracy, completeness):
Excellent Good Adequate Marginal Poor N/A
Reliability (dependable, honest):
Excellent Good Adequate Marginal Poor N/A
Initiative (gets things going, new ideas):
Excellent Good Adequate Marginal Poor N/A
Leadership (takes charge, organizes others):
Excellent Good Adequate Marginal Poor N/A
Independence (self-directed, can work alone):
Excellent Good Adequate Marginal Poor N/A
Cooperation (can work with others, agreeable):
Excellent Good Adequate Marginal Poor N/A
Intellectual Ability (intelligence to succeed):
Excellent Good Adequate Marginal Poor N/A
Motivation (desire to succeed and learn):
Excellent Good Adequate Marginal Poor N/A
Creativity/Imagination (generates ideas):
Excellent Good Adequate Marginal Poor N/A
General Attitude (general outlook, perspective):
Excellent Good Adequate Marginal Poor N/A
Emotional Control (stability, volatility of emotions):
Excellent Good Adequate Marginal Poor N/A
Social Skills (extroversion, respect for others, tact):
Excellent Good Adequate Marginal Poor N/A
Verbal Skills (articulation, accuracy, fluency):
Excellent Good Adequate Marginal Poor N/A
Writing Skills (organization, accuracy, clarity):
Excellent Good Adequate Marginal Poor N/A
Please select SATISFACTORY or UNSATISFACTORY according to how you would rate the work of this student intern at this point in time.:
SATISFACTORY UNSATISFACTORY
Please make any additional comments on the strengths and weaknesses of this intern.:
I will print off my evaluation and comments and discuss them with the student intern.:
Yes, I will. No, I will not.
I certify, by indication of my initials, that I personally have completed this form.: