"Site Supervisor's Final Evaluation Form - Fredonia" - New York

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Download "Site Supervisor's Final Evaluation Form - Fredonia" - New York

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Career Development Office – Internship Program
Site Supervisor’s FINAL Evaluation Form
Student Name ___________________ ____________________________
First
Last
Student’s Internship Title ___________________________________________________________________________
Dates of Internship from ____/____/____ to ____/____/____
Number of Weekly Internship Hours ________________
Site Supervisor _________________________________
Organization Name ____________________________
Site Supervisor’s Phone (_____) _____________
Site Supervisor’s E-mail __________________________
An exit interview with the student intern prior to his/her last day of the internship is strongly encouraged.
Remember: student interns seek guidance and feedback in positive and proactive terms to establish a sense of course. As
a professional employer there is an opportunity to share your opinion regarding essential areas of growth and skill
development.
This evaluation which is submitted to the student’s faculty sponsor is helpful in evaluating the intern’s performance on site.
Candid responses establish a foundation for consultation and educational development to prepare the student for
employment.
I.
Please look at your copy of the Learning Contract and comment on how well the intern achieved the Educational
Objectives:
1.
________________________________________________________________
2.
________________________________________________________________
3.
________________________________________________________________
4.
________________________________________________________________
5.
________________________________________________________________
II.
What problems developed in the pursuit of these objectives? Please be specific.
1.
________________________________________________________________
2.
________________________________________________________________
3.
________________________________________________________________
4.
________________________________________________________________
5.
________________________________________________________________
PLEASE COMPLETE BOTH PAGES OF THIS FORM
Career Development Office – Internship Program
Site Supervisor’s FINAL Evaluation Form
Student Name ___________________ ____________________________
First
Last
Student’s Internship Title ___________________________________________________________________________
Dates of Internship from ____/____/____ to ____/____/____
Number of Weekly Internship Hours ________________
Site Supervisor _________________________________
Organization Name ____________________________
Site Supervisor’s Phone (_____) _____________
Site Supervisor’s E-mail __________________________
An exit interview with the student intern prior to his/her last day of the internship is strongly encouraged.
Remember: student interns seek guidance and feedback in positive and proactive terms to establish a sense of course. As
a professional employer there is an opportunity to share your opinion regarding essential areas of growth and skill
development.
This evaluation which is submitted to the student’s faculty sponsor is helpful in evaluating the intern’s performance on site.
Candid responses establish a foundation for consultation and educational development to prepare the student for
employment.
I.
Please look at your copy of the Learning Contract and comment on how well the intern achieved the Educational
Objectives:
1.
________________________________________________________________
2.
________________________________________________________________
3.
________________________________________________________________
4.
________________________________________________________________
5.
________________________________________________________________
II.
What problems developed in the pursuit of these objectives? Please be specific.
1.
________________________________________________________________
2.
________________________________________________________________
3.
________________________________________________________________
4.
________________________________________________________________
5.
________________________________________________________________
PLEASE COMPLETE BOTH PAGES OF THIS FORM
Site Supervisor’s FINAL Evaluation Form
Please rate your student intern by placing a check in the appropriate box:
1. Ability to learn:
slow
below average
average
learns readily
very quick
2. Quality of work:
poor
barely acceptable
average
very good
superior
3. Quantity of work:
unproductive
acceptable
highly productive
4. Attitude towards work:
indifferent
acceptable
industrious
highly enthusiastic
5. Relations with co-workers:
poor
satisfactory
very well accepted by others
6. Dependability:
unreliable
generally acceptable
exceptionally dependable
7. Judgment:
immature
average
exceptionally dependable
8. Punctuality:
usually late
generally punctual
never late
9. Appearance:
often questionable
sometimes questionable
always acceptable
10. Oral communication:
needs improvement
satisfactory
very good
11. Written communication:
needs improvement
satisfactory
very good
12. Reaction to supervision:
resents criticism
accepts criticism
seeks guidance
13. Overall performance:
poor
marginal
average
very good
outstanding
Do you feel this student is ready to take on the responsibilities of the profession? :
Yes
No
Why or why not?__________________________________________________________________________
_______________________________________________________________________________________
Comments regarding the student’s overall performance ___________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
Letter grades are generally assigned according to the following categories:
A = Superior, B = Above Average, C = Average, D = Passing, F = Failing.
To assist the Faculty Sponsor in determining the intern’s grade,
what letter grade would you suggest for this intern? ___
Evaluated by: ______
________
Site Supervisor Signature
Supervisor Title
Date
Please return this completed evaluation form to the student’s Faculty Sponsor
through postal mail or e-mail (
).
firstname.lastname@fredonia.edu
Faculty Sponsor, State University of New York at Fredonia, Fredonia, NY 14063
The intern will not receive a grade or credit without your evaluation.
Thank you for participating in our internship program.
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