Supervisor_______________________ Agency_________________________
Student__________________________ Date__________
The agency supervisor is to complete this form to evaluate the performance of the student at the completion of the PE 895 Internship. This report should be reviewed with the student and sent to the college supervisor within five (5) calendar days after completion.
| |
Superior |
Average |
Poor |
|
| : The extent to which the student shows an active interest in his assignments and performs them in a thorough, accurate and neat manner. |
5 |
3 |
|
2 |
1 |
N/O |
| : The extent to which the student demonstrates a desire to learn as much as they can about the various operations and functions of the agency. |
5 |
3 |
|
2 |
1 |
N/O |
| : The extent to which the student can be relied upon to complete their assignment and to perform as a trustworthy person. |
5 |
3 |
|
2 |
1 |
N/O |
| : The amount of politeness, respect, tact, consideration, and dignity displayed by the by the student in dealing with others. |
5 |
3 |
|
2 |
1 |
N/O |
| : The extent of the student's adaptability to the team approach and willingness to help others to get the job done. |
5 |
3 |
|
2 |
1 |
N/O |
| : This refers to the appropriateness of dress, personal neatness, and hygiene and the student's ability and desire to maintain a standard of personal appearance in keeping with the demands and prestige of his/her position. |
5 |
3 |
|
2 |
1 |
N/O |
| : The extent to which the student displays the physical and mental energy, imagination, resourcefulness, spirit, and drive required to get results without the need of urging on the part of his supervisor. |
5 |
3 |
|
2 |
1 |
N/O |
| : The degree of support the student gives to his/her fellow workers, superiors and the program of the agency. |
5 |
3 |
|
2 |
1 |
N/O |
| : This refers to the use of sick leave, unauthorized absences, and promptness in reporting for work. |
5 |
3 |
|
2 |
1 |
N/O |
| : The effectiveness of the student in considering all available facts before acting and is the student logical, practical, and consistent in their conclusions and actions based upon such facts. |
5 |
3 |
|
2 |
1 |
N/O |
| : The degree to which the student is capable of organizing, planning, controlling, and guiding the work or activities of others in a manner that produced satisfactory results. |
5 |
3 |
|
2 |
1 |
N/O |
| : The extent to which the student's behavior on and off the job, is becoming of a staff member; and the extent to which they have demonstrated moral traits, wholesome associations, and positive attitudes. |
5 |
3 |
|
2 |
1 |
N/O |
| : The extent to which the student understands and possesses skills and knowledge in the following areas: |
|
| |
Philosophy |
5 |
3 |
|
2 |
1 |
N/O |
| |
Organization |
5 |
3 |
|
2 |
1 |
N/O |
| |
Supervision |
5 |
3 |
|
2 |
1 |
N/O |
| |
Assessment strategies |
5 |
3 |
|
2 |
1 |
N/O |
| |
Technology |
5 |
3 |
|
2 |
1 |
N/O |
What are the student's greatest strengths?
What are the student's greatest weaknesses (exclusive of inexperience)?
Recommended grade ___________
(A=Superior; B=Above Average; C=Average; D=Below Average; F=Unsatisfactory).
In light of all the evidence available, what is your overall estimate of the chances that this student would be a good worker and a credit to the profession?
If your agency had a job vacancy for someone with this students training and skills, would you consider them as a prospective employee? Why?
Have you discussed this evaluation with the student? Yes No
Agency Supervisor's Signature ________________________________ Date_________________
Student's Signature _________________________________________ Date__________________
Please return to Internship Supervisor:
Jerry Hueser
University Of Nebraska at Kearney
HPER # 134
Kearney, NE. 68849