HSV: Human Services Field Practicum I & II
Supervisorâs Final Evaluation of Intern
This evaluation is to be filled out by the
field supervisor of the student intern. It allows the supervisor to evaluate
the internâs performance and communicate this evaluation to the studentâs
professor. This evaluation will contribute toward the studentâs final grade.
This evaluation should not take more than 10 minutes of your time and is a
requirement of the course. Your response to this performance evaluation is very
much appreciated. Please answer each item using the scale provided. There is
space at the end of this form for general comments. Your actual scores and
comments will notbe shared directly with the student although we
do encourage you to share your feedback with the student.
Date of evaluation:
Name of internship site:
5 â A definite strength. Performs well
beyond the average intern.
4 â Above expectations. Performs above
the average intern.
3â Acceptable. Meets standards of the
2 â Below expectations. Needs some
improvement to meet standards.
1 â Far below expectations. Needs much
improvement. A concern.
NA â Not applicable or not enough
information to form a judgment.
Basic Work Requirements
Shows up for scheduled hours reliably
supervisor and makes arrangements for absences
Is responsive to norms concerning clothing and appearance
Arrives on time consistently
enthusiastic about work, role
Will actively seek out additional work without being asked
Reliably completes requested or assigned tasks on time
of work performance
required hours or days on site
Ethical Awareness and Conduct
awareness of ethical issues. Shows good professional judgment.
behavior is consistent with ethical guidelines
with others about ethical issues, if necessary
knowledge of the client populations being served
knowledge of the treatment / service approaches used
knowledge of the treatment / service setting
to learning when new information is offered
seeks new information from staff or supervisor
to learn and understand new information
to apply new information to the practicum setting
comfortable interacting with clients
interactions with clients
effectively with clients
rapport and respect with clients
sensitive and responsive to clientsâ needs
sensitive to cultural differences
comfortable interacting with other staff members
interactions with staff
effectively with staff
conveys information and expresses own opinions
receives information and opinions from others
sensitive to cultural differences when interacting with other staff
and accurately keeps records
reports, notes are completed in a timely fashion
reports are of adequate quality
presentations are presented in a professional manner
seeks supervision when necessary
to feedback and suggestions from supervisor
of areas in need of improvement
to explore strengths and weaknesses
towards Established Learning Goals
comment on the internâs overall performance this past semester. Include mention
of any areas of improvement you observed during the course of the internship.
consider this student for another internship?
Would you consider this student for
full-time permanent employment?
Would you consider accepting another
intern from Post
(if this is a hard copy)
The post POST HSV460 Final Evaluation LATEST 2016 MARCH
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