FACS 499 - Liberty University
Liberty University
Department of Health Sciences and Kinesiology
1971 University Boulevard
Lynchburg, VA 24502
To: Supervisor, Student Interns
From: Beverly Mahoney
Internship Professor
Re: Mid term and Final Evaluations
Dear. Supervisor:
Thank-you so much for devoting your time and expertise to support our student interns. During the course of the semester, I ask that you would complete two short forms. One should be done about mid-way through the semester. (March 15 for spring, June 15 for summer, and October 15 for fall). The second should be done near the completion of the semester (May 1 for spring, August 1 for summer, and December 1 for fall).
We value your time, and consequently these forms should not take long to complete. You can get them to me in any of the three following ways.
1. Ask your intern to email you the electronic versions, and then you can email me the forms as attachments. This is probably the easiest and fastest way to get them to me. Just put the words “Internship Evaluation” and the name of your intern in the subject line. Both the midterm and final forms are very short MS Word documents.
2. Send them to me at the above address via US mail
3. Have your intern hand deliver them to me (they should be in sealed envelopes, bearing your signature across the back seal of the envelope.
I am appreciative of your willingness to have a Health Promotion Intern from Liberty University, and thank you in advance for sharing your expertise with our students. Should you have any questions, at any time, please feel free to contact me by email at bmahoney@liberty.edu or by telephone at 434-582-7447.
Thanks again, and have a blessed day,
Beverly Saxton Mahoney
Beverly Saxton Mahoney, RN, PhD, CHES
Professor, and Director of Health Promotion
Liberty University
Department of Health Sciences
Mid-Internship Evaluation Report by Employer
Student's Name_______________________________ Date________________________________________
Employer___________________________________ Supervisor___________________________________
Please evaluate this Student's work experience progress by checking the appropriate column. Your responses will assist with counseling, grading, and improving the learner's abilities.
| |Needs Improvement |Average |Above Average |
| | | | |
|Attendance | | | |
| | | | |
|Punctuality | | | |
| | | | |
|Reliability | | | |
| | | | |
|Ability to Follow Instructions | | | |
| | | | |
|Quality of Work | | | |
| | | | |
|Quantity of Work | | | |
| | | | |
|Judgment | | | |
| | | | |
|Cost Conscious | | | |
| | | | |
|Interest in Work | | | |
| | | | |
|Ability to Work With Others | | | |
| | | | |
|Ability to Accept Criticism | | | |
| | | | |
|Courtesy | | | |
| | | | |
|Cooperation With Company Rules | | | |
| | | | |
|Flexibility | | | |
| | | | |
|Appropriate Dress | | | |
| | | | |
|Cleanliness | | | |
| | | | |
|Neatness | | | |
Comments and specific suggestions for Student's Improvement:
__________________________________________________________________________________________
__________________________________________________________________________________________
Signature____________________________________________________ Date_________________________
Liberty University
Department of Health Sciences
HLTH 499 - Health Sciences Internship
Final Evaluation of Student by Cooperating Employer
Student's Name_____________________________________________________________________________
1. Was the student receptive and cooperative throughout the internship?
_______ Yes Comments:
_______ No
2. Did the student make a real effort to comply with the schedules agreed upon?
_______ Yes Comments:
_______ No
3. Did you have any problems with student absences or tardiness?
_______ Yes Comments:
_______ No
4. Does this student have the ability to accurately follow instructions?
_______ Yes Comments:
_______ No
5. Did the student make progress toward professionalism in this area?
_______ Yes Comments:
_______ No
6. What is your suggested grade for this student? ________
Comments:
Employer's Signature_________________________________________ Date:__________________________
Email ________________________________________ Phone # ____________________________________
................
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