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ACC Exercise Science Internship Final Evaluation Form

Students Name(Required.)
Internship Site(Required.)
Site Supervisor’s Name(Required.)
Will student have completed 200 hours by the end of internship?(Required.)
INSTRUCTIONS FOR COMPLETING EVALUATION

Below are categories that contain a number of traits, abilities, and characteristics that are important in measuring a successful internship experience. Carefully evaluate each quality and check the rating that best describes the student's current functioning level.

1 = Rarely displays characteristic

2 = Occasionally displays characteristic

3 = Ordinarily displays characteristic

4 = Regularly displays characteristic

5 = Consistently displays characteristic

NA = Not applicable
I. PERFORMANCE
1. Establishes and plans work objectives.(Required.)
2. Organizes work well.(Required.)
3. Has concern for quality of work.(Required.)
4. Displays ability to solve problems.(Required.)
5. Displays capacity for motivating others.(Required.)
6. Has ability to work independently.(Required.)
7. Possesses strong communication skills.(Required.)
8. Displays a marked capacity for work and production.(Required.)
9. Is critical of own performance and quality of work.(Required.)
10. Completes assignments on time.(Required.)
11. Shows concern for safety of others.(Required.)
II. KNOWLEDGE
12. Displays ability to integrate conceptual knowledge and activity skills.(Required.)
13. Displays knowledge and understanding of program principles and methods.(Required.)
14. Displays ability to apply knowledge in a practical way.(Required.)
15.. Possesses and demonstrates expanding scope of interests.(Required.)
III. PERSONALITY AND ATTITUDE
16. Shows enthusiasm for work.(Required.)
17. Demonstrates initiative.(Required.)
18. Displays creativity and imagination.(Required.)
19. Displays average maturity for age.(Required.)
20. Displays flexibility.(Required.)
21. Is completely dependable.(Required.)
22. Has self-confidence.(Required.)
23. Gains respect of others.(Required.)
24. Is sensitive to the needs of others.(Required.)
25. Is tactful in relations with others.(Required.)
26. Accepts suggestions, directions, and critical evaluation well.(Required.)
27. Accepts assignments willingly.(Required.)
28. Upholds and follows agency policies.(Required.)
IV. PERFORMANCE APPRAISAL
A. Strengths: Describe the student’s outstanding abilities.(Required.)
B. Suggestions for improvement: Describe the areas in which the student needs the greatest improvement.(Required.)
Site Supervisor’s Evaluation for Employment(Required.)
Evaluation was reviewed with student?(Required.)
Evaluation was reviewed with instructor?(Required.)
Site Supervisor’s Signature (please type name below)(Required.)
Date(Required.)
Date
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