Mid-Term Evaluation of Student (BSPH)

MID-TERM EVALUATION

To be completed by Site Supervisor

Thank you for your time and guidance in working with the student, we appreciate your willingness to assist in our internship program.

Fields marked with an asterisk (*) are required.

In order to proceed you must enter the Site Supervisor Code

Site Supervisor Passcode Check


General Information

I. Status of Objectives, as related to the Memorandum of Understanding.

II. Perception of Intern's Personal Attributes and Professional Skills

Please use the number below to indicate the intern's personal attributes and professional skills.

1 = Above Average
2 = Average
3 = Below Average
0 = N/A
1 = Above Average
2 = Average
3 = Below Average
0 = N/A
1 = Above Average
2 = Average
3 = Below Average
0 = N/A
1 = Above Average
2 = Average
3 = Below Average
0 = N/A
1 = Above Average
2 = Average
3 = Below Average
0 = N/A
1 = Above Average
2 = Average
3 = Below Average
0 = N/A
1 = Above Average
2 = Average
3 = Below Average
0 = N/A
1 = Above Average
2 = Average
3 = Below Average
0 = N/A
1 = Above Average
2 = Average
3 = Below Average
0 = N/A
1 = Above Average
2 = Average
3 = Below Average
0 = N/A
1 = Above Average
2 = Average
3 = Below Average
0 = N/A
1 = Above Average
2 = Average
3 = Below Average
0 = N/A
1 = Above Average
2 = Average
3 = Below Average
0 = N/A
1 = Above Average
2 = Average
3 = Below Average
0 = N/A
1 = Above Average
2 = Average
3 = Below Average
0 = N/A
1 = Above Average
2 = Average
3 = Below Average
0 = N/A

III. Evaluation of the performance of the intern

IV. Suggested Changes in Objectives, Future Activities, if any

If you're experiencing technical difficulties please contact web support at sphweb@iu.edu.