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Mid-Term Evaluation of Student (HDFS/YD)

Mid-Term Evaluation of Student (HDFS/YD)

Internship/Practicum/Field Experience in Human Development and Family Studies or Youth Development

MID-TERM EVALUATION

To be completed by Site Supervisor

Fields marked with an asterisk (*) are required.

In order to proceed you must enter the Site Supervisor Code

Site Supervisor Passcode CheckEnter the Site Supervisor Code Provided to You

General Information Student Name* Date* Internship Supervisor* Supervisor Email* Place of Internship* Phone*

Please provide a candid evaluation of the student using the following checklist. Select the quality that best describes the student's performance at your agency. Please evaluate each category individually.

Outstanding = exhibits superior qualities; professionally skilled
Proficient = exhibits acceptable qualities and generally successful
Needs Improvement = requires repeated assistance and guidance
Not Applicable = indicates that this behavior has not been experienced enough to be evaluated at this time or may not be relevant to the situation.

Personal Attributes Attendance/Punctuality*

Outstanding

Proficient

Needs Improvement

Not Applicable

Time Management*

Outstanding

Proficient

Needs Improvement

Not Applicable

Dependability*

Outstanding

Proficient

Needs Improvement

Not Applicable

Interest and Willingness to Work*

Outstanding

Proficient

Needs Improvement

Not Applicable

Professional Appearance*

Outstanding

Proficient

Needs Improvement

Not Applicable

Assertiveness/Initiative*

Outstanding

Proficient

Needs Improvement

Not Applicable

Emotional Maturity*

Outstanding

Proficient

Needs Improvement

Not Applicable

Poise and Confidence*

Outstanding

Proficient

Needs Improvement

Not Applicable

Adaptability and Flexibility*

Outstanding

Proficient

Needs Improvement

Not Applicable

Responsibility*

Outstanding

Proficient

Needs Improvement

Not Applicable

Self Evaluation/Reflection*

Outstanding

Proficient

Needs Improvement

Not Applicable

Attitude*

Outstanding

Proficient

Needs Improvement

Not Applicable

Enthusiasm and Vitality*

Outstanding

Proficient

Needs Improvement

Not Applicable

Ability to Function Autonomously*

Outstanding

Proficient

Needs Improvement

Not Applicable

Comments, Examples, Observations:

Personal Characteristics

Personal Characteristics that will help or hinder the student's professional development. Consider the categories above.

Areas of Strength Areas of Improvement

Professional Skills and Abilities Oral Skills*

Outstanding

Proficient

Needs Improvement

Not Applicable

Written Skills*

Outstanding

Proficient

Needs Improvement

Not Applicable

Listening Skills*

Outstanding

Proficient

Needs Improvement

Not Applicable

Background Knowledge*

Outstanding

Proficient

Needs Improvement

Not Applicable

Leadership*

Outstanding

Proficient

Needs Improvement

Not Applicable

Accuracy and Thoroughness*

Outstanding

Proficient

Needs Improvement

Not Applicable

Creativity/Innovation*

Outstanding

Proficient

Needs Improvement

Not Applicable

Initiative*

Outstanding

Proficient

Needs Improvement

Not Applicable

Relationships with Clients*

Outstanding

Proficient

Needs Improvement

Not Applicable

Respect for Clients - valuing various cultural, ethnic, and gender needs*

Outstanding

Proficient

Needs Improvement

Not Applicable

Professional Relationships (cooperation with co-workers and administration)*

Outstanding

Proficient

Needs Improvement

Not Applicable

Response to Evaluation*

Outstanding

Proficient

Needs Improvement

Not Applicable

Problem Solving Ability*

Outstanding

Proficient

Needs Improvement

Not Applicable

Work with the Community*

Outstanding

Proficient

Needs Improvement

Not Applicable

Comments, Examples, Observations:

General Assessment Growth and Development:
Does the student appear to be making satisfactory progress at this stage of development?

Yes

What suggestions do you have to increase the student's value to the organization and to further the student's professional development?

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