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Internship Performance Assessment Form.pdf

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TEM <strong>Internship</strong> Manual Appendix 7<br />

Section A: Intern’s General <strong>Performance</strong><br />

Please check (√) the appropriate box.<br />

Professional Relations:<br />

Unsatisfactory<br />

Below Average<br />

Average<br />

Above Average<br />

Excellent<br />

Not Applicable<br />

Rapport with staff (e.g., co-workers, volunteers)<br />

Interaction with public (i.e., clients, participants,<br />

patients)<br />

Understands needs of clients<br />

Ability to plan for client’s needs<br />

Adaptability (e.g., adjusts plans/actions according to<br />

situation)<br />

Section A: Intern’s General <strong>Performance</strong><br />

Please check (√) the appropriate box.<br />

Professional <strong>Performance</strong><br />

Unsatisfactory<br />

Below Average<br />

Average<br />

Above Average<br />

Excellent<br />

Not Applicable<br />

Planning and organizing work schedule (e.g., time<br />

management)<br />

Judgment (e.g., common sense, problem solving skills)<br />

Task accomplishment<br />

Oral communication<br />

Written communication<br />

Evaluation, self-improvement<br />

Leadership ability<br />

Quantity of work<br />

Quality of work<br />

Section A: Intern’s General <strong>Performance</strong><br />

Please check (√) the appropriate box.<br />

Professional Knowledge<br />

Unsatisfactory<br />

Below Average<br />

Average<br />

Above Average<br />

Excellent<br />

Not Applicable<br />

Understanding of agency’s goals and operations<br />

Knowledge of field<br />

Overall Rating of Intern’s <strong>Performance</strong> for Your<br />

Agency:<br />

9/19/13<br />

page 2 of 3

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