HP Intern Midterm Evaluation

Department of Kinesiology, Sport Studies & Physical Education
Any questions about this form can be sent to ashearer@brockport.edu.

Directions

We are at the midpoint in the semester. Your intern is in the Exercise for Health Promotion concentration in Exercise Science. Please evaluate the intern on their performance so far. We ask that you spend some time reviewing this performance evaluation with your intern and establish goals for the remainder of the semester. Thank you for your time!
Name of Facility
Your name Your name First Last
Facility Name:
Name of the Intern Name of the Intern First Last
Professionalism and Personal Qualities
Please comment on this intern's professionalism. For guidance, consider reflecting on the intern's sense of responsibility, respect, attitude, enthusiasm, and motivation while interacting with supervisors, peers and clients.
On a scale of 1 (lowest) to 5 (highest), rate this intern's level of professionalism.
Work Performance
Please comment on this intern's level of work performance. For guidance, consider reflecting on the intern's awareness of duties and responsibilities, dependability, exercise leadership, ability to accept feedback and whether they demonstrate a through understanding of the field.
On a scale of 1 to 5, rate this intern's quality of work performance
Knowledge/Skills
Please comment on this intern's level of knowledge and skills as they related to the needs of your facility. For guidance, is this intern able to explain, demonstrate, program and/or implement key areas of exercise? Are they able to plan for progressions/regressions of exercises as they apply to a diverse clientele? Do they demonstrate knowledge of clinical/special populations?
For each of the following knowledge and skills items, please rate the student on a scale of 1 (lowest) to 5 (highest)

A score of 5 means that the student is meeting entry-level standards and is capable of working independently on a consistent basis.

A score of 4 means that the student is approaching entry-level standards and is capable of working independently on occasion.

A score of 3 means that the student demonstrates understanding of the standard, but is not capable of working independently.

A score of 2 means that the student occasionally demonstrates understanding of the standard, but is not capable of working independently.

A score of 1 means that the student does not demonstrate understanding of the standard.
Demonstration/explanation of exercises
Ability to appropriately suggest progressions/regressions when necessary
Demonstrates understanding of safety of exercises for injury prevention and/or rehabilitation
Ability to design and/or implement exercise programming to meet clients' goals.
What areas of skill development and professionalism will you have the intern focus on for the remainder of the semester and why?
Is there any other feedback you feel is important for us to know at this time?
If you were to assign a letter grade for this intern, what would it be?
Type your full name into the box below as legal representation of your signature.

HP Intern Midterm Evaluation

Directions

Professionalism and Personal Qualities

Work Performance

Knowledge/Skills