Intern Evaluation Form

Two (2) evaluations, a midterm and final evaluation, will be completed by the agency supervisor
using the form below. The midterm evaluation should be used to determine places for improvement
and to evaluate the student’s program to date. The final evaluation should be used to determine the
overall performance of the intern.
Amanda D'Agostino July 27, 2021
Name of Student: _______________________Date: ___________________
Leslie Brinson/ Julie Ramey
Name of Supervisor: _____________________

1. Goals and Objectives: List each professional goal and objective jointly established and progress
towards completing it.

Goals and Objectives Status Comments

Assist with Farmers' Market Amanda has helped stream

weekly task, promotions, Completed line the Market processes, has
programming and SNAP created promotional material,
information
Event Support- Children's contactedhas
Amanda agencies and
provided on site
Expo, Kids Tri, Concert Completed delivered SNAP information,
support for events as well,
Series, Summer Solstice created
social both support,
media the 2019and
and
2020 Market
pre-event Bucks
support.
Has attended Reports
Recreation
Attend meetings within the
Department Completed Division Meetings,
Management Team Meetings,
One on One staff meetings
Select One and one 6-month evaluation

Select One

Select One

Select One
2. Attitudes and Skill Development:
Beyond Expectations Met Expectations Below Expectations
a. Understanding of agency’s goals and
operations
b. Knowledge of the field
c. Planning and organizing work and
schedule
d. Attitude toward duties
e. Dependability
f. Initiative
g. Seeks responsibility
h. Accepts direction
i. Interaction with staff
j. Interaction with public
k. Oral communication
l. Writing ability
m. Leadership performance
n. Quantity of work
o. Quality of work
p. Grasps concepts and implements them

3. Motivation:
For each of the following, when appropriate, briefly comment on the intern’s abilities, strengths, and
weaknesses, and where/how they might focus future efforts.

a. Knowledge- has information and skills appropriate to the field, balance between theory and
applications; exerts efforts for new developments and trends.
Amanda's knowledge of general Parks theory and her in depth knowledge of our
Department allow her to excel in the tasks given to her.
b. Leadership- enthusiasm, inspiring, evaluating ability, planning and organizational skills.
She is willing and eager to do all tasks assigned and asked of her and has
brought many ideas to the table on her own.
c. Social- pleasant, friendly, tactful, impressions by others, conversationalist.

d. Performance- time management and productivity, dependability, initiative, attitude, judgment.

4. Overall Evaluation of Performance

Exceeded expectations Met expectations Below expectations

Average Poor

5. Professional Evaluation of Student:

Given my observations and interaction with the student, I…
(check one)
Highly Recommend

Recommend

Recommend with Reservation

Would Not Recommend …this individual for a position in the field.

Why?:

6. Ranking:
Compared to the ___(number) interns our agency has had in the last five years, I would rank this
intern in the:
Top 10th percentile Upper 50th percentile Lower 50th percentile Bottom quartile

7. Signature:
The signing of this form indicates the intern has reviewed and discussed the evaluation and does not
indicate that the intern necessarily agrees with the judgments in the evaluation.

07 30 21
Date ____/____/____ Supervisor’s Signature

___________________________

Intern’s Signature

___________________________

Submit to: Julie Knapp, Ph.D. Internship Coordinator

Indiana University, School of Public Health
Department of Health & Wellness Design
SPH Room 133, 1025 E. Seventh St., Bloomington, IN 47405
julknapp@indiana.edu 812-856-1068