IV. PERFORMANCE AND KNOWLEDGE IMPROVEMENT A. USED TIME PRODUCTIVELY B. COMPLETED WORK ASSIGNMENTS C. LEVEL OF TECHNICAL SKILLS V. ADMINISTRATIVE SKILL DEVELOPMENT A. COMMON SENSE OR JUDGMENT B. INTERPERSONAL STYLE C. ANALYTICAL ABILITY PART III: GENERAL APPRAISAL OF INTERN Note strengths and weaknesses, level of achievement, willingness to devote time and energy, sense of purpose and commitment, etc. Main strengths Weaknesses/areas for further skill development Specific problems and recommendations: Please describe any improvements you have noticed in the student’s performance over the course of the internship. Would you recommend this student for a position in an organization similar to yours? (Check appropriate response.) ( ) recommend without reservations ( ) recommend with some reservations ( ) would not recommend (Please explain) Recommended grade: _____A ____B ____C ____D ____F ____Incomplete _________________________________________________________________________________ Signature of Preceptor Date To the student: Your signature below indicates neither agreement nor disagreement with the evaluation, but it does indicate that you have read the evaluation, and it has been discussed with you. If you wish, you may comment in the space below. _________________________________________________________________________________ Signature of Student Date Student Comments: Natalie Whitehouse-Capuano, MPH, Adjunct Faculty – Thank you. Please return to: nataliew@csulb.edu
IV. PERFORMANCE AND KNOWLEDGE IMPROVEMENT A. USED TIME PRODUCTIVELY B. COMPLETED WORK ASSIGNMENTS C. LEVEL OF TECHNICAL SKILLS V. ADMINISTRATIVE SKILL DEVELOPMENT A. COMMON SENSE OR JUDGMENT B. INTERPERSONAL STYLE C. ANALYTICAL ABILITY PART III: GENERAL APPRAISAL OF INTERN Note strengths and weaknesses, level of achievement, willingness to devote time and energy, sense of purpose and commitment, etc. Main strengths Weaknesses/areas for further skill development Specific problems and recommendations: Please describe any improvements you have noticed in the student’s performance over the course of the internship. Would you recommend this student for a position in an organization similar to yours? (Check appropriate response.) ( ) recommend without reservations ( ) recommend with some reservations ( ) would not recommend (Please explain) Recommended grade: _____A ____B ____C ____D ____F ____Incomplete _________________________________________________________________________________ Signature of Preceptor Date To the student: Your signature below indicates neither agreement nor disagreement with the evaluation, but it does indicate that you have read the evaluation, and it has been discussed with you. If you wish, you may comment in the space below. _________________________________________________________________________________ Signature of Student Date Student Comments: Thank you. Please return to: Natalie Whitehouse-Capuano, MPH, Adjunct Faculty – nataliew@csulb.edu
HCA480Sp13NW.docx