1. Appendix G Intern Evaluation Form
Student’s Name __________Dana Ghareeb____________________________________ Agency Name Palmetto Rehab
____________________________________________________
Date 6/18/13 Evaluator Signature _______Tammy Gantzer __PT_______________________________________
Category 1-2
Insufficient
3-4
Emerging
5-6
Satisfactory
7-8
Skilled
9-10
Superior
N/A
Not Able
to Observe
Score
(record
here)
Item 1: Abilityto
Organize & CarryOut
Tasks
Preparationis severelylacking,
promptingtocomplete tasks is
almost always required
Some last minute preparationis
evident, promptingtocomplete tasks
is seldom required
Thorough preparationis
evident, promptingtocomplete
tasks is never required
8
Item 2: Qualityof
Assigned Work
Work does not meet
expectations andis of poor
quality
Work meets expectations andis
quality
Work exceeds expectations and
is high quality
8
Item 3: Time
Management
Frequently procrastinates in
completingwork,arrives to
work late on occasion
Some procrastinationbut usually
completes work ontime, tardy to
work on a fewoccasions
Tasks completedaheadof
schedule, never tardy
8
Item 4: Professional
Communication
Has difficulty conveyingideas
in written format (email, etc.), is
not comfortable orally
expressingideas
Can satisfactorilyconveyideas in
written form (email,etc.),lacks
some confidence in oral expression
but some comfort is evident
Ideas andintent areclear and
consistent in written form
(email, etc.), confident and
poisedin oral communications
7
Item 5: Dependability &
Responsibility
Requires a great detail of
supervision in completingwork
Requires some supervisionin
completingwork
Little tonosupervisionis
needed
9
Item 6: Initiative &
Enthusiasm
Waits for assignments to be
given, demonstrates little
enthusiasm forcompletingwork
Occasionally waits for tasks rather
than takinginitiative, usually
enthusiasticabout work
Takes control of matters,
requests additional
assignments, strongenthusiasm
9
Item 7: Abilityto Work
with Others
Avoids contact or rarelyinitiates
contact withothers, interaction
can be negative at times
Interactionwith others is usually
positive,initiates contact with others
on many occasions
Interactionis positiveand
sensitive toothers
10
Item 8: Professional
Appearance& Behavior
Needs frequent reminders about
professional appearance and
behavior
Professional appearanceand
behavior is adequate, may
occasionallymake mistakes
Appearance andbehavior is
worthy of emulationof others
10
Item 9: Acceptance of
Criticism toImprove
Performance
May appear defensive or reject
criticism, does not use feedback
to improve
Accepts criticism, makes an effort to
utilize feedback in improving
performance
Welcomes criticismandasks
for suggestions on improving
performance, uses feedback to
improve performance
9
Item 10:Application of
Content Knowledge (one
or more of the following:
marketing, sales,
management,
compliance,event
operations, facilities,
finance, or other sport
management related
area)
Applicationof content
knowledge is weak; seldom uses
terminology appropriatetothe
field, routinelyfails to
demonstrate disciplinary
competencies in performance of
duties, andshows little
comprehensionof howtheir
positionfits intothe
organization
Applies content knowledge on most
occasions; uses terminology
appropriate to thefield sporadically,
usually demonstrates disciplinary
competencies in performance of
duties, andshows some
comprehensionof howtheir position
fits into the organization
Consistentlyapplies content
knowledge in an advanced
fashion;evidencedby use of
terminology appropriatetothe
field, thoroughly demonstrates
disciplinary competencies in
performance ofduties, and
shows high level of
comprehensionof howtheir
positionfits intothe
organization
8

2. Appendix G Intern Evaluation Form