INTERNSHIP HANDBOOK

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Mission Statement

The Department of Sport and Health Sciences is committed to educating and preparing students

for career and personal success in a global society. Students, faculty and staff will exercise and develop the values of Scholarship, Character,

Culture, and Service.

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DEPARTMENT OF SPORT & HEALTH SCIENCES

PER 4448 INTERNSHIP HANDBOOK

Table of Contents Purpose of the Internship Handbook 4 

Catalog Description 4 

Internship Program Description 5 

Objectives of the Internship Program 5 

Requirements of Internship Eligibility 5 

General Policies and Procedures 5 

Expectations of the Student Intern 6 

Expectations of the Agency 6 

Expectations of the Faculty 6 

Internship Time Line 7 

Instructions and Forms 8 

Learning Goals and Objectives Instructions  8 

Learning Goals & Objectives Form  9 

Internship Expectations Contract  10 

Internship Learning Contract  11 

Internship Registration Form  13 

Internship Evaluation Methods 14 

Student Journal of Internship Experience  14 

Journal Report Guide  15 

Student Internship Journal Report  17 

Final Written Reflection and Internship Site Assessment  18 

Written Reflection Directions  18 

Internship Site Assessment  19 

Mid‐term Progress Report  20 

Final Evaluation  22 

Internship Time Sheet  26 

Grading Rubric for Internship Journal and Final Reflection Paper 27 

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The Sport and Health Sciences faculty is dedicated to providing each student within the school a variety of current discipline-specific theories and “real-life” experiences during the four-year curriculum delivery. Experiences are designed to help students grasp the theory-to-application connection. The internship, in which the student works as an apprentice in the “real world”, is the culmination of that process. This handbook details the guidelines for successfully completing the internship process. The opportunity to engage in the practical application of theories, best practices, and guidelines learned in the classroom is afforded each student through the internship program. It is through the internship program that the student comes to realize professional skills, stature, and goals. The individual student will experience practical, hands-on involvement in the internship program.

Purpose of the Internship Handbook The Department of Sport & Health Sciences Internship Handbook has been developed to provide specific details, requirements, contracts, and time lines for the internship experience. This handbook serves three distinct purposes: 1. To provide the student, agency, and college faculty supervisors with specific details regarding policies, procedures and responsibilities of the student, agency, and faculty internship supervisor. 2. To promote communication and understanding between the triad of participants in the internship program (student, agency, and faculty internship supervisor). 3. To define the internship program through delineation of its goals, objectives, and procedures. The term “internship” refers to a supervised educational work experience within an approved agency. This experience constitutes variable credit hours. The student, agency, and faculty internship supervisor should recognize the relative importance of the internship experience in the student’s overall education. The Internship Program is a cooperative arrangement between the Department of Sport & Health Sciences and the approved agency

Approved agencies are defined as an organization where the enrolled student engages in pre-professional leadership, supervision, and administrative experience of a practical nature under the direction of qualified personnel.

Catalog Description PER 4448 INTERNSHIP EXPERIENCE This course combines field experience with a career-counseling seminar. The field experience provides actual hand-on skills and the beginnings of a professional network. The course is designed to allow students to enter the work force before graduation.

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Internship Program Description The goal of the internship program is to provide a transition from the college classroom to a professional career setting. Throughout the internship experience, students will test the practical application of learned theories in a “real world” setting under the guidance and supervision of an agency professional and a college faculty member. Students are to be evaluated by both the Agency Supervisor and Faculty Internship Supervisor. In addition, students are expected to continually review their own knowledge, skills, accomplishments, and professional growth as they prepare for entry into the profession.

Objectives of the Internship Program 1. To provide students the opportunity to integrate theory and practice in their professional education; to encourage the exchange of contemporary thinking and insights between the intern and agency personnel. 2. To provide students an opportunity to promote and broaden their philosophy and understandings of the profession. 3. To enable students to obtain information which can be used as a basis for making choices in relation to future jobs, areas of specialization, and/or further study in the profession. 4. To enable students to realize their own strengths and weaknesses. 5. To provide students an opportunity to gain experience in leadership, supervision, and administrative functions within a program-related agency. 6. To help students gain an understanding and appreciation of the role, duties, and responsibilities of an administrator. 7. To develop students’ skills in various program areas; to increase their knowledge of the organization and administration of the profession. 8. To provide students with experiences that will enable them to develop good interpersonal skills. 9. To strengthen relationships among program-related agencies and Catawba College. 10. To develop a network for future career opportunities.

Requirements of Internship Eligibility The following requirements must be completed prior to a student enrolling in PER 4448.

1. A student must be of junior standing with a minimum of 70 hours. 2. A student must have demonstrated a minimum cumulative GPA of 2.0. 3. A student must be on track to graduate the following December or May. 4. A student must complete the internship in the same semester in which it is registered for.

General Policies and Procedures The student is responsible for

1. Locating an agency that is willing to provide an internship experience. 2. Abiding by all Internship Handbook and Agency regulations, conditions of health and safety, legal

and employee (dress, working hours, etc.) requirements will apply to the student intern. 3. Keeping the Agency Supervisor informed of all problems, difficulties or delays encountered during

his/her work experiences. 4. Acting professionally commensurate with his/her status as a worker as required by the agency and

in a manner representative of the ideals of Catawba College. Inappropriate and/or unethical conduct (tardiness, absences, alcohol or drug use, inappropriate dress, insubordination, etc.) exhibited while engaged in the internship assignment may result in dismissal from the agency and be assigned a grade of Unsatisfactory for the course.

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Expectations of the Student Intern 1. Students must complete the internship in the same semester in which it is registered for. 2. Students must obtain and adhere to all aspects of the internship handbook prior to and throughout the internship experience. 3. Students must register for PER 4448 and pay appropriate fees for the semester of internship prior to participating in the internship experience. No exceptions! 4. All internship agencies must be approved by the Internship Faculty Supervisor prior to placement. This includes any special arrangements. No exceptions! 5. Students are strongly discouraged from considering interning at an agency where they have held a similar position, whether paid or voluntary. 6. The student is expected to bear all expenses related to living in the area of the internship and to work out his/her satisfactory housing arrangements in order to be able to carry out assignments as required. It is recommended that the student visit the area of placement in advance and make living arrangements. Agency personnel may be able to assist in locating housing possibilities. Students must have their own transportation.

Expectations of the Agency 1. Student interns may be paid, in the form of an honorarium, stipend, donation, or regular payroll, by the

agency during the time they are completing their internship. 2. Student interns must be covered by the agency’s liability insurance. 3. The student intern’s work must be directly related to his/her field of study and individual interest. 4. The student intern’s work experience will gradually increase in difficulty and responsibility while serving to the advantage of the agency. 5. The Agency Supervisor will provide the student intern with a written evaluation of his/her job performance. 6. The student intern must complete the designated hours of documented supervised experience.

Expectations of the Faculty 1. Faculty Supervisors will be responsible for contacting the Agency Supervisor by phone a minimum of two times during the internship. Additional contacts with the Agency Supervisor by email are encouraged. 2. Faculty Supervisors will be responsible for maintaining frequent contact with the student intern. It is recommended that the Faculty Supervisor contact the intern within the first 10 days of the internship and by email or phone every two weeks thereafter. If possible, a site visit would be ideal. 3. Faculty Supervisors will be responsible for evaluating journal reports, providing immediate feedback to the intern within three to five days. 4. Faculty Supervisors are expected to provide appropriate oversight, advice, and mentoring to the student interns.

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Internship Time Line

Prior to Enrolling Review Goals and Objectives Instructions

Complete Goals and Objectives Form and Meet with Faculty Internship Supervisor to Review Goals and Objectives

Locate Agency

After Enrollment and No Later than 4 Weeks Before Starting Get Contracts signed

During the Internship

Start of Internship: Within three days, email Faculty Internship Supervisor detailing first day work.

Every two weeks: Email Journal to Faculty Internship Supervisor.

After Six weeks: Mid-term Evaluation: Ask your supervisor to complete the Mid-term Evaluation Report from the Catawba College Sport & Health Sciences at http://catawba.edu/academics/schools/education/sport-and-health-sciences/ and meet with you to discuss your progress. Both you and your supervisor sign the report, then ask them to scan and email it to your Faculty Internship Supervisor.

Last week at site: Ask your supervisor to complete the Final Evaluation Form online at

http://catawba.edu/academics/schools/education/sport-and-health-sciences/ and ask them to sign, scan and email it to your Faculty Internship Supervisor before your last day of work. One Week before the End of the Semester/Term

Turn in All Forms for Grading Internship Completed

Within three days after completing internship, complete and turn in the Final Written Journal, Agency Supervisor Evaluation and Final Written Reflection. You will be notified of the date of your PowerPoint presentation to faculty and students. Internships completed during the summer will be presented in late fall.

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Instructions and Forms Learning Goals and Objectives Instructions

Each student is to write goals and objectives for the internship. The purpose of writing goals and objectives is to provide the student and the Faculty Internship Supervisor with a clear understanding of the primary direction of the internship and to determine the learning expectations of the student. The following examples are intended to help the student when writing his/her goals and objectives for the contract. A GOAL is a general statement of the performance expectations from your duties at the agency. You first need to identify the general behavior you expect to exhibit in the performance of your duties. These are your behaviors, not your supervisor’s. The behaviors should be desired outcomes, not processes to be undertaken. It is recommended that the student identify 5-7 goals for the internship. An OBJECTIVE is a very specific statement that defines a specific observable behavior that one expects to perform. Objectives should be specific and clearly define the desired behavior. Objectives should be measureable. The goal is reached if all the objectives are met. Students should identify 3-5 objectives for each goal. GOAL SELECTION: In selecting the goals for the internship, students should consider the following:

Skill Areas - What skill areas have been identified in earlier field experiences, classroom work or personal feelings as needing improvement?

Career Skills -What skills or performance standards do your co-workers or other leisure service professionals in your area of interest already possess that you need to demonstrate?

Academic Learning - Related to the ideas, concepts or theories of your field of study. Agency Skills - What does the agency expect you to do to perform well during your internship?

The following examples illustrate the relationship between goals and objectives: GOAL: To demonstrate competent oral communication OBJECTIVES:

Give a program report to the Board. Conduct a formal staff meeting Speak to a local organization about the agency, program, or possible volunteer recruitment.

GOAL: Coordinate Easter Party OBJECTIVES:

Prepare a checklist and time schedule for supplies, vendors, facilities and publicity with Supervisor’s approval.

Go through previous year’s file for problems, suggestions, and ideas. Conduct and supervise event with staff and volunteer help. Prepare a written evaluation of the event for your reflection papers.

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Learning Goals & Objectives Form

1. Identify three or more learning objectives in each of the following categories, with methods of evaluation, and target completion date for each objective. A. Academic Learning & Application related to the ideas, concepts or theories of your field of study B. Skill Development i.e. oral and written communication, problem-solving, decision-making, teamwork, and skills specific to the occupation C. Personal Development i.e. career exploration, self-confidence, sensitivity, and appreciation for diversity and clarification of values Incorporate the following material into your learning contract: Learning Objectives Tasks & Strategies Evidence of Accomplishment Completion Date (What I want to learn) (How I’m going to learn it) (How I’m going to demonstrate that I learned it)

Academic Learning & Application

Skill Development Personal Development 2. Intern Work Component/Job Description (determined by the Student Intern & Agency Supervisor) Describe/list your job responsibilities and learning opportunities. Be as specific as possible when listing duties, projects, meetings, training, informational interviews with professionals, etc. Note: Students may attach the job description to the contract.

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Internship Expectations Contract

I have read this entire Catawba College Internship Handbook and understand that I must complete all required hours, supervisor evaluation forms, all journals, and final reflection paper according to the timeline set forth. I understand and agree that I must complete my internship experience during the semester in which I enroll in PER 4448. Failure to do so WILL result in failure of the experience and require me to repeat the entire process. Submit this form to the Faculty Internship Supervisor before enrolling. Checklist: _____Review the Goals and Objectives Directions. _____Complete the Goals and Objectives Form and meet with Internship Faculty Supervisor to discuss. _____Locate Internship site and determine job description. _____Turn in signed Internship Learning Contract to the Internship Faculty Supervisor. _____Register for PER 4448 Internship during the semester before the internship is to begin. _____Email Internship Faculty Supervisor within the first three days of the internship experience with a list of specific job duties and hours expected to work per week. _____Email every two weeks with attachment that includes Student Internship Journal Report Form and signed Time Sheet to Internship Faculty Supervisor (Due on Monday at the end of each two week work period Monday to Sunday) _____Email completed Mid-term Progress Report completed by Agency Supervisor and discussed with student intern to Internship Faculty Supervisor. _____Email Final Evaluation completed by Agency Supervisor and discussed with student intern and to Internship Faculty Supervisor. _____Take pictures to use for your PowerPoint presentation. Information from the Agency’s web page may be helpful. Internships completed during the summer will be presented in late fall. You will be notified of the date. _____ Send Final Internship Reflection paper within three days after completing the Internship Name (Please Print)______________________________________ Signature__________________________________________ Date_______________________

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Internship Learning Contract

This learning contract is to be completed and signed by the student, the Faculty Internship

Supervisor, the Agency Supervisor at least 30 days before the beginning of the internship. The dates of the internship should fall within the dates of a regular semester or summer terms. The

student will be registered for the internship in accordance with these dates. The student must have a cumulative GPA of 2.00 at the beginning of the internship.

______________________________________________________________________________________ Student Name Student ID Number ______________________________________________________________________________________Campus Box Phone Email ______________________________________________________________________________________Faculty Internship Supervisor Internship Start/Finish Dates (will determine registration dates) ______________________________________________________________________________________Agency Supervisor Name of Company/Organization ______________________________________________________________________________________Site Address (street, city, state, zip) ______________________________________________________________________________________Site Phone Number Site Email Address ______________________________________________________________________________________Course Name/Number Credit Hours

1. Faculty Internship Supervisor: I have discussed and negotiated with the student the academic component as indicated on the learning contract. I concur with the stipulation of this agreement. I further agree to be available to meet with the student to discuss the internship experience and to conduct an on-site visit when possible. _____________________________________________________________________________ Faculty Internship Supervisor Signature Date 2. Agency Supervisor: I have discussed this internship with the student and have negotiated and assigned the work component that appears in this Learning Contract. The site will indemnify and hold harmless Catawba College against all liability for injury, loss, claims, or damages resulting from the negligent acts or omissions of the intern during the course of the internship. ____________________________________________________________________________ Agency Supervisor Signature Date

Over

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3. Student Intern: I concur with and accept the academic and work assignments indicated in this learning contract. I agree to complete all work assignments promptly and to the best of my ability. I agree to familiarize myself with and to adhere to the relevant organizational policies and procedures and the appropriate standards of ethical conduct. Further, I understand that there are ordinary risks inherent in the workplace, and I will become aware of and consent to undertake such risks. I also understand that Catawba College has no control over any hazards to which I may be exposed during the internship and do not hold the College liable for any accidents that may occur. _______________________________________________________________________________ Student Signature Date _______________________________________________________________________________ Department Chair Date

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Internship Registration Form

CATAWBA COLLEGE INTERNSHIP 

SEMESTER YEAR___ STUDENT NAME____________________________________________________ CATAWBA ID # GPA___________________ DEPARTMENT _DIVISION_______________________

PROFESSOR_______________________________________________________

CREDIT HOURS_ Please note: All grades will be S/U. Approved Title of Internship (must be 23 characters or fewer including spaces). If abbreviation is necessary, please make it obvious. _________________________________________________________________ Description of Internship:______________________________________________ __________________________________________________________________ _________________________________________________________________

Criteria for formal assessment and evaluation:____________________________ _________________________________________________________________

Date___________________________ Student Signature Date___________________________ Advisor Signature

Date___________________________ Professor Signature Date___________________________ Department Chairman Signature This form must be completed and presented at the time of registration to the Registrar's office. 03/25/2013mbs

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Internship Evaluation Methods

I. The student intern will submit a journal via email detailing hours worked and work experience/assignments/activities, problems/challenges, how coursework helped, and general reflections about how the experience is going once every two weeks to the Internship Faculty Supervisor. This portion of the experience will provide the student with an opportunity for a reflective analysis of the experience.

II. The Faculty Internship Supervisor will in turn respond immediately via email to notify the intern that the journal was received and to engage in dialogue with the intern about his/her

experience. In addition, depending on location, it is expected that the Faculty Internship Supervisor will visit the site at least one time to meet with the Agency Representative and the Student. III. The Faculty Internship Supervisor will communicate via telephone or email with the Agency Representative a minimum of two times during the internship experience. IV. Grade Calculation: All components listed below must be met in order to pass the course.

Student Final Reflection Paper 20 points Student Journals 20 points PowerPoint Presentation 10 points

Progress Report 10 points Site Evaluation 10 points Final Evaluation/hours 30 points

The final grade must total 70 points or higher in order to receive a satisfactory “S” for the

internship. A total of 69 points and below will receive an unsatisfactory “U” for the course.

Section IV of the Overall Evaluation of Student Intern must score “Average” or higher. Note: The rubric on pages 24-26 will be used to score the Internship Journal and Final Reflection paper.

Student Journal of Internship Experience

During the internship experience, all students must complete a written report detailing each two-week period (10 days). NOTE: A record of email correspondence between the Student and the Internship Faculty Supervisor must be kept and submitted with the final paper. HOURS: Indicate the number of hours worked during the period followed by the total number of hours logged, i.e. 43/160

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Journal Report Guide

Student Name_________________________________ Date of Report________________________ Hours completed the week of ____/____/____ to ____/____/____ Total Hours: Hours completed the week of ____/____/____ to ____/____/____ Total Hours: Note: Journal Reports and hours are to be detailed from Monday to Sunday and are due the next day – Monday. The following sections will serve as a guide for students writing journals and to assure progression toward accomplishing the goals, duties and responsibilities of the learning contract. Section I - Learning Objectives In this section, students should reflect specifically on the goals/objectives identified in the contract. If goals/objectives are accomplished early in the internship, it is expected that new ones be set. A. Academic Learning & Application: Related to the ideas, concepts or theories of the field of study. B. Skill Development: i.e., oral and written communication, problem-solving, decision-making, teamwork and skills specific to the occupation. C. Personal Development: i.e., career exploration, self-confidence, sensitivity, appreciation for diversity, clarification of values/goals set for the internship. Section II – Internship Activities and Problems/Challenges Encountered Describe activities engaged in on a daily basis. What have you been doing? With whom have you been meeting? In meetings, what topics were discussed? If you are responsible for a program, how many participated? What were the ages and genders of those attending? If a similar responsibility has been fully described in an earlier report, what differences, if any, exist this week? If none exist, what learning has taken place? If your week is repetitious and becomes monotonous, how will you stretch yourself to make it challenging? Oftentimes students hesitate to respond in this section because they feel it indicated failure on their part. That is hardly the case. It is important that young professionals develop the ability to analyze problems and create solutions. Consider the following questions in responding to this section. Try to remember to use the W’s (what, who, why, when, where and how). 1. What, if any, problems did you encounter, avert or solve? 2. Were there problems with staffing, scheduling, supplies, workload, publicity, participants, etc.? 3. Were there any problems external to your agency that affected services? (weather, local political issues, new competitor, etc.) 4. Who was involved and how did you solve the problem? 5. Do you have any concerns at this time?

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Section III – Positive Events Identify positive events that took place during the last two weeks. Identify those activities that exhibit positive professional performance that may have been conducted by you or with other individuals working with you (team). Discuss how these activities can help you in the future. Section IV – Academic Preparation: Knowledge, Skills, Competencies This section serves to connect students’ major coursework with the internship experience. Here the student discusses what knowledge, skills, or competencies from the coursework that was beneficial to the internship. It is important to identify the course and assignment (MKT Marketing Plan), and how it was used in the internship experience. Also, what new learning took place? What knowledge, skills and competencies were asked of you that were not part of your academic preparation? Would you recommend that they be added to our curriculum? Your agency supervisor or co-workers can often provide you with helpful insight as they discuss your work and growth with you.

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Student Internship Journal Report

Report activities and hours for two weeks beginning with Monday and ending with Sunday and due the next day – Monday. Student Name_________________________________ Date of Report__________________________ Hours completed the week of ____/____/____ to ____/____/_____ Total Hours: Hours completed the week of ____/____/____ to ____/____/_____ Total Hours: Section I: Learning Objectives Section II: Internship Activities and Problems/Challenges Encountered

Section III: Positive Events

Section IV: Academic Preparation: Knowledge, Skills, and Competencies

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Final Written Reflection and Internship Site Assessment All students completing the internship process must complete a 1) Final Written Report highlighting the experience and 2) Internship Site Assessment. This portion of the experience will provide the student with an opportunity to conduct a summative reflective analysis of the experience. The student should include the most important highlights from the internship experience previously written in the journal reports. Additional topics for consideration in this reflective paper may include interpersonal relationships with co-workers or supervisors, development as a leader, use of effective methods of communication, and problem solving or decisions you made during this internship that can help you realize your career goals and better prepare yourself for the future in a professional setting. Include examples with your highlights.

Written Reflection Directions

I. Position Duties Discuss in general terms the routine work you did for the employer, as well as the special projects or assignments handled. Elaborate on the extent of your involvement in each activity and assess the benefit to the agency and the internship experience.

II. Positive Experiences of the Internship

Describe the nature and extent of the learning that took place and how it could apply to future careers. What experience(s) were the most beneficial and explain why. Would this experience be appropriate for future interns? Why or why not?

III. Weaknesses of the Internship Experience

What aspect(s) of your internship experience could have been improved to make it more enjoyable and relevant? Identify any specific weaknesses the supervisor(s) and/or the Internship Coordinator could have improved on to enhance the internship experience.

IV. Theory/Practice Connection

Discuss how courses have or have not prepared you for your internship. Specifically, discuss course theories, lectures, and lessons that were utilized or observed in practice in your setting. In other words, could you make the theory/practice connection? Finally, evaluate the experience in relation to your total university experience.

Attach the following Internship Site Assessment to your final written reflection of the experience.

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Internship Site Assessment

Name_________________________________________ Use the following scale to respond to the items below: 1 - Strongly Agree 2 - Agree 3 - Neutral 4 - Disagree 5 - Strongly Disagree NA – Not Applicable Internship Site: _____Physical environment was safe _____Adequate resources were available to accomplish projects _____Co-workers were accepting and helpful Internship Agency Supervisor: _____Supervisor provided a clear job description _____Regular feedback was provided on my progress _____An effort was made to make this internship a learning experience for me _____Supervisor provided levels of responsibility consistent with my abilities _____Supervisor was supportive of the agreed upon workdays and hours Learning Experience _____Internship provided work experience related to my academic field and/or career goals _____Opportunities available to develop my creativity _____I developed my problem solving skills _____This experience helped me prepare for the workplace _____This internship helped me reflect upon my career choice _____This internship helped reinforce professional norms Faculty Internship Supervisor _____Assisted with the completion of the Internship Learning Contract _____Explained various assessment options _____Outlined specific learning outcomes _____Accessible throughout the internship experience to field questions and concerns

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Mid-term Progress Report

The Catawba College Internship Program requires that the student intern work assignment be evaluated by both the student and the employing supervisor. Please complete this Progress Report, as well as the Final Evaluation and discuss it with the student intern. Have the student return it to the Internship Faculty Supervisor. Please be as candid as possible in evaluating the student’s work performance. Your evaluation will help both the student and our faculty in advising students for future employment. Thank you! Check all appropriate student intern traits: Relations with others/communication Quality of work Open/friendly/helpful/informative Excellent/neat/accurate Worked well with others Very good/turned in on time Quite/reserved unless spoken to Did average work Kept to him/herself Very poor/not acceptable Attitude toward job Judgment Very enthusiastic/showed initiative Exceptionally mature/responsible Willing when told to do something Above average in making decisions Lacked interest and initiative Often used poor judgment Refused all but assigned duties Consistently used bad judgment Ability to learn Worked to potential Learned very quickly/asks questions Worked independently/sought work Learned readily/accepted suggestions Sought to gain maximum experience Average learning capability Usually tried to gain experience Very slow learner Did not do anything extra Dependability Job Skills Totally dependable/completed all work Excellent Above average personality More than required Sometimes neglectful/careless Adequate for job performed Unreliable Inadequate for job requirements

Performs well under pressure: _____Yes _____No Presents a good professional image: _____Yes _____No Brief description of student duties/responsibilities to date:

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Suggestions for improvement (job skills, attitude, communications, coursework, etc.): Additional remarks/comments on student’s performance, strengths and/or skills: Have you discussed this report with the student? _____Yes _____No Supervisor Name:____________________________________ Title:______________________________________________________________ Department:_________________________________________________________ Student Signature:___________________________________________ Phone:_________________________ Date:__________________________

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Final Evaluation

Student Intern Evaluation (Completed by the Agency Supervisor and discussed with Intern)

Student Intern:___________________________________ Appraisal Date:____________________ Student Intern Job Title:_____________________________ Semester:_________________________ Agency Name:______________________________________ Phone Number:____________________ Address:______________________________________________________________________________ Evaluating Agency Supervisor:___________________________________________________________ Job Title:_____________________________________________________________________________ I. Please evaluate the student intern’s performance on each of the following topics by circling the number adjacent to the phrase that most closely describes the student intern’s performance. A. QUALITY OF WORK 1 Unacceptable all of the time 2 Work does not meet minimum standard 3 Work generally acceptable 4 Consistently produces high quality work 5 Exceptional work and accuracy B. JOB SKILLS 1 Very poor job skills 2 Below average job skills 3 Average job skills 4 Above average job skills 5 Excellent job skills C. INITIATIVE 1 Very poor; does not display interest in work 2 Frequently appears indifferent 3 A willing worker; normal interest in work 4 More than normal interest in work; seeks opportunities to improve 5 Extremely involved and interested in work

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D. ORAL COMMUNICATION 1 Has difficulty when communicating with others 2 Communicates uneasily with others 3 Communicates easily with others 4 Expresses self easily and accurately 5 Expresses self exceptionally well at all times E. WRITTEN COMMUNICATION 1 Has great difficulty with written communications 2 Writing is substandard 3 Writes clearly 4 Writes and expresses self easily and accurately 5 An excellent writer F. SUPERVISION 1 Is unable to accept supervision 2 Has some difficulty in accepting supervision 3 Accepts help when it is offered 4 Accepts help when it is offered but usually works independently 5 Seeks help when needed and uses supervision to proper extent II. Evaluation of Student Intern Professional Competencies Evaluation Level Skill Not Developed <<<---->>> Possesses Skill 1 2 3 4 5 NA A. Decision Making 1. Decision making skills are developing 1 2 3 4 5 NA 2. Decisions are based on reliable information 1 2 3 4 5 NA 3. Makes decisions in pressure situations 1 2 3 4 5 NA Comments:

___________________________________________________________________________________ B. Communication Skills 1. Written (reports, information materials, lectures, etc.) 1 2 3 4 5 NA 2. Oral (presenting ideas, materials, etc.) 1 2 3 4 5 NA Comments:

___________________________________________________________________________________ C. Human Relations Skills 1. Understands cultural, economic differences 1 2 3 4 5 NA 2. Knowledge of dynamics of human behavior 1 2 3 4 5 NA 3. Listens to what others say 1 2 3 4 5 NA 4. Can conduct an interview with client/patient 1 2 3 4 5 NA 5. Can act as a change agent 1 2 3 4 5 NA

Comments: ____________________________________________________________________________________

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D. Group Dynamics 1. Can assume a position of leadership 1 2 3 4 5 NA 2. Ability to work on/with committees 1 2 3 4 5 NA 3. Understands group dynamics 1 2 3 4 5 NA 4. Openness in groups 1 2 3 4 5 NA Comments: _____________________________________________________________________________________ E. Technology 1. Production of materials (Web page, podcasts, video, Power Point) 1 2 3 4 5 NA 2. Uses materials to present agency related information 1 2 3 4 5 NA 3. Uses computer for agency related reports 1 2 3 4 5 NA Comments:

______________________________________________________________________________________ F. Problem Development 1. Problem solving ability 1 2 3 4 5 NA 2. Knowledge of steps in planning and implementation 1 2 3 4 5 NA 3. Knows how to locate important information, data, etc. 1 2 3 4 5 NA Comments:

______________________________________________________________________________________ III. Evaluation of Student Intern Personal Competencies A. Low Energy 1 2 3 4 5 NA Alert Comments:

______________________________________________________________________________________ B. Unprofessional Appearance 1 2 3 4 5 NA Neat Appearance Comments:

______________________________________________________________________________________ C. Non-Imaginative 1 2 3 4 5 NA Innovative Comments: ______________________________________________________________________________________ D. Hesitant 1 2 3 4 5 NA Confident Comments: _____________________________________________________________________________________

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E. Follower 1 2 3 4 5 NA Leader Comments: _____________________________________________________________________________________ F. Weak Self-concept 1 2 3 4 5 NA Good Self-concept Comments: ______________________________________________________________________________________ G. Disorganized 1 2 3 4 5 NA Organized Comments: ______________________________________________________________________________________ H. Not Motivated 1 2 3 4 5 NA Motivated Comments: ______________________________________________________________________________________ IV. Overall Evaluation of Student Intern Please circle one: Very Good Above Average Average Below Average Poor _____________________________________________________________________________________ Suggestions for improvement (job skills, attitude, communications, coursework, etc.): Additional remarks/comments on student performance, strengths and/or skills: Have you discussed this report with the student intern? _____Yes _____No

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Internship Time Sheet Name:______________________________________ Agency:____________________________________________________________

Dates Hours General Duties Week #1

Week #2

Week #3

Week #4

Week #5

Week #6

Week #7

Week #8

Week #9

Week #10

Week #11

Week #12

Week #13

Student Signature:______________________________________ Supervisor:____________________________________________

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Grading Rubric for Internship Journal and Final Reflection Paper

Grammar, Word Choice & Style 1 2 3 4 5

The paper is too elementary. Slang is overused. Vocabulary is inappropriate. There are many incomplete sentences and grammatical errors. The tone is largely unprofessional and/or inappropriate. The writing is largely incomprehensible.

Aspects of the paper are too elementary. Slang is used. Vocabulary is used incorrectly. There are many grammatical errors. The tone is sometimes unprofessional. The writing has few interesting parts and the reader finds it difficult to maintain interest.

The level of writing is generally appropriate. Vocabulary is limited, but fitting. Most sentences are grammatical and the presentation tends to flow. The tone varies between professional and conversational. The writing has some interesting parts. The reader loses interest occasionally.

The level of writing is appropriate. Vocabulary is meaningful. Most sentences are grammatical and there is a logical flow due to the use of transitions. The tone is mostly professional and appropriate for the topic. The writing is generally engaging and keeps the reader’s attention.

The level of writing is appropriate. Vocabulary is precise and meaningful. Sentences are grammatical and flow easily. The tone is consistent and highly professional. The writing is compelling and sustains interest throughout.

Organization & Content 1 2 3 4 5

The journal information lacks a coherent sequence. The reader has considerable difficulty understanding the information. Student writing demonstrates inadequate breadth, depth and use of examples about the experience. Reflection is very vague. Information presented has several significant errors.

The journal information presented has some organization. The reader has difficulty following. Student writing demonstrates some breadth, depth and a few examples. Some information is irrelevant. Reflection is vague. Information presented has some significant errors and a few minor errors.

The journal information presented is organized and the reader can follow the theme. The writing demonstrates adequate breadth, depth and includes examples about the experience. Most information is relevant. Information presented has no significant errors and very few minor errors.

The journal information is logical and organized. The reader can follow easily. Writing demonstrates breadth, depth with examples about the experience. Journal report is thoughtful and relevant. Information presented has no significant errors and very few minor errors.

The journal information is very well presented and is interesting to read. Writing demonstrates thorough breadth, depth with examples. All information is relevant and the reflection is highly original. Information presented is consistent.

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Learning Objectives

1 2 3 4 5 The learning objectives are not identified. The information presented is vague and does not connect with student learning during the internship.

The learning objectives are briefly mentioned with very little information that connects with student learning. There are no personal reactions or description of the learning that has taken place during the internship.

A few objectives are mentioned that include a few personal reactions that are somewhat descriptive and occasionally connect with student learning during the internship experience.

Several of the learning objectives are identified and include personal reactions that are very descriptive, insightful, and connect with student learning during the internship experience.

Most of the learning objectives are clearly identified. The information clearly connects with student learning. Includes personal reactions that are descriptive and insightful about the internship experience.

Activities: Challenges, Problems and Positive Aspects 1 2 3 4 5

The internship activities are either not discussed or too vague for understanding. The discussion about problems, challenges and/or positive aspects of the internship experience is absent or only briefly mentioned. Examples are not included.

The internship activities are identified and briefly discussed and a bit vague. The discussion about problems, challenges and/or positive aspects of the internship experience is absent or only briefly mentioned. Examples are not included.

The internship activities are briefly discussed but vague in a few instances. The discussion about problems, challenges and/or positive aspects of the internship experience is briefly mentioned. One or two examples are included. There is little connection with the activities.

The internship activities are clearly identified and explained in some detail. When appropriate, problems, challenges, and/or positive aspects are discussed but may be incomplete. Some examples are included and make connections with the activities.

The internship activities are clearly identified and explained in detail. When appropriate, problems, challenges and/or positive aspects are discussed. Several examples are included and make connections with the activities.

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Coursework Connection

1 2 3 4 5 The work does not reflect an understanding of how the principles, theories and practices from coursework connect with real world practice. Writing does not, or is very limited with incorporating a connection to the course work. Examples are not provided.

The work does reflect some understanding of how the principles, theories and practices from coursework connect with real world practice. Writing is limited as to incorporating a connection with the course work. A limited number of examples are provided but vague or incomplete.

Work does reflect an understanding of how the principles theories and practices from coursework connect with real world practice. Writing does incorporate a limited connection with the course work. A few examples are provided which demonstrate understanding.

Work does reflect a very good understanding of how the principles, theories and practices from coursework connect with real world practice. Writing does not or is very limited as to incorporating a connection with the course work. Several examples are provided which demonstrate complete understanding.

Work does reflect an excellent understanding of how the principles, theories and practices from coursework connect with real world practice. Writing incorporates a connection with the course work. Sufficient examples are provided which demonstrate full understanding.