St. Bonaventure University Intern Evaluation Form for Internship x Site Supervisor's Evaluation Form CJuniversity Supervisor's Evaluation Form The criteria evaluated on this form are based upon and reflective of the Knowledge, Skills and Dispositions mentioned on pages 4-5 of the” Internship Guide”. They are coded by their appropriate K, S, and D numbers below. Please check the appropriate box indicating which evaluation form you are filing. Make copies of this evaluation form for each supervisor's as well as the intern’s evaluation. Intern’s Name Kelly Ounham Site Supervisor's Name Michael Roche University Supervisor's Name Mary Kay Worth 1. OVERALL EVALUATION Please indicate a general evaluation of the accomplishment of the stated competencies of the internship. (Check One) (Cloutstanding VeryGood X Good L Satisfactory 1 unsatisfactory COMMENTS: (Use additional sheet if necessary) ‘Overall Kelly has done a very good job at familiarizing herself with the tasks necessary to be an effective administrator. Ul, PROFESSIONAL CRITERIA For each of the criteria listed below, please provide both a numerical self-evaluation and any pertinent comments about the internship experience.For numerical evaluation, use the following scale Cin A) __4 LEADERSHIP ABILITY (K1, K2, K3, $3, D1, D4, DG - e.g, ability to inspire other, set and reach goals, create positive action, solve problems, etc.) COMMENTS: _ Kelly has worked hard to develop and reach goals. One of her greatest strengths is problem solving which was evident in her interactions with students and their families as she worked with them through discipline issues, B) __4___ PROFESSIONAL MOTIVATION (D3, D4- e. g. clear goals, high level of professional interest and motivation, etc.) COMMENTS: s ‘Throughout her internship Kelly asked for additional guidance and ways to address the components of her duties. = J C) __4___PERSONAL CHARACTERISTICS (D2, D5, DG - e.g. sense of humor, poise, self- control, ability to handle crises and stress, honest, etc.) COMMENTS: 7 _ Kelly consistently met all challenges with a sense of self-confidence, determination and belief that any obstacle could be overcome D) __3___ INTERPERSONAL RELATIONS (D2, D3, D4, D4, D6 - e.g. ability to relate to others, work with groups, acceptance of criticism, respect for others, etc.) COMMENTS:(One of the more challenging areas for many new administrators is found in interpersonal relationships, and for Kelly this is one area that will require on-going self -reflection and growth. That being said, | had no concerns or issues with Kelly and her ability to relate and work with others, this is just something that experience generally will help. E) 4 PROFESSIONAL COMPETENCE (K1, K2, K3, S1, $2, $3, D1, D2, D3, D4, D6 - e.g. successful completion of tasks and assignments, demonstrates understanding of nature of, administration, includes dependability, demonstrates initiative, assumes responsibility, able to work independently, punctual, etc.) COMMENTS: Allassignments and duties were completed on time and were professionally completed. F) __4 WRITTEN COMMUNICATION (S1, $2 - e.g. fluency, accuracy, command of the language, timeliness, grammar, etc.) COMMENTS: os Allof Kelly’s documentation, letters and replies to staff and families were well written. G) __4___ORAL COMMUNICATION (S1, 52 - e.g. fluency, poise ability to articulate, enunciation, grammar, etc.) COMMENTS: _ Kelly is able to effectively communicate orally with all parties when it is necessary to do so. H) ADDITIONAL COMMENTS (Comments/observations not covered in prior question areas)‘Overall | believe this was a well thought out learning experience for Kelly, one in which she pushed herself to better understand the role of a principal and the influence and affect he/she can have on the school and community. Mithat Rr 3 (Bilis Signature Date