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 June 17, 2021
Name of Student: _______________________Date: ___________________
Leslie Brinson
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

Administrative duties within Amanda has completed the

the Farmers' Market. Create In Progress Market Bucks reports and
2019 and 2020 Market Bucks attendance tracking sheets
Annual
UpdateReports, create
SNAP Marketing and continues
She is updatingtotheperform
community
attendance tracking sheet, to
documents and contribute In Progress duties at a high level
partner list and working of detail
with
and update staff
the Marketing manuals.
plan for 2021 and accuracy.
Staff to develop policies and
Provide 2022 Budget support better marketing
Asks great strategies
questions.
for the Department In-Progress Completes task before
Administrator and Advisory deadline and with
Team.
Attend meetings and learn completeness.
Has Amanda is
attended division
about the Administrative In Progress connectingmanagement
meetings, the dots between
team
workings of the Department. how tasks are
meetings, one on performed
one staffand
the why ofand
meetings thealso
processes.
Assist Community Relations Contributes to Farmers' Market
by providing quality social In Progress Accreditation
and Department review meetings.
Instagram
media content
Program marketing support Website content updates are
through website updates, In Progress frequent and appreciated!
poster and banner installation,
distribution of printed
marketing materials 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 has a great understanding of the Department and an even greater
desire to learn. She uses her experiences to develop and move through the
b. Leadership- enthusiasm,
tasks assigned to her.inspiring, evaluating ability, planning and organizational skills.
She has shown great leadership with Farmers' Market seasonal staff and has
been able to work with multiple full time staff. She is working with three or four
c. different
Social- pleasant, friendly,and
supervisors tactful,
hasimpressions
been ablebytoothers, conversationalist.
balance and organize her schedule to
assure she
Amanda hasmeets all deadlines
developed a great and expectations.
relationship Amanda
with staff at all brings
levels. thoughtful
She interacts
well with the public at the Market and while working community events. She
consideration of topics to the table, and is responsive and dependable. She is an
has
d. a
Performance-
original
team-orientedtimewho
thinker management andand
proactively
attitude productivity,
suggests
cheerfully dependability,
solutions
takes initiative,
to specific
on every assignment attitude,
challenges. judgment.
she has been
given.
We have been so pleased with the performance of Amanda at this midway point
of her internship. She has produced at a high level and continues to express
and interest in learning more about the Department and the field.
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.

06 17 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