UG Student Midterm Self-Evaluation

UG Student Midterm Self-Evaluation
Date of Submission*

MonthDayYear
Date
Student Name*

First NameLast Name
Name of the Internship Agency*
To be completed by the student immediately upon completion of the sixth week of the field experience. A copy should be made and discussed with the agency supervisor. Candid discussions with the agency supervisor on a continuing basis and of your reactions expressed on this form are helpful for you to make your experience more meaningful.
1. Briefly summarize to date your experience in relationship to your goals.*
2. Is this experience what you expected? Explain.*
3. Is this experience helping you to accomplish your expected goals? Explain.*
4 - a. Is the agency supervision you are getting adequate? Explain.*
4 - b. Is the faculty supervision you are getting adequate? Explain.*
5 - a. How can the internship experience be more meaningful? What can you do to make it so?*
5 - b. How can the internship experience be more meaningful? What can the agency do to make it so? *
6. What experience would you like to see given more emphasis during the remainder of your time with the agency? *
Student Signature*

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Should be Empty: