Health Informatics Internship/Field Experience

University of North Texas

School of Library and Information Sciences

Evaluation of Student Performance Form

Stethoscope

"Diagnosing Your Information Needs"

Site Supervisors:

Please submit evaluation of student's performance within one (1) week after the conclusion of the student's internship/field work experience. Your timely submission of the student performance evaluation is greatly appreciated.

  1. Fill out form.

  2. Print using browser's Print button (for your records).

  3. Click on Submit.

Date:
Student Name:
Site Supervisor:
Supervisor E-mail:
Supervisor Phone:
Internship Site:
Internship Address:

Student Qualifications

General Background Knowledge Excellent Good Fair Poor Cannot Rate
Adaptability Excellent Good Fair Poor Cannot Rate
Readiness to Learn Excellent Good Fair Poor Cannot Rate
Dependability Excellent Good Fair Poor Cannot Rate
Interpersonal Skills Excellent Good Fair Poor Cannot Rate
Judgment Excellent Good Fair Poor Cannot Rate
Maturity Excellent Good Fair Poor Cannot Rate
Initiative Excellent Good Fair Poor Cannot Rate
Accuracy Excellent Good Fair Poor Cannot Rate
Flexibility Excellent Good Fair Poor Cannot Rate

Duties
Please comment on the duties or projects which the student undertook and the student’s degree of success in completing the work:

General Evaluation
Please comment on any aspect of the student’s performance:

Grade
Please recommend a letter grade for the student:

Thank you!

This page was last modified on 08/22/2005 by Jodi Philbrick

Health Informatics Program
University of North Texas
School of Library and Information Sciences
P.O. Box 311068
Denton, TX 76203