HSES Internship Packet

Part II

Mid-Term, Final, Student Evaluations

& Weekly Log

Community Health

Exercise Science Sport Management

The University of Kansas

Department of Health, Sport and Exercise Sciences

School of Education The University of Kansas Lawrence, Kansas 66045

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TABLE OF CONTENTS

The Internship Experience page 3 Checklist For HSES Internship page 3 Mid-Term Evaluation Form page 4 Final Student Evaluation Form page 6 Student Evaluation Of Internship Agency Form page 8 Weekly Logs Information page 9 Student Information page 10 Weekly Log Forms page 11 Additional Internship Experiences & Reflections page 27

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THE INTERNSHIP EXPERIENCE The internship experience is a unique opportunity to simulate the type of employment that is in the student's area of interest. The difference between employment and the internship is that the student maintains affiliation with the University during the experience. This affiliation serves to protect and provide the student with feedback regarding progress during the internship. During the internship each intern must complete the following requirements in addition to the on-going responsibilities of the internship:

• Participate in the Mid-Term Evaluation Form. • Participate in the Final Evaluation Form. • Submit Weekly Activities Log as directed by your HSES Internship Supervisor.

CHECKLIST FOR HSES INTERNSHIP

1. Consult with HSES Internship Coordinator to make sure everything is finalized for your internship. 2. Attend the internship meeting on the first day of classes in the semester you are

doing the internship. This meeting will be announced in a separate E-mail. 3. Arrive at agency at the place, time and date listed by Agency Supervisor on Appendix

E-Response to Internship Application. 4. Discuss your assignment with Agency Supervisor. 5. Once all paperwork is filled out and signed by all parties enroll in and pay fees for

HSES 499 15 credit hours for Sport Management or 580 Internship 12 credit hours for Community Health or 15 credit hours for Exercise Science.

1. Provide the Agency Supervisor with a Mid-term Evaluation form (Appendix H). 2. Sit in on mid-term evaluation with your Agency Supervisor and sign the evaluation. 3. Consult with Agency Supervisor to check for any details that must be completed before internship ends. 4. Submit your Weekly Activities Log as directed by your HSES Internship Supervisor on dates indicated. 5. Follow up with your Agency Supervisor to confirm completion and submission of final evaluation. (Appendix I) 6. Complete Student Evaluation of Internship Agency (Appendix J) form and submit

with the Final Evaluation and Weekly Activities Log. 7. Check with your HSES Internship Supervisor with respect to final deadline dates. 8. Send a "Thank You" letter to the agency. 9. Start applying for jobs and/or graduate school before internship is completed.

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MID-TERM EVALUATION FORM

(Agency to complete and return to HSES Internship Supervisor at the mid-point of the internship)

Instructions: The individual filling out this evaluation should be the person who works primarily with the intern (the person who has spent the greatest amount of time with the intern) and who is most knowledgeable of the intern’s performance. Note: This person may or may not be the official supervisor. At no time should another student intern have input into any other intern’s performance. Please go over the evaluation with the intern and have the intern sign this evaluation prior to returning it to the HSES Internship Supervisor.

Student Name: Rating period: From: To: Agency: Agency Supervisor: Date of Evaluation: Signature of Evaluator: Signature of Student: Please rate the student on the following characteristics. Five represents high and one is low. N/A indicates that the item is not applicable or there is insufficient information to evaluate that item. low high

1. Demonstrates a sincere interest in the profession. N/A 1 2 3 4 5 2. Works well with people. N/A 1 2 3 4 5 3. Accepts responsibility. N/A 1 2 3 4 5 4. Is punctual and attentive. N/A 1 2 3 4 5 5. Completes assignments. N/A 1 2 3 4 5 6. Accepts suggestions and criticism favorably. N/A 1 2 3 4 5 7. Communicates effectively in writing. N/A 1 2 3 4 5 8. Shows imaginative and creative thinking. N/A 1 2 3 4 5 9. Portrays professional and neat appearance. N/A 1 2 3 4 5 10. Utilizes resources effectively. N/A 1 2 3 4 5 11. Shows initiative and is self-directed. N/A 1 2 3 4 5 12. Is motivated. N/A 1 2 3 4 5 13. Demonstrates self-confidence. N/A 1 2 3 4 5 14. Demonstrates organizational ability. N/A 1 2 3 4 5

(see next page)

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15. Demonstrates leadership ability. N/A 1 2 3 4 5 16. Demonstrates adaptability. N/A 1 2 3 4 5 17. Demonstrates effective verbal communications. N/A 1 2 3 4 5 18. Follows directions. N/A 1 2 3 4 5 19. The intern is conscientious. N/A 1 2 3 4 5 20. The intern is task-oriented. N/A 1 2 3 4 5 21. The intern is a hard worker. N/A 1 2 3 4 5 22. Overall rating. N/A 1 2 3 4 5 23. Total Points: (Sum ratings from above items) _______

Scale: 99-110 (Excellent), 88-98 (Good), 77-87 (Average), 66-76 (Poor), ≤ 65 (Fail)

Circle the letter grade that you feel best represents the intern’s performance. Please circle only one letter grade. The letter grade should correspond to the ratings scale above. A+ A A- B+ B B- C+ C C- D+ D D- F Please provide statements to support your letter grade. State what you feel are positive qualities regarding the intern and state areas for improvement (if any). Comments or suggestions to the student or the University of Kansas:

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FINAL STUDENT EVALUATION FORM

(Agency to complete and return to HSES Internship Supervisor at the end of the internship)

Instructions: The individual filling out this evaluation should be the person who works primarily with the intern (the person who has spent the greatest amount of time with the intern) and who is most knowledgeable of the intern’s performance. Note: This person may or may not be the official supervisor. At no time should another student intern have input into any other intern’s performance. Please go over the evaluation with the intern and have the intern sign this evaluation prior to returning it to the HSES Internship Supervisor.

Student Name: Rating period: From: To: Agency: Agency Supervisor: Date of Evaluation: Signature of Evaluator: Signature of Student: Please rate the student on the following characteristics. Five represents high and one is low. N/A indicates that the item is not applicable or there is insufficient information to evaluate that item. low high

1. Demonstrates a sincere interest in the profession. N/A 1 2 3 4 5 2. Works well with people. N/A 1 2 3 4 5 3. Accepts responsibility. N/A 1 2 3 4 5 4. Is punctual and attentive. N/A 1 2 3 4 5 5. Completes assignments. N/A 1 2 3 4 5 6. Accepts suggestions and criticism favorably. N/A 1 2 3 4 5 7. Communicates effectively in writing. N/A 1 2 3 4 5 8. Shows imaginative and creative thinking. N/A 1 2 3 4 5 9. Portrays professional and neat appearance. N/A 1 2 3 4 5 10. Utilizes resources effectively. N/A 1 2 3 4 5 11. Shows initiative and is self-directed. N/A 1 2 3 4 5 12. Is motivated. N/A 1 2 3 4 5 13. Demonstrates self-confidence. N/A 1 2 3 4 5 14. Demonstrates organizational ability. N/A 1 2 3 4 5

(see next page)

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15. Demonstrates leadership ability. N/A 1 2 3 4 5 16. Demonstrates adaptability. N/A 1 2 3 4 5 17. Demonstrates effective verbal communications. N/A 1 2 3 4 5 18. Follows directions. N/A 1 2 3 4 5 19. The intern is conscientious. N/A 1 2 3 4 5 20. The intern is task-oriented. N/A 1 2 3 4 5 21. The intern is a hard worker. N/A 1 2 3 4 5 22. Overall rating. N/A 1 2 3 4 5 23. Total Points: (Sum ratings from above items) _______ Scale: 99-110 (Excellent), 88-98 (Good), 77-87 (Average), 66-76 (Poor), ≤ 65 (Fail)

Circle the letter grade that you feel best represents the intern’s performance. Please circle only one letter grade. The letter grade should correspond to the ratings scale above. A+ A A- B+ B B- C+ C C- D+ D D- F Please provide statements to support your letter grade. State what you feel are positive qualities regarding the intern and state areas for improvement (if any). Comments or suggestions to the student or the University of Kansas:

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STUDENT EVALUATION OF INTERNSHIP AGENCY FORM

(Student to complete and return to HSES Internship Supervisor on the last day of the Internship) Agency Name: Agency Supervisor: Title: Please rate the agency on the following characteristics. Five represents high and one is low. N/A indicates that the item is not applicable or there is insufficient information to evaluate that item. low high 1. Able to meet your objectives. N/A 1 2 3 4 5 2. Acceptance of intern as a professional by the staff. N/A 1 2 3 4 5 3. Adequate orientation from agency. N/A 1 2 3 4 5 4. Adequate help with program planning. N/A 1 2 3 4 5 5. Provision of relevant experiences in leadership N/A 1 2 3 4 5 and supervision. 6. Provision of relevant experiences in administration N/A 1 2 3 4 5 and finance. 7. Adequate help with your special project. N/A 1 2 3 4 5 8. Provided computer experience. N/A 1 2 3 4 5 9. Agency's staff served as professional role models. N/A 1 2 3 4 5 10. Appropriate mid-term and final evaluation of N/A 1 2 3 4 5 intern's work. Comments: low high Overall rating of the Agency. 1 2 3 4 5 6 7 8 9 10 Student's name: Semester interned:

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WEEKLY LOG INFORMATION This manual is provided for the intern to keep a record of the activities and learning experiences that occurred during the internship. The intent of the Weekly Log is to provide the HSES Internship Supervisor with information that describes your experiences as an intern. It should also give you an account of how the internship experiences have progressed. The Weekly Logs are required to receive a final grade in the internship. Over the sixteen-week period of the internship, you will submit a Weekly Log. The initial set Weekly Logs for first 8 weeks of the internship are due with your Mid-Term Evaluation. The final set of Weekly Logs for the remaining 8 weeks are due with your Final Evaluation. Weekly Logs will be submitted to your Internship Supervisor (Dr. Theresa Brown or Dr. Bernie Kish). Instructions The following instructions must be followed in the completion of this manual. 1. Each page represents one week. Make clear and concise statements about what you did

each week. Use phrases as opposed to long complex sentences. 2. Date each page. You must have a brief description of your experiences of each week of

the internship. 3. Your writing must be legible. If the HSES Internship Supervisor cannot read your

writing, the manual may be returned and the internship grade withheld. Your work must be neat and professional.

4. Make sure the Student Information Page has been completed before giving the manual to

the HSES Internship Supervisor. NOTE: Check with the HSES Internship Supervisor for the final deadline dates. The deadlines date will be the same for the logbook and evaluations.

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STUDENT INFORMATION

NAME: ADDRESS: Street Apt. # City State Zip PHONE: ( ) EMAIL: MAJOR: INTERNSHIP SITE: SITE SUPERVISOR:

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WEEKLY LOG FORM Name: ____________________________ Internship Site: __________________________________ Week #: ___1_____ Hrs Worked: _________ Date: ______________________ Note: If any of these do not apply to you simply state “None” or “N/A”. DO NOT leave any blanks and be as comprehensive as possible. DO NOT worry if you list the same things from week to week as many jobs are repetitive. Please write neatly or type the logbook. BRIEFLY DESCRIBE ANY OFFICE EXPERIENCE YOU HAD LIST THE TYPES OF EQUIPMENT YOU USED AND/OR LEARNED ABOUT DESCRIBE THE TYPES OF CLIENTS YOU WORKED WITH (Do Not Give Client Names) BRIEFLY EXPLAIN ANY SPECIAL PROJECTS YOU WORKED ON PROVIDE GENERAL REFLECTIONS FOR THE WEEK

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WEEKLY LOG FORM Name: ____________________________ Internship Site: __________________________________ Week #: ____2____ Hrs Worked: _________ Date: ______________________ Note: If any of these do not apply to you simply state “None” or “N/A”. DO NOT leave any blanks and be as comprehensive as possible. DO NOT worry if you list the same things from week to week as many jobs are repetitive. Please write neatly or type the logbook. BRIEFLY DESCRIBE ANY OFFICE EXPERIENCE YOU HAD LIST THE TYPES OF EQUIPMENT YOU USED AND/OR LEARNED ABOUT DESCRIBE THE TYPES OF CLIENTS YOU WORKED WITH (Do Not Give Client Names) BRIEFLY EXPLAIN ANY SPECIAL PROJECTS YOU WORKED ON PROVIDE GENERAL REFLECTIONS FOR THE WEEK

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WEEKLY LOG FORM Name: ____________________________ Internship Site: __________________________________ Week #: ____3____ Hrs Worked: _________ Date: ______________________ Note: If any of these do not apply to you simply state “None” or “N/A”. DO NOT leave any blanks and be as comprehensive as possible. DO NOT worry if you list the same things from week to week as many jobs are repetitive. Please write neatly or type the logbook. BRIEFLY DESCRIBE ANY OFFICE EXPERIENCE YOU HAD LIST THE TYPES OF EQUIPMENT YOU USED AND/OR LEARNED ABOUT DESCRIBE THE TYPES OF CLIENTS YOU WORKED WITH (Do Not Give Client Names) BRIEFLY EXPLAIN ANY SPECIAL PROJECTS YOU WORKED ON PROVIDE GENERAL REFLECTIONS FOR THE WEEK

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WEEKLY LOG FORM Name: ____________________________ Internship Site: __________________________________ Week #: ____4____ Hrs Worked: _________ Date: ______________________ Note: If any of these do not apply to you simply state “None” or “N/A”. DO NOT leave any blanks and be as comprehensive as possible. DO NOT worry if you list the same things from week to week as many jobs are repetitive. Please write neatly or type the logbook. BRIEFLY DESCRIBE ANY OFFICE EXPERIENCE YOU HAD LIST THE TYPES OF EQUIPMENT YOU USED AND/OR LEARNED ABOUT DESCRIBE THE TYPES OF CLIENTS YOU WORKED WITH (Do Not Give Client Names) BRIEFLY EXPLAIN ANY SPECIAL PROJECTS YOU WORKED ON PROVIDE GENERAL REFLECTIONS FOR THE WEEK

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WEEKLY LOG FORM Name: ____________________________ Internship Site: __________________________________ Week #: ___5_____ Hrs Worked: _________ Date: ______________________ Note: If any of these do not apply to you simply state “None” or “N/A”. DO NOT leave any blanks and be as comprehensive as possible. DO NOT worry if you list the same things from week to week as many jobs are repetitive. Please write neatly or type the logbook. BRIEFLY DESCRIBE ANY OFFICE EXPERIENCE YOU HAD LIST THE TYPES OF EQUIPMENT YOU USED AND/OR LEARNED ABOUT DESCRIBE THE TYPES OF CLIENTS YOU WORKED WITH (Do Not Give Client Names) BRIEFLY EXPLAIN ANY SPECIAL PROJECTS YOU WORKED ON PROVIDE GENERAL REFLECTIONS FOR THE WEEK

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WEEKLY LOG FORM Name: ____________________________ Internship Site: __________________________________ Week #: ___6_____ Hrs Worked: _________ Date: ______________________ Note: If any of these do not apply to you simply state “None” or “N/A”. DO NOT leave any blanks and be as comprehensive as possible. DO NOT worry if you list the same things from week to week as many jobs are repetitive. Please write neatly or type the logbook. BRIEFLY DESCRIBE ANY OFFICE EXPERIENCE YOU HAD LIST THE TYPES OF EQUIPMENT YOU USED AND/OR LEARNED ABOUT DESCRIBE THE TYPES OF CLIENTS YOU WORKED WITH (Do Not Give Client Names) BRIEFLY EXPLAIN ANY SPECIAL PROJECTS YOU WORKED ON PROVIDE GENERAL REFLECTIONS FOR THE WEEK

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WEEKLY LOG FORM Name: ____________________________ Internship Site: __________________________________ Week #: ___7_____ Hrs Worked: _________ Date: ______________________ Note: If any of these do not apply to you simply state “None” or “N/A”. DO NOT leave any blanks and be as comprehensive as possible. DO NOT worry if you list the same things from week to week as many jobs are repetitive. Please write neatly or type the logbook. BRIEFLY DESCRIBE ANY OFFICE EXPERIENCE YOU HAD LIST THE TYPES OF EQUIPMENT YOU USED AND/OR LEARNED ABOUT DESCRIBE THE TYPES OF CLIENTS YOU WORKED WITH (Do Not Give Client Names) BRIEFLY EXPLAIN ANY SPECIAL PROJECTS YOU WORKED ON PROVIDE GENERAL REFLECTIONS FOR THE WEEK

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WEEKLY LOG FORM Name: ____________________________ Internship Site: __________________________________ Week #: ___8_____ Hrs Worked: _________ Date: ______________________ Note: If any of these do not apply to you simply state “None” or “N/A”. DO NOT leave any blanks and be as comprehensive as possible. DO NOT worry if you list the same things from week to week as many jobs are repetitive. Please write neatly or type the logbook. BRIEFLY DESCRIBE ANY OFFICE EXPERIENCE YOU HAD LIST THE TYPES OF EQUIPMENT YOU USED AND/OR LEARNED ABOUT DESCRIBE THE TYPES OF CLIENTS YOU WORKED WITH (Do Not Give Client Names) BRIEFLY EXPLAIN ANY SPECIAL PROJECTS YOU WORKED ON PROVIDE GENERAL REFLECTIONS FOR THE WEEK

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WEEKLY LOG FORM Name: ____________________________ Internship Site: __________________________________ Week #: ____9____ Hrs Worked: _________ Date: ______________________ Note: If any of these do not apply to you simply state “None” or “N/A”. DO NOT leave any blanks and be as comprehensive as possible. DO NOT worry if you list the same things from week to week as many jobs are repetitive. Please write neatly or type the logbook. BRIEFLY DESCRIBE ANY OFFICE EXPERIENCE YOU HAD LIST THE TYPES OF EQUIPMENT YOU USED AND/OR LEARNED ABOUT DESCRIBE THE TYPES OF CLIENTS YOU WORKED WITH (Do Not Give Client Names) BRIEFLY EXPLAIN ANY SPECIAL PROJECTS YOU WORKED ON PROVIDE GENERAL REFLECTIONS FOR THE WEEK

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WEEKLY LOG FORM Name: ____________________________ Internship Site: __________________________________ Week #: ____10____ Hrs Worked: _________ Date: ______________________ Note: If any of these do not apply to you simply state “None” or “N/A”. DO NOT leave any blanks and be as comprehensive as possible. DO NOT worry if you list the same things from week to week as many jobs are repetitive. Please write neatly or type the logbook. BRIEFLY DESCRIBE ANY OFFICE EXPERIENCE YOU HAD LIST THE TYPES OF EQUIPMENT YOU USED AND/OR LEARNED ABOUT DESCRIBE THE TYPES OF CLIENTS YOU WORKED WITH (Do Not Give Client Names) BRIEFLY EXPLAIN ANY SPECIAL PROJECTS YOU WORKED ON PROVIDE GENERAL REFLECTIONS FOR THE WEEK

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WEEKLY LOG FORM Name: ____________________________ Internship Site: __________________________________ Week #: ___11_____ Hrs Worked: _________ Date: ______________________ Note: If any of these do not apply to you simply state “None” or “N/A”. DO NOT leave any blanks and be as comprehensive as possible. DO NOT worry if you list the same things from week to week as many jobs are repetitive. Please write neatly or type the logbook. BRIEFLY DESCRIBE ANY OFFICE EXPERIENCE YOU HAD LIST THE TYPES OF EQUIPMENT YOU USED AND/OR LEARNED ABOUT DESCRIBE THE TYPES OF CLIENTS YOU WORKED WITH (Do Not Give Client Names) BRIEFLY EXPLAIN ANY SPECIAL PROJECTS YOU WORKED ON PROVIDE GENERAL REFLECTIONS FOR THE WEEK

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WEEKLY LOG FORM Name: ____________________________ Internship Site: __________________________________ Week #: ___12_____ Hrs Worked: _________ Date: ______________________ Note: If any of these do not apply to you simply state “None” or “N/A”. DO NOT leave any blanks and be as comprehensive as possible. DO NOT worry if you list the same things from week to week as many jobs are repetitive. Please write neatly or type the logbook. BRIEFLY DESCRIBE ANY OFFICE EXPERIENCE YOU HAD LIST THE TYPES OF EQUIPMENT YOU USED AND/OR LEARNED ABOUT DESCRIBE THE TYPES OF CLIENTS YOU WORKED WITH (Do Not Give Client Names) BRIEFLY EXPLAIN ANY SPECIAL PROJECTS YOU WORKED ON PROVIDE GENERAL REFLECTIONS FOR THE WEEK

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WEEKLY LOG FORM Name: ____________________________ Internship Site: __________________________________ Week #: ___13_____ Hrs Worked: _________ Date: ______________________ Note: If any of these do not apply to you simply state “None” or “N/A”. DO NOT leave any blanks and be as comprehensive as possible. DO NOT worry if you list the same things from week to week as many jobs are repetitive. Please write neatly or type the logbook. BRIEFLY DESCRIBE ANY OFFICE EXPERIENCE YOU HAD LIST THE TYPES OF EQUIPMENT YOU USED AND/OR LEARNED ABOUT DESCRIBE THE TYPES OF CLIENTS YOU WORKED WITH (Do Not Give Client Names) BRIEFLY EXPLAIN ANY SPECIAL PROJECTS YOU WORKED ON PROVIDE GENERAL REFLECTIONS FOR THE WEEK

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WEEKLY LOG FORM Name: ____________________________ Internship Site: __________________________________ Week #: ____14____ Hrs Worked: _________ Date: ______________________ Note: If any of these do not apply to you simply state “None” or “N/A”. DO NOT leave any blanks and be as comprehensive as possible. DO NOT worry if you list the same things from week to week as many jobs are repetitive. Please write neatly or type the logbook. BRIEFLY DESCRIBE ANY OFFICE EXPERIENCE YOU HAD LIST THE TYPES OF EQUIPMENT YOU USED AND/OR LEARNED ABOUT DESCRIBE THE TYPES OF CLIENTS YOU WORKED WITH (Do Not Give Client Names) BRIEFLY EXPLAIN ANY SPECIAL PROJECTS YOU WORKED ON PROVIDE GENERAL REFLECTIONS FOR THE WEEK

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WEEKLY LOG FORM Name: ____________________________ Internship Site: __________________________________ Week #: ____15____ Hrs Worked: _________ Date: ______________________ Note: If any of these do not apply to you simply state “None” or “N/A”. DO NOT leave any blanks and be as comprehensive as possible. DO NOT worry if you list the same things from week to week as many jobs are repetitive. Please write neatly or type the logbook. BRIEFLY DESCRIBE ANY OFFICE EXPERIENCE YOU HAD LIST THE TYPES OF EQUIPMENT YOU USED AND/OR LEARNED ABOUT DESCRIBE THE TYPES OF CLIENTS YOU WORKED WITH (Do Not Give Client Names) BRIEFLY EXPLAIN ANY SPECIAL PROJECTS YOU WORKED ON PROVIDE GENERAL REFLECTIONS FOR THE WEEK

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WEEKLY LOG FORM Name: ____________________________ Internship Site: __________________________________ Week #: ____16____ Hrs Worked: _________ Date: ______________________ Note: If any of these do not apply to you simply state “None” or “N/A”. DO NOT leave any blanks and be as comprehensive as possible. DO NOT worry if you list the same things from week to week as many jobs are repetitive. Please write neatly or type the logbook. BRIEFLY DESCRIBE ANY OFFICE EXPERIENCE YOU HAD LIST THE TYPES OF EQUIPMENT YOU USED AND/OR LEARNED ABOUT DESCRIBE THE TYPES OF CLIENTS YOU WORKED WITH (Do Not Give Client Names) BRIEFLY EXPLAIN ANY SPECIAL PROJECTS YOU WORKED ON PROVIDE GENERAL REFLECTIONS FOR THE WEEK

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ADDITIONAL INTERNSHIP EXPERIENCES & REFLECTIONS

If needed please use this space to elaborate on any additional experienced or reflections of your internship.

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ADDITIONAL INTERNSHIP EXPERIENCES & REFLECTIONS

If needed please use this space to elaborate on any additional experienced or reflections of your internship.