Internship Evaluation

Student Name: *

Student PSU email *

Student Campus (only choose the campus you are registered for HPA395 through) *

HPA395 Section if University Park or World Campus:(Choose only ONE)

Shurgalla

Thul

Facility Type: * Facility Type:

Was your internship Virtual, On site, or Hybrid?

Preceptor Name and Title: *

Organization: *

Address: *

City: *

State: *

ZIP: *

Country: * Country:

Preceptor Email Address: *

Preceptor Phone Number: *

Each year we ask students to nominate those preceptors who display exemplary mentorship and support to their student. Do you feel your preceptor should be considered for Preceptor of the Year? *

No

Yes, please provide a brief summary (1500 words or less) describing why you feel your preceptor should be nominated in the next field.

If answered yes to the previous question, please provide summary here:

Would you recommend this internship to other students? *

Yes

No

What areas did your internship focus on?

Overall, how would you rate your ability to do the following compared to BEFORE you began your internship::

Prepare written documents using correct grammar, punctuation, style, and spelling? *

Prepare written document that convey information and/or opinions in a clear and compelling manner? *

Prepare and deliver logical and concise oral presentations? *

Prepare and deliver persuasive oral presentations that convey information and/or opinions in a clear and compelling manner? *

Use professional terminology correctly and appropriately? *

Rate the degree to which you feel prepared in the following areas compared to BEFORE you began your internship:

Accounting and finance *

Managment theories *

Human resources *

Info systems and technology *

Operations *

Marketing *

Strategic planning *

Quality *

Rate your ability to work independently compared to BEFORE your began your internship:

Completes individual assignments on time *

Seeks assistance when appropriate *

Can function professonally within groups *

Can communicate and listen to ideas of others *

Completes assigned group tasks *

Values ideas and contributions of others *

Rate your professionalism compared to BEFORE you began your internship:

Reported to work on time *

Completed tasks in a timely manner *

Dressed neatly and appropriately *

Accepted direction and feedback *

Displayed professional demeanor *

Rate your ability to show initiative compared to BEFORE you began your internship:

Willingness to undertake new tasks *

Takes on challenges and opportunities *

Desire to learn *

At the beginning of the internship, how would you assess your basic understanding of the healthcare environment? *

After completing your internship, how would you assess your basic understanding of the healthcare environment? *

How well did you feel that you were able to apply your academic preparation to assigned tasks/projects? *

How well prepared do you feel you are for an entry-level position upon graduation? *

Were you offered a full time or part time job because of your internship?

Yes

No

Already employed at internship location

In summary, what grade would you give yourself? *

Student Internship Evaluation Form - Complete After the Internship

Overall, how would you rate your ability to do the following compared to BEFORE you began your internship::

Rate the degree to which you feel prepared in the following areas compared to BEFORE you began your internship:

Rate your ability to work independently compared to BEFORE your began your internship:

Rate your professionalism compared to BEFORE you began your internship:

Rate your ability to show initiative compared to BEFORE you began your internship: