Internship Final Appraisal Form



RadDatePicker
Open the calendar popup.





This instrument serves as both the summative evaluation of the intern and the clinical faculty's letter of reference. It should provide a clear assessment of the intern's level of performance for each of the folllowing indicators using the following rubric, bearing in mind that most interns will perform at the basic and proficient levels; the outstanding level should be reserved for performance that is above and beyond the basic requirements of the internship.

Outstanding: The intern has demonstrated an exemplary ability to model the identified indicator in the classroom setting.
Proficient: The intern is able to demonstrate the identified performance indicator on a consistent and effective basis.
Basic: The intern is able to demonstrate the identified performace indicator well enough to meet minimal expectations.
Unsatisfactory: The intern is unable to demonstrate the identified performance indicator.

INTASC 1


INTASC 2


INTASC 3



INTASC 4





INTASC 5







INTASC 6



INTASC 7


INTASC 8



INTASC 9





INTASC 10