Mentor Evaluation of Student Form

The place for the mentor to evaluate the student's performance during the externship.

Name of Student:

Student's School:

Start Date of Externship:

End Date of Externship:

Name of Mentor:

Please Rank the Student 1-10 as indicated below:

Significantly below minimum expectations: 1-2
Below Minimum Expectations: 3-4
Expected Performance: 5-7
Exceeded Expectations: 8-9
Significantly Exceeds Expectations: 10

Self Improvement - Seeks additional information and knowledge; is actively involved in improving his/her job performance; encourages feedback:

Adaptability - Able to encounter and master new requirements; able to multi-task and complete several projects:

Initiative - Exhibits enthusiasm to accomplish what is required; a self-starter:

Interpretive Skills - Correct analysis of data, observations, and results; able to reevaluate ideas and conclusions when new information becomes available:

Communication Skills and Interpersonal Skills - Effectively interacts with other members of the practice; clear and precise oral and written presentation of ideas, data, and conclusions, requests and shares information necessary to get the job done.:

Problem-Solving Ability - Effectively plans and troubleshoots the job; helps create solutions:

Professionalism - Shows appropriate follow through; has high standards of integrity; Can be trusted to get the job done (reliable); take responsibility for his/her actions; projects are completed thoroughly and in a timely manner:

Other Comments:

Submitted by Cynthia Johnson on April 10, 2009 - 8:09pm

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