Midterm Progress Report
To be completed by the internship provider after roughly 50 hours of work by the intern.
Date Range:
*
Anticipated Internship Completion Date:
*
Student Name:
*
Supervisor Name:
*
Supervisor Title
*
Supervisor Email:
*
example@example.com
Supervisor Phone:
*
-
Area Code
Phone Number
Progress Toward Learning Objectives
Please put a check in each box below, as appropriate, to indicate the student’s progress and provide written comments about student performance as well as attaching samples of the intern’s work to date.
Learning Objective #1:
Progress Thus Far:
Superior
Above Average
Average
Minimally Acceptable
Poor
Not Yet Covered
Learning Objective #2:
Progress Thus Far:
Superior
Above Average
Average
Minimally Acceptable
Poor
Not Yet Covered
Learning Objective #3:
Progress Thus Far:
Superior
Above Average
Average
Minimally Acceptable
Poor
Not Yet Covered
Learning Objective #4:
Progress Thus Far:
Superior
Above Average
Average
Minimally Acceptable
Poor
Not Yet Covered
Learning Objective #5:
Progress Thus Far:
Superior
Above Average
Average
Minimally Acceptable
Poor
Not Yet Covered
Comments or Concerns:
Work Sample File Upload:
Upload a File
Cancel
of
Work Sample File Upload:
Upload a File
Cancel
of
Work Sample File Upload:
Upload a File
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of
Work Sample #1 URL attachment:
Work Sample #2 URL attachment:
Teaching Methods
Teaching Methods Used:
*
Concept (supervisor), demonstration (supervisor), performance (student) and feedback (supervisor)
Programmed Instruction (e.g. instructional texts and/or audio/visual materials).
Observation of work activity with student report and assessment of student learning.
Other (please describe below):
Other
Summary
What can you tell us thus far about the student's work performance and professional conduct?
*
Name of Internship Supervisor
*
Submit
Should be Empty: