verification form- GPH Internships, Service Learning, Mentored Research

Verification form- GPH Internships, Service Learning, Mentored Research

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Practicum Supervisor Verification Sophomore Practicum Internship, Service Learning, Mentored Research College Park Scholars – Global Public Health The directors of College Park Scholars – Global Public Health request the assistance of Sophomore Practicum site supervisors and sponsors in evaluating the performance of student researchers, service volunteers and interns. We ask that you take a moment to answer the following questions about each of the students you have supervised. Please note that students must turn in this signed form to receive credit for their work with you; failure to receive this form will result in a grade of “F” for that student. Student name: . Service site name: . Evaluating site supervisor: . 1. How many hours of work did the student volunteer/intern perform? (If you do not have exact records, please estimate.) 2. Did the student volunteer/intern perform all of the duties outlined in your original service contract? 3. If you answered "no" to 2, were mutually agreeable substitute duties assigned and performed?
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Unformatted text preview: If not, please explain on reverse side. 4. How would you rate the student on the following items? (Check the appropriate spot). Exceptional Good Moderate Poor Not Applicable Work ethic Quality of work Initiative/ imagination (Note that these scores are for our information but will not necessarily be translated directly into a letter grade.) 1 5. If there is any other information that you feel we should be aware of in assigning a grade to this student, please indicate it on the reverse or on an attached sheet. Signature of Supervisor Date Please return this form to the offices of College Park Scholars—Global Public Health. You may ask the student volunteer/intern to bring it to us in a sealed envelope, mail, or fax it. Our mailing address: Attention: Dr. Donna Howard Director, College Park Scholars—Global Public Health Email: [email protected] 1125 Cumberland Hall University of Maryland College Park, MD 20742 Fax: 301.314-9843 2...
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This note was uploaded on 02/28/2012 for the course CPSP 249F taught by Professor D.howard during the Spring '12 term at Maryland.

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Verification form- GPH Internships, Service Learning, Mentored Research

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