Museum Studies Graduate Program Student Evaluation of Site Supervisor STUDENT INFORMATION: Student Name: Student ID: Supervisor Name: Supervisor Job Title: Department: Institution: Review Period: to Select Course: ☐ MST 600 Internship ☐ MST 560 Practicum in Museums Credit hours: ☐ 1 ☐ 2 ☐ 3 Please rate the job your site supervisor did in the areas listed below on a scale of 1 to 5, where 1 represents POOR and 5 represents EXCELLENT. Check the box below the number that best expresses your opinion. EVALUATION QUESTIONS: RATE YOUR INSTITUTIONAL SUPERVISOR 0= Not Applicable 1 = Poor 2 = Fair 3= Satisfactory 4 = Good 5 = Excellent COMPETENCIES AS A PROFESSIONAL Utilizes good and ethical judgement ☐ ☐ ☐ ☐ ☐ ☐ Knowledgeable and capable in the Field ☐ ☐ ☐ ☐ ☐ ☐ Professional demeanor ☐ ☐ ☐ ☐ ☐ ☐ Organizational skills ☐ ☐ ☐ ☐ ☐ ☐ Open to new ideas and feedback ☐ ☐ ☐ ☐ ☐ ☐ COMPETENCIES AS AN INTERSHIP SUPERVISOR Willingness to mentor ☐ ☐ ☐ ☐ ☐ ☐ Accessibility to the student ☐ ☐ ☐ ☐ ☐ ☐ Appropriate workspace was available to you ☐ ☐ ☐ ☐ ☐ ☐ Responsive to goals and objectives ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ Ability to motivate others Ability to entrust others to complete tasks EVALUATION: WAS YOUR SUPERVISOR AVAILABLE TO ASSIST YOU IF NEEDED? DO YOU FEEL YOU HAVE A BETTER UNDERSTANDING OF THE SKILLS REQUIRED OF A MUSEUM PROFESSIONAL? WERE THE GOALS YOU AND YOUR SUPERVISOR AGREED UPON MET? ADDITIONAL COMMENTS: VERIFICATION OF REVIEW: By signing this form, you confirm that you have provided accurate feedback regarding your museum/organization experience. Student Signature Date MST Director Signature Date Return to: Pamela White, JD, PhD (Email: PJ-White@wiu.edu) Director, Museum Studies Program Western Illinois University, Room 1225, 3300 River Drive, Moline, IL 61265