M.S. Health Promotion Management
American University
FINAL IN-SERVICE TRAINING EVALUATION
STUDENT’S NAME: _____________________________
DIRECTIONS: Upon completion of the in-service training, please mark (X) the rating which
most appropriately indicates the level of attainment by the student and complete the statements
immediately following the rating scale. Please fax the completed evaluation to (202) 885-1187.
Excellent
Above
Average
Average
Below
Average
Not
Applicable
a. Functions well with and
adjusts to people
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b. Willingly accepts
suggestions and criticisms
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c. Respects opinions and
wishes of others
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1. Personal Relationships
2. Willingness to Accept Responsibility
a. Follows tasks through
to completion
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b. Follows directions and
instructions
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c. Punctuality
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d. Dependability
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a. Initiates and pursues tasks
with diligence
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b. Ability to function with
assigned group
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3. Leadership Competencies
Excellent
Above
Average
c. Endeavors to resolve
problems independently
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d. Ability to motivate
interest and greater effort
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Average
Below
Average
Not
Applicable
e. Interjects new ideas
& approaches
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f. Is imaginative and
creative in thought
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g. Knowledge of related
skills and techniques
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h. Exercises good
judgment
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a. Is confident
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b. Is well-poised
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c. Indicates understanding
of behavior in self
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d. Capable of confronting
new situations calmly
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e. Friendly and
thoughtful
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a. Rapport with staff
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b. Ease in meeting
people
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c. Character & integrity
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4. Emotional Stability
5. Social Qualities
Excellent
Above
Average
Average
Below
Average
Not
Applicable
a. Demonstrated ability to
utilize skills of organization
& administration
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b. Supervised full-time, parttime, or volunteer leadership
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c. Utilized public relation
skills (writing, speaking, etc.) _______
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d. Participated in committee
meetings and deliberations
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e. Demonstrated leadership
skills in fitness activities
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f. Observed or participated in
development or maintenance
programs
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6. Professional Competencies
The following are objectives for the Health Promotion graduate degree. Please mark (X) the
rating which most appropriately indicates the level of attainment by the student:
g. Defined components of health
promotion.
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h. Planned a health promotion
program by using steps of
select models and theories. _______
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i. Demonstrated the process
of translating research and
theoretical health concepts
in to practice.
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j. Demonstrated scientific
knowledge in the areas of
wellness, nutrition, exercise physiology,
psychology, and stress management
as they related to health
promotion.
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8. Please comment on the following and give examples whenever possible:
a. Our student was most effective in:
b. Our student gained competency in:
c. Additional recommendations:
d. Letter grade (please circle): A B D E F + -
EVALUATION COMPLETED BY:
NAME (please print): _______________________
TITLE: _____________________________
DATE: _____________
PHONE: _________________
EMAIL ADDRESS: ________________________________________________
AGENCY ADDRESS: ______________________________________________
__________________________________________________________________
SIGNATURE (evaluator): __________________________________________
SIGNATURE (student): ____________________________________________