14-Attachment 07-VR2923 Orientation Mobility Internship.pdf
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- Solicitation number
- 3202600155
- Issued by
- Texas
About this file
This is a performance evaluation form created by the Texas Workforce Commission Vocational Rehabilitation Services for assessing interns in the Orientation and Mobility (O&M) program. The form is designed to evaluate O&M interns working under supervisor guidance at agencies or facilities throughout Texas. The evaluation covers a comprehensive range of performance criteria across teaching competency, professional conduct, and personal development, with ratings on a five-point scale from poor to excellent. Key evaluation areas include lesson planning and delivery, student rapport and communication, subject matter expertise, classroom management, safety practices, report writing, attendance, initiative, ethical standards, and professional relationships. The form requires documentation of the intern's name, evaluation dates, supervising facility, and the O&M supervisor's name, with space for additional comments and signatures from both the supervisor and intern.
This document serves as an assessment tool within the open enrollment opportunity for Orientation and Mobility Services provided to Vocational Rehabilitation customers served by the Texas Workforce Commission-Vocational Rehabilitation division. The evaluation instrument supports quality assurance and professional development standards for O&M internship programs across TWC-VR Workforce Solutions offices statewide. The 30-item evaluation matrix enables supervisors to systematically assess intern competencies in both instructional delivery and professional conduct, facilitating structured feedback and performance documentation throughout the internship period.
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Text version
VR2923 (10/17) Orientation and Mobility (O&M) Internship Performance Evaluation Page 1 of 2
Texas Workforce Commission Vocational Rehabilitation Services
Orientation and Mobility (O and M) Internship Performance Evaluation
General Information
Intern name:
Date:
Agency or Facility:
O and M Supervisor name:
Inclusive Dates of Evaluation:
Performance Results
Teaching performance: Poor=1, Below Average=2, Average=3, Above Average=4, Excellent=5
1 2 3 4 5
1. Punctual to work and lessons.
2. Plans appropriate lessons.
3. Establishes and maintains rapport with student or customer.
4. Clarity when explaining lessons to students or customers.
5. Knowledgeable in subject area taught.
6. Mutually establishes goals and objectives with students or customers.
7. Uses a variety of teaching techniques and activities.
8. Plans lessons to achieve goals and objectives.
9. Keeps accurate daily lessons.
10. Remains alert and cautious on lessons.
11. Maintains proper position on lessons.
12. Provides effective feedback and support to student or customer.
13. Drives safely and courteously where appropriate.
14. Organizes and uses preparation time wisely.
15. Communicates effectively in written reports and evaluations.
16. Turns in reports and other assignments in timely manner.
17. Appropriate attendance and reporting at meetings.
18. Shows initiative in presenting and developing new ideas.
19. Handles special assignments appropriately.
20. Neat and appropriate appearance.
SAMPLE
VR2923 (10/17) Orientation and Mobility (O&M) Internship Performance Evaluation Page 1 of 2
21. Consults with supervisor for assistance when needed.
22. Seeks and accepts constructive criticism.
23. Expresses opinions in supervisory conferences.
24. Follows through on suggestions.
25. Observes the ethics of confidentiality.
26. Relates well with other staff and/or teachers.
27. Accepts professional responsibility.
28. Appropriate attitude toward policies and procedures.
29. Willingness to keep abreast of current professional literature.
30. Overall evaluation of intern’s performance.
Additional Comments:
O and M Supervisor signature:
X
O and M Intern signature:
X
SAMPLE
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