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NAU Intern Evaluation

General Information

Intern Name

Site/Organization Name

Site/Organization Supervisor Name

Site Supervisor Email *

Site Supervisor Phone

Evalutation Period

Active Semester

Active Months of Intern - Spring Semester

Jan
Feb
Mar
April
May
June

Active Months of Intern - Summer Semester

April
May
June
July
August
Sept

Active Months of Intern - Fall Semester

August
Sept
Oct
Nov
Dec

Fitness Wellness Outcomes: ACSM EP-C Performance Domains

1. Reviews pre-activity screening, health appraisal, exercise history and fitness assessments. (EP-C-D II T A)

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Comments/Suggestions for Improvement

2. Determines safe and effective exercise programs to achieve desired outcomes and goals. (EP-C-D II T B)

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3. Implements cardiorespiratory exercise prescriptions using the FITT framework for apparently healthy populations based on current health status, fitness goals and availability of time. (EP-C-D II T C)

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4. Reviews proposed program with client; demonstrates and instructs the client to perform exercises safely and effectively. (cPT-D II T D)

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5. Monitors client technique and response to exercise, modifying as necessary. (cPT-D II T E)

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6. Implements exercise progression guidelines for resistance, cardiovascular and flexibility-based activity to achieve the goals of apparently healthy participants. (EP-C-D II T E)

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7. Prescribes and implements exercise programs for participants with controlled cardiovascular, pulmonary, and metabolic diseases and other populations that can exercise independently. (EP-C-D II T G)

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8. Optimizes the adoption of and adherence to exercise programs and other healthy behaviors by applying effective behavioral and motivational strategies. (EP-C-D III T B)

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9. Provides educational resources to support clients in the adoption and maintenance of healthy lifestyle behaviors. (EP-C-D III T C)

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10. Provides support within the scope of practice of a Health Fitness Specialist and refer to other health professionals as indicated. (EP-C-D III T D)

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Comments/Suggestions for Improvement (copy)

Professional Dispositions

Comments/Suggestions for Improvement (copy)

Legal and ethical conduct in personal and professional practice. Adheres to ACSM’s Code of Ethics by practicing in a professional manner within the Scope of Practice of a Certified Personal Trainer. (cPT-D IV T E

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Comments/Suggestions for Improvement (copy)

Communication Skills: Ability to express oral and written thought; skill in listening to and understanding others.

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Productivity, planning & organization of work: Volume of work, efficiency in planning, organizing, and completing work on time.

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Quality of work: Thoroughness, accuracy, neatness, competency of fieldwork student.

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Relationships/Cooperation with co-workers and public/clients: Respect, tact, courtesy, willingness to assist, impressions created with public, etc.

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Responsibility: Dependability, punctuality, ability to follow through and attend to instructions.

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Independent Functioning: ability to work without constant supervision; ability to make routine decisions and to function on own initiative when necessary.

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Comments/Suggestions for Improvement (copy)

Overall Performance: Total, overall performance of fieldwork student.

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NAU Intern Evaluation

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