Evaluation Form
Evaluation Form
Evaluation Form
Quick to some
Careful, takes Observes visible
Careless of his Sometimes fail to possible hazard
precaution not to hazards suggests
G. Safety own and others see or report and takes steps
injure self or need for
safety unsafe condition to get them
others improvement
corrected
TOTAL :
OVERALL
7 - 17 18 - 31 32 - 35 36 - 40 41 - 44 45 - 49 50 - 53 54 - 58 59 - 62 63 - 66 67 - 70
PERFORMANCE
GRADE
5.0 4.0 3.0 2.75 2.5 2.25 2.0 1.75 1.5 1.25 1.0
EQUIVALENT
Comments, general impressions and observations regarding the capability, behaviour and personality of the trainee.
Rated by:
Name:
Practicum Site:
On-site Supervisor's name and phone:
Your job title or a short description:
Number of hours per week at praticum site and how you scheduled them (e.g., 6 hours, 3 hrs.
each on Mon. and Wed.)
Decribe you duties and experiences on a typical day at your practicum site:
What aspects of the practicum did you find the most educational, fulfilling and/or chalenging?
What aspects of the practicum did you find the most frustrating and/or unfulfilling?
Descibe the training and supervision you received for your practicum.
Did you feel that the level of training you received was adequate and appropriate for the duties you performed?
What could you have done to make you praticum a more valuable experience?
What could you practicum site/supevisor/agencyhave done to make your praticum a more valuable experience?
What type of students? Any particular issues or circumstances you would want taken into account?
ou performed?
ble experience?