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Date 4/30/2012
Supervisor's Name Becki Carl-Stutz
Community Organization (practicum site) Lawrence Memorial Hospital
We appreciate your frank and honest responses to the following student evaluation.  Your feedback assists the course instructors with the education and future placement of practicum students.  This information is also useful for the professional development of the students.

Please indicate whether you consent to our sharing of your evaluation responses with the practicum student whom you supervise.
Yes, I consent to the sharing of my responses with the student
Student's commitment to the practicum experience: Consistently Committed (5 Points)
(1) Comments:
 
Student's work habits to date: Excellent (5 Points)
(2) Comments:
 
Overall quality of student's effort (e.g., amount learned, skills learned, etc.): Very Satisfied (5 Points)
(3) Comments:
 
The overall quality of the practicum product(s)/project that was received from the student: Very Satisfied (15 Points)
(4) Comments:
 
Student's interaction with others at the site (e.g. staff, clients): Consistently Positive (5 Points)
(5) Comments:
 
Student's relationship with others in the organization: (e.g.  effective working relationships within the organization and the community.) Very Satisfied (5 Points)
(6) Comments:
 
Student's overall attitude toward the activities and personnel associated with the practicum: Very Positive (5 Points)
(7) Comments:
 
Student's understanding of practicum objectives: Very Good (5 Points)
(8) Comments:
 
Student's level of dependability to date: Consistently Dependable (4 points)
(9) Comments:
 
Would you be willing to host this practicum student for an additional semester? Note: This information will not be shared with the student. Yes
(10) Comments:
 
As compared to other interns and practicum students that you have hosted in the past (from any institution), how would you rate the professional performance of your current practicum student? 1. Among the best
(11) Comments:
 
Please enter any additional feedback regarding your final assessment of the practicum student's performance.