Supervisor completes this form both at midterm and at the end of the practicum. This form should be turned in via the Department Secretary for the Director of Training. In know you are probably busy, but the form usually takes just five or ten minutes to complete and your answers and comments will be much appreciated. This form will become part of the extern s record for this course and may be considered in assigning grades for the externship. Please answer each item using the scale provided.
Space is provided following each category group for specific comments.
There is also space at the end of this form for general comments. If you feel it should be helpful to put anything into context from the outset, please feel free to do so below. Not Applicable or not enough information to form a judgment 1. Not Applicable or not enough information to form a judgment 1. The internship, practicum, and field placement handbook.