Student Self Evaluation Page 7

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presentation.
6.18 Describe own Project/intervention/solutions
directed toward identified change in Project
presentation.
6.19 Demonstrate timeliness when collaborating with
others to deliver Project/services in Internship agency.
6.20 Use appropriate referral systems when referring
clients and families.
6.21 Use appropriate communication lines when
making referrals.
6.22 Summarize progress and completion of Learning
objectives with Professor at agreed upon times.
Total each column; add together to Get total
Tally:
Points
# of 3s: _____
# of 2s: _____
Totals
216
114
72
# of 1s: _____ (comment on how to address below)
Overall Total Evaluation points: ______ /216
(*** 180 needed to pass at 83%) Majority must be 2s & 3s to pass at 83%
Student completes the following & both student & Supervisor sign. Put in Evaluation Packet along with all other evaluations for Faculty review
and signature
Student’s Identified Strengths:
Student’s Identified Areas for Growth:
Student:
_____________________________________________
Date: _______________
Supervisor: _____________________________________________
Date: _______________

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