Student Evaluation Form (Page 2 of 2) in pdf

Student Evaluation Form Page 2

Strengths: Please share with us your general impressions of the student’s particular academic, professional, and/or personal

strengths. What improvements has the student made during his/her time with you?

Weaknesses: What areas do you feel represent relative weaknesses for this student? What would you like this student to continue to

work on?

What would you recommend as an overall rating for this student to date?

Exceptional: displays exceptional competence, functions autonomously, professional level

Excellent: consistently exceeds expectations for acceptable work, functions with high autonomy

Above average: frequently exceeds expectations for acceptable work, functions with high autonomy

Average: meets expectations, average competence, functions well with supervision

Below average: generally meets expectations, functions adequately with close supervision

Poor: occasionally meets expectations, requires much supervision, needs improvement

Very poor: seriously below expectations, requires extensive remediation

Important note: end-of-year evaluations are considered provisional in the sense that supervisors will have an opportunity to

revise evaluations in the period immediately following the conclusion of the practicum placement.

*Important: Forms are not

considered complete unless they

Supervisor’s Signature

Date

contain all three signatures.

Student’s Signature upon review and discussion of this form

Date

Mentor’s Signature upon review and discussion of this form

Date

Student Evaluation Form Page 2