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This is the student evaluation completed by Practicum Site Supervisors twice during the CYC 410 Practicum placement.  Below you will see questions regarding the five skill clusters as defined in the Practicum Field Guide.  Each skill cluster has a number of competencies that students are expected to demonstrate in this practicum. 

Field Supervisors are asked to make an assessment of the student's ability at this point in time.  You are not assigning a grade; that is the responsibility of the course faculty at the end of the practicum.  You are asked to provide a rating of the student's skills in each area according to the scale defined below:

N/A:  not applicable or not enough information to form an assessment
1:  Far below expectations - needs improvment; a concern
2:  Below expectations - needs some improvement to meet basic entry level competency
3:  Acceptable - meets standard at average level; basic competency
4:  Above expectations - performs above average level; consistently competent
5:  Far above expectations - a definite strength; outstanding level of competency

Please note as well, below each group of skills, there is a request for your written comments in that skill cluster.  Please provide as much meaningful comment as possible about the student's skills in that cluster.

Also, before you send the final submission to UCFV, you will be given a submission preview.  This is your opportunity check for accuracy and to print a copy for yourself.
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CYC 410 Student Evaluation
Student's Name:
Faculty Responsible:
Date Completed:
 Pick date
Is this for Mid-Point? or Final Evaluation?
Supervisor's Name:
Supervisor's email Address:
 
Practicum Site/Agency:

Skill Cluster #1 - Clinical Skills
Student demonstrates core communication skills
1  2  3  4  5  N/A
Student demonstrates problem-solving skills
1  2  3  4  5  N/A
Student possesses good interviewing skills
1  2  3  4  5  N/A
Student relates effectively with clients
1  2  3  4  5  N/A
Student demonstrates sensitivity to cultural and gender differences
1  2  3  4  5  N/A
Student can assess strengths, needs, and concerns of clients and set clear objectives for working with clients
1  2  3  4  5  N/A
Student implements plans effectively
1  2  3  4  5  N/A
Student evaluates effectiveness of interventions
1  2  3  4  5  N/A
Student manages and addresses difficult or challenging behaviours
1  2  3  4  5  N/A
Student adapts to different contexts (groups, families, case conferences)
1  2  3  4  5  N/A
Student relates effectively with clients
1  2  3  4  5  N/A
Student seeks supervision when needed
1  2  3  4  5  N/A
For Clinical Skills, please provide comments and supportive evidence for your evaluation that relates to any/all of the above skills.

Skill Cluster #2 - Critical Thinking Skills
Student has knowledge of empirically-based interventions
1  2  3  4  5  N/A
Student has knowledge of developmental ages and stages
1  2  3  4  5  N/A
Student integrates theory (knowledge) with assessment and analysis of client/group
1  2  3  4  5  N/A
Student utilizes theoretical knowledge in decision-making and problem-solving
1  2  3  4  5  N/A
Student demonstrates creativity in decision-making and problem-solving
1  2  3  4  5  N/A
Student utilizes knowledge in understanding present behaviour and planning interventions
1  2  3  4  5  N/A
Student actively seeks information required to address gaps in knowledge - knows where/how to seek needed information
1  2  3  4  5  N/A
Student demonstrates an ability to learn from experience
1  2  3  4  5  N/A
Student demonstrates an ability to learn from others - receives and integrates feedback
1  2  3  4  5  N/A
Student seeks to understand community resources and refers clients appropriately
1  2  3  4  5  N/A
Student constructs innovative practices - based on own experience and feedback from others
1  2  3  4  5  N/A
For Critical Thinking Skills, please provide comments and supportive evidence for your evaluation that relates to any/all of the above skills.

Skill Cluster #3 - Self-Reflective Skills
Student realistically appraises own strengths and needs
1  2  3  4  5  N/A
Student realistically and critically reflects upon and articulates own performance
1  2  3  4  5  N/A
Student demonstrates realistic expectations of self
1  2  3  4  5  N/A
Student sets goals for new learning based on self-appraisal
1  2  3  4  5  N/A
Student takes initiative in seeking supervision
1  2  3  4  5  N/A
Student is receptive to feedback - demonstrates this by implementing suggestions for improvement
1  2  3  4  5  N/A
Student demonstrates a willingness to take risks
1  2  3  4  5  N/A
Student shows an awareness of personal biases and a willingness to explore the impact of these on practice
1  2  3  4  5  N/A
Student is aware of and utilizes a variety of self-care strategies
1  2  3  4  5  N/A
Student is aware when personal needs are impinging on job performance
1  2  3  4  5  N/A
For Self-Reflective Skills, please provide comments and supportive evidence for your evaluation that relates to any/all of the above skills.

Skill Cluster #4 - Professional Skills
Student meets required deadlines
1  2  3  4  5  N/A
Student keeps written work current and complete
1  2  3  4  5  N/A
Student produces written communication that is clear, logical, and objective
1  2  3  4  5  N/A
Student is self-reliant and self-directed
1  2  3  4  5  N/A
Student monitors own use of time and manages time effectively
1  2  3  4  5  N/A
Student meets agency administrative requirements
1  2  3  4  5  N/A
Student sets priorities and follows through
1  2  3  4  5  N/A
Student deals with unanticipated workload demands/crises
1  2  3  4  5  N/A
Student's behaviour is consistent with ethical guidelines
1  2  3  4  5  N/A
Student comes prepared to meetings and case conferences; presents information in a professional manner
1  2  3  4  5  N/A
Student develops effective working relationships with staff
1  2  3  4  5  N/A
Student is collegial and respectful with colleagues and community professionals
1  2  3  4  5  N/A
Student effectively manages conflict and differences of opinion with co-workers, professionals, and supervisors
1  2  3  4  5  N/A
Student demonstrates professional values and attitudes
1  2  3  4  5  N/A
For Professional Skills, please provide comments and supportive evidence for your evaluation that relates to any/all of the above skills.
 

 
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