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This evaluation was discussed by the agency supervisor and the student and the
university supervisor and the student.
Please circle the number which best represents the student's performance. Use the following
categories:
5=0utstanding 4=More than satisfactory 3=Satisfactory 2=Needs Improvement I=Unacceptable
Rating of 4 or 5 should be given only to students demonstrating above expected performance.
PROFESSIONAL PERFORMANCE
1. Displays organizational skills 1 2 3(4>5
2. Shows knowledge and understanding of leadership techniques " 12 3 ^
3. Demonstrates knowledge of subject matter . \2 3&f5
4. Displays a marked capacity for work and production I 2 3 4'5
5. Shows concern for quality of work 1 2 C4 5
6. Demonstrated knowledge of problem solving techniques " 12 34^5
7. Promotes harmonious relationships with other staff 1 2 i'4 5
8. Functions on own initiative when necessary 12 3(1/5 .
9. Possess ability to express thoughts on paper , , ;, 1 2 3 4 5 A/>x4
10. Displays ability to lead and direct 12 3^25
11. Shows concern for the safety of others ^ I 2 3 4(5^
12. Displays capacity for motivating others , 1 2 3 4(52
13. Understand agency goals and operation 12 3 4 ^
14. Demonstrates mature judgment 12 3^25
15. Maintains an atmosphere for the sharing of ideas » 1 2 3 4 ^2
PROFESSIONAL ATTITUDE
1. Shows sincere interest in the profession 12 3 ^
2. Seeks and is alert to potential learning situations -120/4 5
3. Eagerly accepts responsibility and challenging tasks • 12^*4 5
4. Recognizes own professional strengths and limitations 120)4 5
5. Accepts suggestions and criticisms favorably 12 3 ^ ^
6. Understands and supports the rules and regulations of the agency 12 3 4 ^