Student Name: _______________________________________ 2 Student R#:_________________________________________ Far Below Below At Above Far Above Expectations Expectations Expectations Expectations Expectations 1 2 3 4 5 Knowledge and Learning Exhibits knowledge about the client population 1 2 3 4 5 Exhibits knowledge of treatment setting and approach 1 2 3 4 5 Is receptive to learning new information 1 2 3 4 5 Actively seeks new information from staff or supervisor 1 2 3 4 5 Exhibits ability to learn and understand new information 1 2 3 4 5 Exhibits understanding of counseling concepts, theories, and skills 1 2 3 4 5 Exhibits ability to apply new information in clinical/school setting 1 2 3 4 5 Evidence has been demonstrated to show increased achievement, improved behavior, and other documented needs in a K-12 setting. 1 2 3 4 5 Exhibits knowledge of all components of 1 2 3 4 5 the ASCA Model Comments: Response to Supervision Actively seeks supervision when necessary 1 2 3 4 5 Is receptive to feedback and suggestions from supervisor 1 2 3 4 5 Understands information communicated in supervision 1 2 3 4 5 Successfully implements suggestions from supervisor 1 2 3 4 5 Is aware of areas that need improvement 1 2 3 4 5 Is willing to explore personal strengths and weaknesses 1 2 3 4 5 Comments: Work Products Records are accurately kept and are completed on time 1 2 3 4 5 Written or verbal reports are accurate and factually correct 1 2 3 4 5 Written or verbal reports are presented in a professional manner 1 2 3 4 5 Reports are clinically and/or administratively useful 1 2 3 4 5 Treatment Plan was correctly developed and included parent involvement if appropriate 1 2 3 4 5 Treatment Plan brought about positive outcomes for the client 1 2 3 4 5 Postsecondary options, instructional strategies and other components of the were implemented effectively 1 2 3 4 5 ASCA Model Comments:
Student Name: _______________________________________ 2 Student R#:_________________________________________ Far Below Expectations 1 Below Expectations 2 At Expectations 3 Above Expectations 4 Far Above Expectations 5 Knowledge and Learning Exhibits knowledge about the client population 1 2 3 4 5 Exhibits knowledge of treatment setting and approach 1 2 3 4 5 Is receptive to learning new information 1 2 3 4 5 Actively seeks new information from staff or supervisor 1 2 3 4 5 Exhibits ability to learn and understand new information 1 2 3 4 5 Exhibits understanding of counseling concepts, theories, and skills 1 2 3 4 5 Exhibits ability to apply new information in clinical/school setting 1 2 3 4 5 Evidence has been demonstrated to show increased achievement, improved behavior, and other documented needs in a K-12 setting. 1 2 3 4 5 Exhibits knowledge of all components of the ASCA Model 1 2 3 4 5 Comments: Response to Supervision Actively seeks supervision when necessary 1 2 3 4 5 Is receptive to feedback and suggestions from supervisor 1 2 3 4 5 Understands information communicated in supervision 1 2 3 4 5 Successfully implements suggestions from supervisor 1 2 3 4 5 Is aware of areas that need improvement 1 2 3 4 5 Is willing to explore personal strengths and weaknesses 1 2 3 4 5 Comments: Work Products Records are accurately kept and are completed on time 1 2 3 4 5 Written or verbal reports are accurate and factually correct 1 2 3 4 5 Written or verbal reports are presented in a professional manner 1 2 3 4 5 Reports are clinically and/or administratively useful 1 2 3 4 5 Treatment Plan was correctly developed and included parent involvement if appropriate 1 2 3 4 5 Treatment Plan brought about positive outcomes for the client 1 2 3 4 5 Postsecondary options, instructional strategies and other components of the ASCA Model were implemented effectively 1 2 3 4 5 Comments:
EPCE-5094-Internship-Summer-2015.docx