Practice Assessment Report Template SECTION 1: Summary of assessment and supporting evidence 1.1 Placement details Student Practice educator On-site Supervisor (if applicable) Placement details First placement (70 days) (delete as applicable) Final placement (100 days) Team name/Agency and Service User Group Dates of placement and total number of placement days HEI practice tutor Final assessment for this placement See Section 2 for holistic assessment report Decision indicate Pass or Fail Pass Fail – Practice signature educator’s signature Supervisor’s signature Student’s Practice signature Tutor’s Date Summary of assessments and other evidence informing this decision Assessment Date Previous practice assessment report Practice learning agreement Interim review(s) On-site report and feedback supervisor’s
Practice Assessment Report Template SECTION 1: Summary of assessment and supporting evidence 1.1 Placement details Student Practice educator On-site Supervisor (if applicable) Placement details (delete as applicable) First placement (70 days) Final placement (100 days) Team name/Agency and Service User Group Dates of placement and total number of placement days HEI practice tutor Final assessment for this placement See Section 2 for holistic assessment report Decision – indicate Pass or Fail Pass Fail Practice educator’s signature Supervisor’s signature Student’s signature Practice Tutor’s signature Date Summary of assessments and other evidence informing this decision Assessment Date Previous practice assessment report Practice learning agreement Interim review(s) On-site supervisor’s report and feedback
Practice-Learning-and-Assessment-Guide-2017_18.docx