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\hich\af52\dbch\af31505\loch\f52 Supervisor\hich\f52 \rquote \loch\f52 s Evaluation of Student in Practicum Placement
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\par \hich\af51\dbch\af31505\loch\f51 Organization/Program/Project name: _______________________________________________
\par 
\par \hich\af51\dbch\af31505\loch\f51 Contact: ______________________________________________________________________
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\par \hich\af51\dbch\af31505\loch\f51 Please consider the following elements in your evaluation of the student\hich\f51 \rquote \loch\f51 s participation an\hich\af51\dbch\af31505\loch\f51 d contribution within the placement:
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\par \hich\af51\dbch\af31505\loch\f51 1. Attendance (meetings, programs, agreed upon shifts, etc):
\par 
\par 
\par \hich\af51\dbch\af31505\loch\f51 2. Punctuality (arrives on time, stays for the entire required time, etc.):
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\par 
\par \hich\af51\dbch\af31505\loch\f51 3. Contribution (\hich\af51\dbch\af31505\loch\f51 to meetings, workshops, programs, work assignments, presentations, etc.):
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\par \hich\af51\dbch\af31505\loch\f51 4. Respect for/understanding of organization/program/project mandate, vision, operations,        members, etc.:
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\par \hich\af51\dbch\af31505\loch\f51 5. Openness, flexibility, focus:
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\par 
\par \hich\af51\dbch\af31505\loch\f51 6. Further comments (please con\hich\af51\dbch\af31505\loch\f51 tinue on the reverse if you wish): 
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\par 
\par \hich\af51\dbch\af31505\loch\f51 7. Overall evaluation: Please indicate the level you believe the student achieved: 
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\par \hich\af51\dbch\af31505\loch\f51 __________exceptional ____________excellent __________good ___________satisfactory
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\par \hich\af51\dbch\af31505\loch\f51 __________unsatisfactory
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\par \hich\af51\dbch\af31505\loch\f51 8. Would you be willing\hich\af51\dbch\af31505\loch\f51  to continue the partnership in the future: Yes ____\hich\af51\dbch\af31505\loch\f51 __   No _______
\par \hich\af51\dbch\af31505\loch\f51 (We welcome any further comments that would help strengthen the partnership achieved thus far.)
\par 
\par 
\par \hich\af51\dbch\af31505\loch\f51 Signature of Supervisor : ________________________ Date:______________________
\par 
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