Supervisor’s Evaluation of Student in Practicum Placement

Organization/Program/Project name: _______________________________________________

Contact: ______________________________________________________________________

Please consider the following elements in your evaluation of the student’s participation and contribution within the placement:

1. Attendance (meetings, programs, agreed upon shifts, etc):

2. Punctuality (arrives on time, stays for the entire required time, etc.):

3. Contribution (to meetings, workshops, programs, work assignments, presentations, etc.):

4. Respect for/understanding of organization/program/project mandate, vision, operations,        members, etc.:

5. Openness, flexibility, focus:

6. Further comments (please continue on the reverse if you wish): 

7. Overall evaluation: Please indicate the level you believe the student achieved: 

__________exceptional ____________excellent __________good ___________satisfactory

__________unsatisfactory

8. Would you be willing to continue the partnership in the future: Yes ______   No _______
(We welcome any further comments that would help strengthen the partnership achieved thus far.)

Signature of Supervisor : ________________________ Date:______________________