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WILMINGTON UNIVERSITY AHS PROGRAM STUDENT EVALUATION OF THE SITE SUPERVISOR, Student Name: _ fly. \ Ve ecille Date: Site Supervisor De, Reatwsarte —_ Agency/SiteName:_ Ml@Saic Check Practicum/Capstone Project Period: _X Fall (Sept.-Dec.)__ Spring (Jan.-April) "Summer (May-Aug) Please Rate the Site Supervisor: 1 Poor 2 Average 3 Above Average 4 Excellent T- Provided adequate orientation to site and agency personnel 2. Established good rapport and maintained a good working relationship with student 3. Was available to address specific academic needs of student (Le. signing weekly logs, providing necessary | evaluations) 1 1 i 1 rewire eT nd gn osu nT PTT ip 4 5. Provided flexibility of working hours 6, Facilitated relationships with other agency personnel and outside/eollateral contacts 7, Facilitated student integration of theory and practice 8, Was available to observe student’s work 9. Overall quality of the site supervision 10. Overall evaluation of this site/agency ae ja

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