Trece Martires City College

Trece- Indang Rd. Barangay. Luciano

Trece Martires City, Cavite

SCHOOL OF CRIMINOLOGY
SITE SUPERVISOR/AGENCY EVALUATON
(Intern Evaluation)
Criminology Intern: RAYMOND E. BAGAIPO Date:
Site/Agency: Trece Martires City Component Police Station Supervisor:
Instruction: Using the following scale to evaluate your site/agency and experience:
1 2 3 4 5
Poor Performance Below Average Average Performance Above Average Excellent
Performance Performance Performance
 Demonstrating  Demonstrating  Demonstrating  Demonstrating  Demonstrating
unacceptable acceptable acceptable a high level of a high level of
level of level of expected for performance performance
competence. competence. interns stage frequently. consistently.
 Requires  Requires of counselor  Require
remediation. frequent development. minimum
supervision  Requires amount of
and feedback. regularly supervision.
scheduled
supervision
Instruction: Please use check (/) to indicate your responses.
OVERALL INTERNSHIP EVALUATION OF THE SITE/AGENCY 5 4 3 2 1
AND EXPERIENCE
1. overall experience
2. Adequacy of physical facility and resources of the site/agency.
3. Quality, relevance, and usefulness of the site/agency supervision.
4. Accessibility of supervision
5. Office/agency atmosphere.
6. Orientation on the site/agency’s policies, procedures, and protocols
7. Exposure to the professional roles and functions.
Using the following scale to evaluate your site/agency supervisor.

1 2 3 4 5
Poor Performance Below Average Average Above Average Excellent
Performance Performance Performance Performance
 Demonstratin  Demonstratin  Demonstratin  Demonstratin  Demonstratin
g g acceptable g acceptable g a high level g a high level
unacceptable level of expected for of of
level of competence. interns stage performance performance
competence.  Requires of counselor frequently. consistently.
 Requires frequent development.  Require
remediation. supervision  Requires minimum
and feedback. regularly amount of
scheduled supervision.
supervision

School of Criminology, Trece Martires City College | Trece-Indang Road, Brgy, Luciano, Trece Martires City College
Instruction: Please use check (/) to indicate your responses.
OVERALL INTERNSHIP EVALUATION OF THE 5 4 3 2 1
SITE/AGENCY AND EXPERIENCE
1. Interns were encouraged to ask questions and/or give opinions
2. The supervisor was accessible to you and concerned about your
progress.
3. The supervisor’s overall capability was of the highest quality
level.
4. Provide an orientation session for each student or group of
students to your agency/organization includes safety protocol and
building and staff introductions.
5. Give each student a clear sense of the chain of command on
your agency/organization.
6. Establish and maintain regularly scheduled, uninterrupted, one-
on-one, weekly supervision time (early in the practicum) give
each student the appropriate policy and procedures manuals to
read and assimilate.
7. Assign and review written documents which reflect the
student’s understanding of the mission of the agency as well as
their adherence to the mission and ethics of social work.
8. Review written work and require rewrites until the document is
acceptable work and has communicated clearly the intent of the
document.
9. Give each students the kinds of the projects that increase the
awareness of the breadth of the service offered by the
agency/organization or the challenges faced by the client
population served.
10.Explore with the student issues of diversity. i.e., culture race,
class, gender, as they relate to the population served in the context
of the learning experience.
11.Except students to keep an accurate accounting of field hours
earned.
12.Conduct an ongoing accounting of compliance with the
educational learning agreement learning objectives.
13.Contact the academic adviser or the Office of Field Education
as the field placement progresses with concerns or accolades
about your practicum students

Suggested improvement in this internship experience for future trainees:

DATE:
Intern Signature Over Printed Name
DATE:
Practicum Coordinator Signature Over Printed Name

School of Criminology, Trece Martires City College | Trece-Indang Road, Brgy, Luciano, Trece Martires City College