CES Student Evaluation of Field Placement Site

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The purpose of this evaluation is to help the student evaluate the quality of the site during practicum or internship, so that the student may understand how a site can foster that allows students to develop the knowledge, values, and skills necessary for mental health and/or school environments. Please feel free to include comments on this form that you think would help improve the quality of the site. This evaluation and any comments will not affect your grade in either practicum or internship.

Email *

Student Name *

Which field placement is this evaluation for? *

CES 773 Advanced Practicum in Clinical Counseling

CES 801 Internship I

CES 802 Internship II

CES 803 Internship III

What semester? (i.e., Fall 2022) *

Is this the midterm or final evaluation? *

Midterm

Final

Practicum/Internship Site Name *

Site Supervisor Name *

Please indicate the date you have completed this evaluation. *

YYYY

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