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OKLAHOMA STATE UNIVERSITY - OKLAHOMA CITY

STUDENT PRACTICUM SITE EVALUATION

Alcohol and Substance Abuse Counseling Degree Program

 

 

Student:_________________________________________________________

 

 

Agency:_________________________________________________________

 

 

Supervisor's Name and Title:________________________________________

 

 

Semester:_____________

 

 

Total # of hours completed at this site:_____________

 

 

1)            Please summarize your opinion of the site and the experience you gained from completing your practicum there.  Give specific examples to support your opinion.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

2)            Please give your assessment of the working relationship you had with the staff members at the practicum site.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

3)            How well prepared did you feel academically for placement? 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Student Signature:______________________________

 

Date:________________________________________