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:________________________________________