Site Supervisor Final Review Form Site Supervisor Final Review Form The Site Supervisor should complete this at the end of the practicum. This evaluates the student’s performance throughout the practicum experience. Site Supervisor Name Prefix First Last Suffix TitleEmail Student Name First Last Hours Completed On-SiteStudent EvaluationIs reliableVery PoorPoorSatisfactoryVery GoodExcellentN/AIs punctualVery PoorPoorSatisfactoryVery GoodExcellentN/ATakes initiativeVery PoorPoorSatisfactoryVery GoodExcellentN/ACompletes projects in a timely mannerVery PoorPoorSatisfactoryVery GoodExcellentN/ADemonstrates good judgementVery PoorPoorSatisfactoryVery GoodExcellentN/AHas strong organizational skillsVery PoorPoorSatisfactoryVery GoodExcellentN/AWorks well in a teamVery PoorPoorSatisfactoryVery GoodExcellentN/AWorks independently, without much directionVery PoorPoorSatisfactoryVery GoodExcellentN/AAccepts feedbackVery PoorPoorSatisfactoryVery GoodExcellentN/ACommunicates well with supervisorVery PoorPoorSatisfactoryVery GoodExcellentN/ADemonstrates professional conductVery PoorPoorSatisfactoryVery GoodExcellentN/ADemonstrates mastery of learning objectivesVery PoorPoorSatisfactoryVery GoodExcellentN/ATo what extent did the student's work contribute to the mission of your agency/organization?Additional Comments (you may provide more information about the student, and/or feedback about any aspect of the required Practicum Program):Student Grade*A: SuperiorA-: GreatB+: Very GoodB: GoodB-: SatisfactoryC: SuffiientC-: Sufficient but needs significant improvementD: Insufficient workF: FailPlease indicate the grade you would give to this student for their work with you this semester. This will be factored in to the overall grade for the course.SignaturePrinting Name here acts as signature for this form.Name First Last