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    12 views8 pages

    Hs 2860 Site Evaluation Final

    Uploaded by

    api-510881896

    Copyright:

    © All Rights Reserved
    Download as PDF or read online from Scribd
    Flag for inappropriate content
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    CUYAHOGA COMMUNITY COLLEGE HUMAN SERVICES PROGRAM PRACTICUM EVALUATION PRACTICUM SITE: ADDRESS: PHONE NUMBER: Zo: 18) 22D SUPERVISOR NAME: f th Yuitla NUMBER OF TERMS THE STUDENT HAS BEEN IN, AT YOUR PRACTICUM SITE: PRACTICUM DATES: FROM_|+|2-2(020_to_“) 2020 STUDENT SPECIALIZATION: __-GENERALIST CHEMICAL DEP, DESCRIBE THE TYPE OF AGENCY: (e.g. group home, treatment center, mental health center, ete.) a eee FUNDING SOURCE: __Private non-profit, Public non-profit, For profit If the student is assigned to a specific program within the Agency, please identify the ldress, name and ad. $A CLIENT CHARACTERISTICS Indicate the age, gender and socio-cultural background of the clients served by the student: AGE: __Pre-school__Pre-teen__Adolescent_X Adult___ Seniors GENDER: _X Male X Female PROBLEM AREAS OF THE CLIENT POPULATION SERVED BY THE STUDENT: (check all that apply) V Abuse ome Maintenance Aging Learning Problems ~~ Legal Systems ‘Alcoholism arital Problems/divorce —__ Anti-social Behavior 7 Mental Health sZ_ Chemical Dependency —_~Parent/Child Problems —__ Child Protection __— Physical Disability Crisis Intervention Poverty ___ Domestic Violence __ Other (Specify) Developmental Challenges yt Employment Family Problems —Y" Homelessness SOCIO-CULTURAL BACKGROUND Please identify the racial, ethnic and socio-economic background of the clients by the student: Seanmustgy tameane eeakees. \e avon. Sho ace As oohwe oddicvod ond seed bs de | Meld sneaka\ eon ser <2) ALD Sacer, Corernaneguined) & cagloy mes & Dron senncey 1. QUALITY OF PROFESSIONAL DEVELOPMENT EVALUATION CRITERIA: Using the following criteria, please rate the student on Professional Development. Using the same form, students will be evaluated at mid- Semester and the end of each semester. During the mid —semester evaluation, students ‘miy score a 1 or 0 in an area. By the end of the semester, students must perform at a rating of 2 or better to successfully complete the course. Performance meets or exceeds the agency standards Performance is satisfactory/average Performance needs improvement Performance is unsatisfactory (CCC Instructor has been notified) = 0 SSNs MIDSEMESTER END SEMESTER A.) Organization and Planning: Organizes and manages time Seem comoesats ine eed fan Porc 3 ‘St ibmaton ou wad vec spe B.) Decision Making: Recognizes problems/potential problems; ‘makes sound decisions under pressure; exercises good judgment, 3 ‘demonstrates progress ward independence. C.) Dependability: Fotiows through with assignments; arranges Personal schedule fo avold interfering with professional obligation; DY Q Prompt, mects professional commitment /obligations as agreed with others_ > D.) Initiative: Acts promptly; wiling to take independent action; 2 Consent ans gals volutces csi selfmatated > 3 E,) Resourcefutness: Readily determines an alternative course of pla ‘action in event of change; seeks additional leering experiences to improve areas of knowledge; thinks outside the box. F.) Adaptability: Plexibie; demonstrates a positive “attitude” to new assignments, change, snd adversity G.) Enthusiasm: Mainins a positive owook; demonstrates 2 confidence; splays interest and curiosity z H,) Interpersonal Skills: Conducts sifin a tet, professional srepitnenmer ara ctian scenery 3 of liens and staf is able wo work as & fam member _ 1) Professional Values and Ethical Conduct: Adheres to policies and procedures ofthe institution and practicum program: conducts ‘cif with honesty, integrity, and faimess; accepts and respects supervision gz ‘and guidance; respects and maintains the confidentiality of clients and personne J.) Verbal and Nonverbal Communication: Listens ‘and follows esos as given: atv puicps nro ae 2 demons pose aude vars wrod, presets ed cts_ 3 K,) Written Communication: Written work is well organized, clear, concise, professional end consistent with the documentation policies and procedures of the agency L.) Professional Development: Knows and uses educational resources and references appropriately; is aware of personal/professional strengths and ‘weaknesses; integrates classroom learning at practicum: utilizes supervision at the paccum: compe self asesmeat and develops appropri plans for) professional development, * IL_QUALITY OF PRACTICE/COMPETENCY SKILLS Students are expected to develop skills in each of the competency areas, throughout their 3 semesters of practicum. Please complete the following: 1,) Identify the competency skills the student has on their goal sheet for this semester, by checking the space next to the skills. 2.) Provide a rating of performance (using the scale identified above) for each competency skill, at mid-semester and the end of semester. 3.) Document comments on student performance for each competency skill, addressing the extent that each goal was met, were there modifications required, student’s strengths and areas of weakness, ‘Students may also continue to demonstrate additional competencies not identified on their goal sheet, in the performance of their duties at the agency. Please evaluate students on these competencies as well, by providing comments in the space provided. ‘Check here if chosen as # RATING: a semester competency MIDSEMESTER END SEMESTER 1) INTAKE: _! a 3 COMMENTS: , Sree can be rome tate Sara set : nea, as 'eeke ques 09 5 Or ere Wikh Sue atts Od “VsSReay Nnos ‘necone Ramer ih MWGHEQEY \SNe%e “yop eed) 2,)ASSESSMENT: COMMENTS: 3.) SCREENING: 0 2 a “ COMMENTS

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