Internship School Counseling Observation

Supervisee _ Kira Thomas _ _ _ _ _ _ __ ______ Date

_11/24/2020 _ _ Field Experience Supervisor _ Dr. Nayoung

Kim _ _ _ _ _ _ _ _ _ Internship (circle one) Individual/ Group Supervision

(circle one)

Directions for Field Experience Supervisor

Please use this form to assess your practicum/internship student's counseling skills. Form should
be completed once during the fall and once during the spring semester of internship. First, observe
the intern in an individual or group counseling session and complete the form . Next, debrief what
you observed with your intern. Finally, give the feedback form to your intern to give to their
instructor.

~Candidate skill level is at or above where their skill level needs to be a competent
professional school counselor

Acceptable=Candidate skill level is appropriate for their level as a practicum/internship student,

but still needs to grow to become competent as a professional school counselor

Needs Improvement=Candidates skill level is below expectations for their level as a

xactlcum
. /'mtemshi p student.
Counseling Skills Needs Acceptable Target Not Comme
Improvement Observed nt
(option
al)
Open-ended X
questions

Closed questions X

Paraphrases X

Reflection of X
feelings

Summarizations X

Confrontations X
(should be
gentle)

Counselor self X
disclosure
(should be for
the benefit of
student not the
counselor)

Advice giving X

(Should be
avoided when
possible)

Use of si lence X

Problem X
identification

Mutual goal X
setting

Rapport X

Overall empathy X

Appropriate use X
of humor

Use of X

Theoretical
Concepts

Opening the X

session

Closing the X

session
Intern strengths observed during this session (please be specific):
Kira demonstrated the foundational counseling skills including open-ended questions, active
listening, and paraphrasing. She had a warm presence and showed good rapport with her client.
Kira was welcoming, patient, and passionate throughout the session and provided assurance when
needed. Her interaction with the student was positive and the student was attentive to the
questions provided and willing to share her experience.

Her supervisor stated that Kira showed her willingness and openness for growth and took
initiatives to get what she needed for her development as a future school counselor including
reaching out to other staff and finding more opportunities to have different experiences.

Suggestions (please be specific):

Kira would benefit from managing her anxiety when she tries a new thing. Raising awareness and
trusting herself would be helpful.

_ _ _luhomas_ _ _ _ _ _ l 2/11/2020 _ _ _ _ _ __
Cand.ida1e·s Signature Date

Field fa-perience Supervisor Signature Date

2