ࡱ> 130] bjbjjj .)b)b8Th=t$g"4R:,P !%J v  0=RA#XA#PA#PX=A#B : CENTRAL CONNECTICUT STATE UNIVERSITY Department of Counselor Education and Family Therapy SCHOOL COUNSELING - PRACTICUM & INTERNSHIP EVALUATION OF SITE - CNSL 503 & 591 Name of placement/site:_____________________________________________ Address:_________________________________________________________ Phone:_______________________Site Supervisor:_______________________ Describe responsibilities given student at this site*:____________________________________________________________ ________________________________________________________________ ________________________________________________________________ Strengths of the experience include*:___________________________________ ________________________________________________________________ ________________________________________________________________ Rate the following using a scale of 5=fully developed, 4=well developed, 3=present, 2=present but not implemented, 1=not present. There is an established, comprehensive school counseling program. _________ There is a written plan for individual planning at least in grades 8-12._________ There are written guidelines for handling crisis and sensitive situations._______ There is a system support component that includes up to date job descriptions, counselor evaluation processes and program evaluation._______ How could the practicum /or internship experience at this placement be improved?* ________________________________________________________________ ________________________________________________________________ Would you recommend this placement to a future intern? Yes_____ No_____ Do we have your permission to have future students contact you regarding your internship at this site? Yes_____ No_____ If Yes, Please indicate your Name______________________________ Address ____________________________ ____________________________ Phone ______________________________ * Use back if necessary.     SC-4 Rev 6/18 ;HZ\np  N \ ҶҨҗ|k|k|]|]|k|QIjhbUhrSCJOJQJ^JhdCJOJQJ^JaJ h9.h9.CJOJQJ^JaJ h9.hrSCJOJQJ^JaJhrSOJQJ^J!h*ϴ^5>*ϴ^A5>*ϴ^>5>*ϴ^!*OJQJ\^JhrS5CJ OJQJ\^J h5\ hrS5\%&[\4 5 z { / p ; < ^ _ ?  !$a$? @ ]^Bigd4|dh !hrSCJOJQJ^Jh- hdh4|CJOJQJ^JaJ hdhdCJOJQJ^JaJhrSh6666666666666666666666666666666666666666666666666hH6666666666666666666666666666666666666666666666666666666666666666662 0@P`p2( 0@P`p 0@P`p 0@P`p 0@P`p 0@P`p 0@P`p8XV~ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@_HmH nH sH tH @`@ NormalCJ_HaJmH sH tH DA D Default Paragraph FontViV 0 Table Normal :V 44 la (k ( 0No List 4@4 Header  !4 @4 Footer  !PK![Content_Types].xmlN0EH-J@%ǎǢ|ș$زULTB l,3;rØJB+$G]7O٭Vc:E3v@P~Ds |w< %   ?  @ @H 0(  0(  B S  ?5V:<3333 94)pcPY=vh ^`OJQJo(h ^`OJQJo(oh pp^p`OJQJo(h @ @ ^@ `OJQJo(h ^`OJQJo(oh ^`OJQJo(h ^`OJQJo(h ^`OJQJo(oh PP^P`OJQJo(h hh^h`OJQJo(h 88^8`OJQJo(oh ^`OJQJo(h   ^ `OJQJo(h   ^ `OJQJo(oh xx^x`OJQJo(h HH^H`OJQJo(h ^`OJQJo(oh ^`OJQJo(PY=v 94                  -9.jDdb@(@UnknownG*Cx Times New Roman5Symbol3. *Cx Arial?= .Cx Courier New;WingdingsA$BCambria Math"qh;kfHsfckf% % !203QHP $P9.2!xxNs Intern Evaluation of Site ATKINSONS6Rosario, Marian (Counselor Education & Family Therapy)  Oh+'0 P\ |   Intern Evaluation of Site ATKINSONS Normal.dotm8Rosario, Marian (Counselor Education & Family Therapy)8Microsoft Office Word@V@@ oz@[?% ՜.+,0 hp  CCSU  Intern Evaluation of Site Title !"#$%&')*+,-./2Root Entry FM,J41TableU#WordDocument.SummaryInformation( DocumentSummaryInformation8(CompObjr  F Microsoft Word 97-2003 Document MSWordDocWord.Document.89q