ࡱ> 352]  bjbjjj 4)b)b...8fz.$0#######$K%(###WWWF#W#WW!h"`^&"##0$6"().( "("W##W$(B : CENTRAL CONNECTICUT STATE UNIVERSITY Department of Counselor Education and Family Therapy SCHOOL COUNSELING PRACTICUM/ INTERN EVALUATION OF SITE SUPERVISOR CNSL 503 & 591 Supervisor ________________________________________________________ Site _____________________________________________________________ Date ________________________________ 1 = Poor 2 = Fair 3 = Average 4 = Very Good 5 = Excellent Characteristics of the Supervisor The Supervisor: Was available for discussion, questions, etc. 5 4 3 2 1 Kept sufficiently informed of cases 5 4 3 2 1 Allotted sufficient time for supervision 5 4 3 2 1 Was interested and committed to supervision 5 4 3 2 1 Set clear responsibilities for supervision 5 4 3 2 1 Presented a positive role model 5 4 3 2 1 Provided direct observation with clients 5 4 3 2 1 Provided regular feedback 5 4 3 2 1 Demonstrated interest in my progress 5 4 3 2 1 Maintained reasonable expectations 5 4 3 2 1 Development of Counseling Skills The Supervisor: Assisted with case conceptualization 5 4 3 2 1 Provided effective suggestions for techniques 5 4 3 2 1 Was effective in helping to set client goals 5 4 3 2 1 Assisted student in developing relationships with other professionals at the site 5 4 3 2 1 Was sensitive to ethical concerns Summary Describe strengths of your supervisor Describe any areas of improvement needed for your supervisor     SC-8 Rev. 6/18 :FZ, 7 } ~    " # $ 9 < ʸʸʴ{sosososh jh UhC[ hFv5 hq'5 hS)Y5 h({h, hFvhFvhFvhFv5h({h({5h,h({hS)Y#h-5>*CJOJQJ\^JaJ)hqhoC45>*CJOJQJ\^JaJh}5CJOJQJ\aJ"hqhoC45CJOJQJ\aJ+%Z8 ^  6 k  = d  & FgdS)Ygd, & Fgd,h^hgdFv & FgdFvgd({ $a$gd10$a$gdoC4 ' `   # $ L M  dgdC^gdS)Y & FgdS)Y & FgdFvgdFvgdS)Y & FgdS)Yh^hgdS)Y hS)Yh4CJ^JaJhC^CJ^JaJhC^hC^CJ^JaJhShC^h  & FgdS)Y21h:pC^/ =!"#$%  s666666666vvvvvvvvv666666>6666666666666666666666666666666666666666666666666hH6666666666666666666666666666666666666666666666666666666666666666662 0@P`p2( 0@P`p 0@P`p 0@P`p 0@P`p 0@P`p 0@P`p8XV~ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ OJPJQJ_HmH nH sH tH J`J q'Normal dCJ_HaJmH sH tH DA D Default Paragraph FontRiR 0 Table Normal4 l4a (k ( 0No List @@@ ({ List Paragraph ^m$H H , No SpacingCJ_HaJmH sH tH >@> C^0HeaderdH$.!. C^0 Header Char> @2> C^0FooterdH$.A. C^0 Footer CharPK![Content_Types].xmlN0EH-J@%ǎǢ|ș$زULTB l,3;rØJB+$G]7O٭Vc:E3v@P~Ds |w<  !    L# @0(  B S  ?33:FQPVM 6fA&V^Ls7%bR8^`o(.^`.pL^p`L.@ ^@ `.^`.L^`L.^`.^`.PL^P`L.^`o(.^`.pL^p`L.@ ^@ `.^`.L^`L.^`.^`.PL^P`L.^`o(.^`.pL^p`L.@ ^@ `.^`.L^`L.^`.^`.PL^P`L.^`o(.^`.pL^p`L.@ ^@ `.^`.L^`L.^`.^`.PL^P`L.^`o(.^`.pL^p`L.@ ^@ `.^`.L^`L.^`.^`.PL^P`L.QA&s7bR8VM                                               ,S\ q'~+1000oC4S)YC[C^nq({4hFv{xs}Pq {Xh-`@@UnknownG.[x Times New Roman5Symbol3. .Cx Arial7.*{$ CalibriA$BCambria Math"h"FJsft  !n203HP  $P({2!xx taitc6Rosario, Marian (Counselor Education & Family Therapy)      Oh+'0 4@ ` l x taitc Normal.dotm8Rosario, Marian (Counselor Education & Family Therapy)6Microsoft Office Word@G@}^@y@$ ՜.+,0  hp  (91Ʒ Connecticut State University   Title  !#$%&'()+,-./014Root Entry FP61Table (WordDocument4SummaryInformation("DocumentSummaryInformation8*CompObjr  F Microsoft Word 97-2003 Document MSWordDocWord.Document.89q