Site Performance Evaluation


  1. Name


  1. Placement Site


  1. Supervisor's Name


  1. Please rate your Placement Site in the areas listed below using the following scale:
    1=Very Poor, 2=Poor, 3=Good, 4=Very Good, 5= Excellent

            1 2 3 4 5      
      Orientation to the site Very Poor Excellent  
      Orientation to the position Very Poor Excellent  
      Adherence to the goals and objectives and tasks approved for your year of service (position description) Very Poor Excellent  
      Access to resources, learning materials, etc. Very Poor Excellent  
      Review of personal policies, organization's expectations (dress, time in & out, etc.) Very Poor Excellent  
      Office/work space, equipment, resources to achieve your goals and objectives Very Poor Excellent  
      Site supervisor's understanding of program-related responsibilities Very Poor Excellent  
      Overall supervision Very Poor Excellent  
      Relationship with other staff at site Very Poor Excellent  
      Feedback on work performed Very Poor Excellent  
      Support when encountering problems Very Poor Excellent  
      Training opportunities offered by the site Very Poor Excellent  
      Inclusion in staff meetings and events Very Poor Excellent  
      Flexibility Very Poor Excellent  
      Opportunities to practice leadership skills Very Poor Excellent  
      Consideration of you as a professional Very Poor Excellent  


  1. Please comment on one aspect of your year at your placement site that was very successful or very positive.


  1. Please comment on one aspect of your placement site that needed improvement.


  1. Did your experience meet with your expectations?


  1. How has your experience at this site affected your plans for your future?


  1. Any other comments?





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