College of Education | NC State University
Evaluation of the Advanced Counseling Practicum Doctoral Student North Carolina State UniversityCounselor Education ProgramStudent Name:_________________________________________________________ Site Supervisor:____________________________________________________________Please rate the student according to the following scale based on the different areas of his/her professional development1 (Poor); 2(Below Average); 3(Average); 4(Above Average); 5(Excellent); N(No opportunity to observe)A. PERSONAL CONDUCT Poor Below Av. Av. Above Av. Excellent NSelf Awareness 12 345 NEmotional Stability 12 345 NSelf Control 12 3 45 NCooperativeness 12 345 NAdaptability 12 345 NAbility to be a teamPlayer 12 345 NGeneral Comments on personal characteristics:___________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________B. INTERPERSONAL SKILLS (complete where applicable, if not circle “N”) With other colleagues/peers 12 345 NWith Site Supervisor 12 345 NWith Clients 12 345 NWith Internship Instructor 12 345 NGeneral Comments on interpersonal skills: ____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________C. PROFESSIONAL BEHAVIORDependability 12 345 N Poor Below Av. Av. Above Av. Excellent NUse of Suggestions 12 34 5 Nand constructivecriticismPromptness 12 345 NAbility to work independently 12 34 5 NWillingness to assumeresponsibility 12 345 NInitiative 12 345 NCross Cultural Competence/Multicultural Sensitivity 12 34 5 NGeneral Comments on professional behavior: ____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________D. COUNSELING COMPETENCE AND KNOWLEDGE BASEKnows the major counseling theories, including their strengths and weaknesses,theoretical bases for efficacy, applicability to multicultural populations, andethical/legal considerations. (G.1.) 12 34 5 NUnderstands various methods for evaluating counseling effectiveness.(G.2.) 12 34 5 NUnderstands the research base for existing counseling theories.(G.3.) 12 34 5 NUnderstands the effectiveness of models and treatment strategies of crises,disasters, and other trauma-causing events.(G.4.) 12 34 5 NDemonstrates a personal theoretical counseling orientation that is based on acritical review of existing counseling theories. (H.1.) 12 34 5 NDemonstrates effective application of multiple counseling theories .(H.2.) 12 34 5 NDemonstrates an understanding of case conceptualization and effective interventions across diverse populations and settings. (H.3.) 12 34 5 N Poor Below Av. Av. Above Av. Excellent NKnowledge of developmental theory 12 345 NGeneral Comments on counseling competence and knowledge base:____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________E. COUNSELING SKILLS AND PROCESSGenuine interest in clients 12 345 NAbility to understand the client’s point of view 12 345 NAbility to relate to diverse clients 12 345 NAbility to establishand maintain rapport 12 345 NAbility to assess andhave insight into client’s problems 12 345 NDemonstrates effective helping skills (paraphrasing,feeling reflection, summarizing,effective probing etc.) 12 345 NGeneral Comments on counseling skills and process:____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________F. TECHNICAL COMPETENCEAssessment andevaluation skills 12 345 NImplementation ofindividual counselingtechniques 12 345 NImplementation of group counselingtechniques 12 345 NAbility to plan and implement developmentalactivities for clients 12 345 NAbility to establishand implementconsultation relationships 12 345 NGeneral Comments on technical competence:____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________G.OVERALL RATING OF STUDENT 12 345 NPlease comment on the two following questions:What are the greatest strengths of the student?___________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________What areas need further development?___________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________Doctoral Practicum Student’s Signature __________________________________________________________________Site Supervisor’s Signature__________________________________________________________________________________University Supervisor’s Signature__________________________________________________________________________Date______________________________________________________________________________________________________________ ................
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