Candidate Assessment Number:
Qualification in Educational Psychology (Stage 2) /
Co-ordinating Supervisor’s Evaluation of Professional Competence
Full name of Candidate:
Society Membership Number:
Assesment Number:
Co-ordinating Supervisor’s name:
Society Membership Number:
HPC Registration Number:
Accredited Service:
Date probationary period started:
Date probationary period completed:

The Core Functions

Assessment

RATING:Competence DemonstratedCompetence Not Yet Demonstrated

Intervention

RATING:Competence DemonstratedCompetence Not Yet Demonstrated

Consultation

RATING:Competence DemonstratedCompetence Not Yet Demonstrated

Research/evaluation

RATING:Competence DemonstratedCompetence Not Yet Demonstrated

Training/development.

RATING:Competence DemonstratedCompetence Not Yet Demonstrated

Communication andInter-personal skill development

RATING:Competence DemonstratedCompetence Not Yet Demonstrated

Participation in supervision

1. Please include dates, brief details and key points covered. / An account of supervisory meetings
2. Experiences normally include observation of good practice, working jointly with supervisor, undertaking activities designed to develop, disseminate and apply the body of knowledge in a variety of settings, appropriate research activities, attendance at relevant conferences and workshops. / An evaluation of supervisee's experiences during the Probationary Period
3. Please include any note of substantial changes to the initially agreed scheme. / Additional comments

RATING:Competence DemonstratedCompetence Not Yet Demonstrated

Service contribution

RATING:Competence DemonstratedCompetence Not Yet Demonstrated

General Comments by the Co-ordinating Supervisor for the candidate

(Specify any outstanding assets and any particular problems or limitations. Also, mention any special aspect of this probationary year which is relevant to the candidate’s functioning and competence):

Candidate’s comments on the accuracy of the feedback:

Overall Assessment

The candidate has undertaken a suitable period of supervision in ……………………………………… Psychological Service, which has been accredited for this purpose.

I am satisfied thattheyhave demonstrated their competence in all areas.

I am not satisfiedthat they have demonstrated their competence in all areas.

If your are not satisfied please state your reasons below:

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Co-ordinating Supervisor’s Name:
Society Membership Number: / HPC registration Number:
Signature: / Date: