Revised Internship Eval

CPC 651/652/653

Internship Evaluation Form

City U: MC Program

Thank you for providing feedback to your intern on the dimensions listed below. Each dimension reflects a desired outcome of the CityU Masters degree program. These program outcomes have been carefully developed by program faculty and external reviewers to reflect the major required competencies of professionals in Counselling.

Rate intern on each of the following MCP Program Outcomes:

(1)Below Standard (2) Approaching Standard (3) At Standard (4) Exceeds Standard

1. Student applies sound essential counselling skillsderived from a credible knowledge base that encompasses diverse theoretical perspectives, including those used in the present internship agency.

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2. Student implements the highest ethical standards including clear and appropriate relationships with clients, colleagues, and the community.

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3. Student articulates and applies a range of coherent theoretical approaches that are relevant to clients concerns and aspirations.

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4. Student recognizes and positively influences intrapersonal and interpersonal dynamics in counselling with individuals, groups, couples, and families.

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5. Student collaborates with people of diverse ethnicity, culture, gender, sexual orientation, physical ability, religious beliefs and socioeconomic status.

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6. Student establishes a commitment to professional development through continuing education, clinical supervision, self-reflection, and consultation with peers.

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7.Student produces written communication that meets professional standards.

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8. Student locates and critically evaluates research related to core areas of counselling practice.

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9. Student demonstrates an understanding of the role of counsellors in promoting social justice and the well-being of the greater community.

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Additional Comments:

Agency Name:

Supervisors Name (printed):

Supervisors Signature:______

Students Name (printed):

Students Signature:______

Practicum Course Number:

Date of course/Quarter:

Practicum Course Instructor:

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