Directions: Please answer the following items based upon your experience observing the student intern. It is important that you be objective and candid in your assessment of the intern, as your responses carry credibility to the process. If you have not had the opportunity to observe the student’s skill level in a particular area, please respond N/A: “No Opportunity to Observe.” Any item receiving a score of 1 requires the supervisor to comment on the reason for this score.
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