Intern Evaluation of University Supervisor

Please complete this evaluation. The form will be sent to the Office of Field Experience and yourself. Note that the Clinical Educator does not receive a copy of it through this online form.


Select either Satisfactory or Unsatisfactory on the scale below.

Responsibility 1: Building Positive Relationships

Responsibility 2: Knowledge

Responsibility 3: Conferencing and Assessments Skills

Responsibility 4: Communication

Please take a moment to review the email addresses entered; if email addresses are entered incorrectly, the form will not function properly.