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


Please rate your clinical educator member on the following statements. Select either Satisfactory or Unsatisfactory on the rating scale below.

Responsibility 1: Building Positive Relationships

Responsibility 2: Planning and Teaching

Responsibility 3: Conferencing and Assessment Skills

Responsibility 4: Diversity

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