STUDENT PLACEMENT SUPERVISOR’S REPORT

STUDENT PLACEMENT supervisor S REPORT This REPORT is to be completed by the PLACEMENT supervisor at the completion of the STUDENT s PLACEMENT hours and a copy submitted to the STUDENT PLACEMENT Department. ACAP STUDENT ID number Title_____ Family Name_____ Given Name(s) _____ Title_____ Family Name_____ Given Name(s) _____ Organisation Name _____ Complete this section by typing X in the following boxes along side corresponding competencies that you observed from the STUDENT during their PLACEMENT . Space is provided at the bottom of the table to record further competencies that are not listed. Mark only those that are applicable. 1=Not Satisfactory 2=Satisfactory 3=Good 4=Very Good 5=Excellent 1 2 3 4 5 Relates to a wide range of people Establishes appropriate and effective working relationships Uses reflective listening, paraphrasing and active listening skills Accurately and clearly records observations and interviews Communicates effectively and clearly by telephone Uses attending skills Keeps a client-centred focus Tries out new behaviours and skills Able to hear and accept feedback Modifies/alters professional behaviour in response to feedback Understands and applies the principle of confidentiality Demonstrates a non-judgemental approach wh

Establishes appropriate and effective working relationships . Uses reflective listening, paraphrasing and active listening skills . Accurately and clearly records observations and interviews

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