| SECTION I: |
Date:________________________________
Student Name:_________________________
Credit Hours Completed:_________________
Current GPA (grad only):_________________ |
Faculty Contributing to review:
____________________________
____________________________
____________________________
____________________________
____________________________
____________________________ |
| Total number of CPD hours to date:___________________ (Attach Log) |
SECTION II:
|
5
Outstanding |
4
Satisfactory |
3
Needs
Improvement |
2
Unsatisfactory |
1
No Opportunity
to Observe |
|
| A. |
Academic Progress
|
5 |
4 |
3 |
2 |
1 |
| B. |
Professional Conduct (Obtain from all current faculty and field supervisors) |
5 |
4 |
3 |
2 |
1 |
| C. |
Global Rating Form
|
5 |
4 |
3 |
2 |
1 |
| D. |
Peer Ratings
|
5 |
4 |
3 |
2 |
1 |
| E. |
Portfolio Review
|
5 |
4 |
3 |
2 |
1 |
| F. |
Continuing Professional Development Progress
|
5 |
4 |
3 |
2 |
1 |
| G. |
Professional Involvement/Commitment to Training (GRASP, Partner School Involvement, etc.) |
5 |
4 |
3 |
2 |
1 |
| H. |
Other Considerations: |
Yes |
No |
NA |
| |
Presence of Incompletes |
_____ |
_____ |
_____ |
| |
Earned Grade(s) of B- or higher in: |
| |
CSP 903 |
_____ |
_____ |
_____ |
| |
CSP 905 |
_____ |
_____ |
_____ |
| |
CSP 906 |
_____ |
_____ |
_____ |
| |
CSP 907 |
_____ |
_____ |
_____ |
| |
CSP 910 |
_____ |
_____ |
_____ |
| |
CSP 920 |
_____ |
_____ |
_____ |
| |
CSP 922 |
_____ |
_____ |
_____ |
| |
CSP 855 |
_____ |
_____ |
_____ |
| |
CSP 885 |
_____ |
_____ |
_____ |
Overall Status:
_____ Need to develop and submit improvement plan
_____ Acceptable
_____ Commendable
Note: Any above rating at “3” or lower necessitates an improvement plan. Any above course with earned grade of C+ or lower necessitates retaking the course.
Approval of Application for Candidacy requires:
1. An overall status rating of “Acceptable” or “Commendable”
2. Two or more of the above courses (i.e. 903, 905, 906, 907, 910)
3. CSP 855
I have reviewed this evaluation with program faculty.
____________________________ ___________________________
Student Signature Faculty Signature
Previous Instrument, Replaced Fall 2007