Site Evaluation Form

Complete this form to evaluate your practicum/internship site. This information may be used by other students researching practicum/internship sites.

Name Name First Last
Site Name
Site Supervisor's Name Site Supervisor's Name First Last
Start Date Start Date / MM / DD YYYY
End Date End Date / MM / DD YYYY
Describe the ways in which this site has facilitated your learning.
Describe the challenges you faced at this site and what could be done to improve the experience.
Describe the ways in which your Site Supervisor was helpful to you during your practicum/internship.
Describe the areas in which you could have used more supervision or the activities in which you would have liked more exposure.
I would recommend this site to other interns.
Describe your reservations, if applicable.