Form SP014
Page 1 of 3
MID PLACEMENT REVIEW:
Bachelor of Counselling
Bachelor of Counselling (Coaching)
This form is completed by the ACAP Mid Placement Reviewer or a representative of the Student Placement Team.
Forms completed by Students or Supervisors will not be accepted.
STUDENT DETAILS
ACAP student ID number:
Onsite / Teleconference: Circle one
Student Name:
Supervisor Name:
Mid Placement Reviewer
Agency:
Date:
(Mid Placement Reviewer: Type directly onto this form)
STUDENT FEEDBACK
1. What is the agency’s mission statement?
2. Summarise the type of counselling and other activities you have undertaken while on placement
3. What have you learnt about the counselling profession?
4. Which counselling theory/ies and skills have you drawn upon during your placement so far?
5. Describe a difficult circumstance/or challenge that you encountered whilst on placement and how
you managed the situation.
6. What have you learnt about the process of supervision both here on placement and clinical supervision with
ACAP?
7. How has your placement helped refine your career direction or interests?
SUPERVISOR FEEDBACK
Agency Supervisor is asked to comment on the student’s progress in relation to the Learning Goals as
below:
1. Applies theoretical knowledge, counselling skills and models, and intervention planning to his / her practice
with clients.
Sydney Campus
(NSW, ACT and offshore)
T 02 9964 6300
studentplacementsyd@acap.edu.au
Brisbane Campus
(QLD and NT)
T 07 3234 4416
studentplacementbris@acap.edu.au
Melbourne Campus
(VIC)
T 03 8613 0600
studentplacementmelb@acap.edu.au
Adelaide Campus
(SA, TAS and WA)
T 08 81104018
studentplacementadel@acap.edu.au
Form SP014
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2. Demonstrates ethical thinking and decision-making, and respects confidentiality, client rights and autonomy.
3. Effectively communicates and reflects on their counselling practice, and applies supervisor feedback to
improve practice.
4. Is aware of the influence of organisational, social and cultural contexts on their counselling practice.
5. Comment on the student’s progress towards completing the learning tasks and assessments as
submitted on their Learning Contract
6. How has the student progressed towards achieving their personal goals as outlined on the Learning Contract?
7. How has the student developed from the commencement of their placement? Personally and or
professionally?
8. Areas for further development?
MPR RESULT INCLUDING ANY ISSUES OR CONCERNS
Note: ACAP Mid Placement Reviewer to READ THIS SECTION to the Agency Supervisor:
1. Please be advised that ACAP expects that the student will finish the placement successful ly unless you
have alerted us to any concerns that you have at this time. How would you rate the student’s
achievements and progress on placement at the mid way point – satisfactory, not satisfactory or result
withheld as the student has issues to
Result
Satisfactory
Not satisfactory
address? (circle one)
Withheld
2. Result Pending: Give details of the specific
(details below)
areas the student must improve within the
next 4 weeks. Contact student placement to
discuss progress if the student does not
achieve the required levels within this timeframe.
Skill / Attitude / Behavior
Evidence of Improvement Required
For Improvement
Sydney Campus
(NSW, ACT and offshore)
T 02 9964 6300
studentplacementsyd@acap.edu.au
Brisbane Campus
(QLD and NT)
T 07 3234 4416
studentplacementbris@acap.edu.au
Melbourne Campus
(VIC)
T 03 8613 0600
studentplacementmelb@acap.edu.au
Adelaide Campus
(SA, TAS and WA)
T 08 81104018
studentplacementadel@acap.edu.au
Form SP014
Page 3 of 3
WORKING WITH ACAP IN THE FUTURE
1.
Were you provided enough information and support from the Student Placement Department? ________
2.
The next group of students for placement are meeting with agencies now to commence next term.
Would you be able to take another student for placement when this student finishes? _______________
The placement team will promote the position and students will contact you.
Note: ACAP Mid Placement Reviewer to READ THIS SECTION to the Agency Supervisor and Student:
The next step is for you, the Agency Supervisor to complete the Final Placement Report in the last week
of the placement. Electronic forms in Sonia Online, and paperwork must be completed before the student
leaves the placement.
You will need to log into Sonia Online, go through the Final Placement Report with the student and
discuss your comments. Submit the form in Sonia Online.
The student will also present you with their Experience Log including total hours. Please check the Log
carefully to ensure that you agree that it is a true record of the activities completed on placement and
particularly of their counselling hours.
The student will then submit the Experience Log within one week of completing the placement. This is a
requirement of the placement and failure to submit within one week may result in the placement being assessed
as unsatisfactory. If you have any questions or concerns, please contact your Placement Coordinator.
Sydney Campus
(NSW, ACT and offshore)
T 02 9964 6300
studentplacementsyd@acap.edu.au
Brisbane Campus
(QLD and NT)
T 07 3234 4416
studentplacementbris@acap.edu.au
Melbourne Campus
(VIC)
T 03 8613 0600
studentplacementmelb@acap.edu.au
Adelaide Campus
(SA, TAS and WA)
T 08 81104018
studentplacementadel@acap.edu.au