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Intern Name: ___________________________________________ Year: ___________
Parent Name: ______________________ School: __________________________
Based on your interactions, please evaluate the School Psychology Intern according to this scale:
5
4
3
Excellent
Good
Average
2
1
Needs Improvement
Unacceptable
NA Not applicable/not observed
1. ______ Contact with you was courteous and convenient (phone, written, or personal).
2. ______ The intern communicated information to you clearly and answered questions.
3. ______ The intern demonstrated flexibility and sensitivity to your needs and those of your child.
4. _____ The intern prepared you for interviews, assessment procedures, and meetings by explaining why this was necessary and what would happen.
5. _____ The intern appeared competent and knowledgeable of assessment procedures in interviews, assessment, and written and oral reports.
6. ______ The recommendations made were clear, appropriate, and manageable.
7. ______ The intern was reliable and punctual regarding appointments and any material promised.
8. ______ The intern appeared to have a cooperative and professional relationship with teachers and other school personnel.
9. ______
The intern obtained information regarding resources that would assist you in helping your child succeed in school.
10. _____ The intern assisted you in setting up a behavior management plan, homework schedule, or other intervention at home.
Other Comments:
Fresno State, Insert Program Name – 2010 Program Assessment
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