PRE-PROFESSIONAL ATHLETIC TRAINING STUDENT
CLINICAL STAFF EVALUATION FORM
Student Name:___________________
Evaluator’s Name:________________ _____ Date:_______________
5 = Excellent; student consistently performs at an optimal level
4 = Above Average; student’s performance exceeds minimal expectations consistently
3 = Average; student meets expectations
2 = Needs Improvement; student performs below expectations
1 = Poor; student falls well below expectations
NA = No Basis for Evaluation
Category
Passion for Profession
Examples
1
2
3
4
Articulates specific interest, knowledgeable about AT,
actively engaged in profession
Notes/Comments:
Clinical Curiosity
Asks ?, demonstrates understanding of linking of didactic
& clinical settings, interested in why things happen
Notes/Comments:
Professional Appearance
Compliant with dress code, well groomed, appropriate for
setting
Notes/Comments:
Punctual, proactive, independent completion of tasks,
assists in facility upkeep, actively participates
Initiative
Notes/Comments:
Demeanor/Disposition
Positive attitude, responsive to mentoring, works well with
peers, respectful, demonstrates ability to interact with staff
Notes/Comments:
Overall Positive Comments/Strengths of Student:
Suggested Areas of Improvement:
Student Signature:____________________
Evaluator Signature:____________________________
5
NA