Revised 03-04
Form MT5 (1 of 3)
Personal Tutor’s Evaluation of Student Progress
To be completed by the personal tutor after an evaluation interview with the student, at the end of each year of
the programme. For students seeking promotion to the next stage, the form should be completed by 1
September.
When the form is completed, the student should provide a copy to the office.
Section A – Personal Tutor’s Comments
Please comment briefly on the following aspects of the student’s performance, stating the basis at which you
arrived at your judgement:
Use of tutorials
Attendance, participation and contribution to individual and group tutorials
Keeping of updated and organised log book, including ensuring all relevant forms are approved promptly.
Keeping tutor sufficiently informed of any problems or changes in circumstances relevant to their functioning on
the course
Personal qualities
Interpersonal skills, including relationships with staff and students
Sufficient attendance and participation in lectures and group work, including personal development and case
discussion workshops
Emotional robustness and ability to cope with the demands of the course
Original = Student
Copy = Office
Revised 03-04
Form MT5 (2 of 3)
Overall evaluation
Please comment on the student’s progress overall, including any particular strengths or areas requiring further
development.
Section B – Student Comments
Please provide your view’s on the personal tutor’s comments.
Student’s Name ………………………………………………….. Tutor’s Name ……………………………………………….
Student’s Signature ……………………………………………… Tutor’s signature ………………………………………….
Date …………………………………………………………………. Date ………………………………………………………….
Original = Student
Copy = Office
Revised 03-04
Form MT5 (3 of 3)
Section C - Promotion to the next year of the programme (if applicable)
In the box below students must indicate, with a tick, their intention for the next academic year.
I ……………………………………… (Student’s Name) am seeking to:


exit the programme and be awarded the Diploma in Counselling Psychology/Psychological Counselling
be promoted to the dissertation only and exit the programme with the MSc Counselling
Psychology/Psychological Counselling

be promoted to Year 2 of the 3-year Programme

be promoted to Year 3 of the 3-Year programme

pause my studies in the coming year and return within 2 years to complete my studies
Student’s Signature………………………………….
If the student is seeking promotion to the next stage of the programme, the personal tutor should check that the
requirements for promotion have been met and initial the appropriate column, ie either Year 2 checklist or Year
3 checklist.
Check list for promotion to Year 2
Minimum of 100 client hours completed
Sufficient supervision hours completed
Satisfactory placement supervisor
evaluation(s)
Satisfactory completion of client presentation
Minimum of 30 hours of personal therapy
completed
Attended personal development weekend or
completed replacement task satisfactorily
Coursework / exams / attendance
requirements completed satisfactorily
Tutor
initials
Check list for promotion to Year 3
Tutor
initials
Minimum of 200 client hours completed,
including 100 from year 1
Sufficient supervision hours completed
Satisfactory placement supervisor
evaluation(s)
Satisfactory completion of client
presentation
Minimum of 40 hours of personal therapy
completed, including 30 from year 1
Attended personal development weekend
or completed replacement task
satisfactorily
Attendance requirements completed
satisfactorily
Personal Tutor’s evaluation form MT5 pages
1 – 2 completed
Personal Tutor’s evaluation form MT5
pages 1 – 2 completed
MSc research dissertation complete or
successful promotion to DPsych.
All requirements met for
promotion to Year 2
All requirements met for
promotion to Year 3
Student’s Name ………………………………………………….. Tutor’s Name ……………………………………………….
Student’s Signature ……………………………………………… Tutor’s signature ………………………………………….
Date …………………………………………………………………. Date ………………………………………………………….
Original = Student
Copy = Office