Practicum Final Report (student completes)
Please complete the Practicum Final Report. Your responses are important in the evaluation of your
MPH practicum experience as well as for the MPH practicum program.
We highly encourage you to review the questions in the Final Report before submitting this online form.
To review the online form, please download the Microsoft Word version of this plan by clicking the link
below.
Please submit this form online: http://jhsph.co1.qualtrics.com/SE/?SID=SV_3ay5moXLIXmehjD
Your First Name:
Your Last Name:
What practicum type did you complete?
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Customized practicum (with outside JHSPH preceptor or JHSPH faculty member)
JHSPH course with an approved practicum component
If you selected “JHSPH course with an approved practicum component”, which course did you take?
Name of organization where practicum was completed:
City where the organization is located:
State or Country where the organization is located:
Primary Preceptor's First Name:
Primary Preceptor's Last Name:
Primary Preceptor's Email Address:
Practicum Project Title (1 sentence). Summarize the project in one sentence:
What was the start date of the practicum experience? (mm/dd/yyyy)
If this is a customized practicum, please verify the dates with your preceptor.
What was the end date of the practicum experience? (mm/dd/yyyy)
Please describe the activities were undertaken during your practicum experience.
Which public health practice competencies related to your learning objectives for this experience?
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Analytical/Assessment Skills
Policy Development/Program Planning Skills
Communication Skills
Practicum Final Report Template (Revised 5/5/15)
Page 1 of 3
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Cultural Competency Skills
Community Dimensions of Practice Skills
Public Health Sciences Skills
Financial Planning and Management Skills
Leadership and Systems Thinking Skills
Please rate your level of agreement with the following statements about your personal and professional
development (Strongly Agree, Agree, Neutral, Disagree, Strongly Disagree, N/A)
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The experience improved my understanding of myself and my career goals.
The experience enhanced my ability to function as a health professional in the future.
Please rate your level of agreement with the following statements about the practicum experience (Strongly
Agree, Agree, Neutral, Disagree, Strongly Disagree, N/A)
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What I learned in my practicum experience was relevant to my academic coursework.
This practicum experience met my expectations (please explain those expectations in comment area
in the next question block).
I accomplished my learning objectives as I had originally proposed (in the next question block, please
explain those objectives based on what you submitted in your Practicum Learning Plan).
My practicum experience added to the academic rigor of my degree program.
Please explain how your practicum experience met or did not meet your expectations.
Please explain how your learning objectives were or were not accomplished (based on what you submitted in
your Practicum Learning Plan).
How effective was your preceptor in helping you to achieve your learning objectives?
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Good
Fair
Poor
Would you recommend that future students complete a practicum with this preceptor?
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Yes
No
Please add any comments or concerns regarding your preceptor and the practicum site where you worked.
Please add any comments or concerns about your overall MPH practicum experience.
Does this experience fulfill your MPH practicum requirement (100 or more hours), or will you be reporting
additional experiences to fulfill the remaining hours?
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My practicum requirement was fulfilled by this experience alone
My practicum requirement was fulfilled by more than one experience; the other experience(s)
has(have) already been reported.
Practicum Final Report Template (Revised 5/5/15)
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I plan to submit additional reports for other practicum experience(s).
If you selected “My practicum requirement was fulfilled by more than one experience; the other
experience(s) has(have) already been reported.”, please reflect on how your combination of practicum
experiences were integrated to accomplish your overall academic goals.
Below is the estimated total number of hours that I completed in this practicum experience. Note: Please
report your total hours completed, even if it is more than the required 100 hours.
If this is a customized practicum, please verify the hours with your preceptor.
Please add any comments or concerns regarding administration of the practicum, including any suggestions
for how the Johns Hopkins School of Public Health might improve this process.
Practicum Final Report Template (Revised 5/5/15)
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