Fillable CLINICAL SUMMATION EVALUATION FORM (Wisconsin Lutheran College)

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CLINICAL SUMMATION EVALUATION FORM (Wisconsin Lutheran College)

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Student ___________________________________________________________ Date __________________________
Clinical Reviewer ________________________________________
Clinical Course _____________________________ Corresponding Course ____________________________________
The Clinical experience, and/or self-evaluation met the following:
(A) E =Exceptional Performance
• Shows skills, perception, and/or creativity rarely exhibited by a clinical student
• Astute and innovative integration of course and clinical requirements
• Far exceeds expected requirements
(A-AB) H=High Performance
• Shows higher-than-average skill, perception, and/or creativity
• Exceeds expected requirements
(B-BC-C) A=Adequate Performance
• Shows average skill, perception, and/or creativity
• Meets expected requirements
(CD) I=Inadequate Performance
• Shows less-than-average skill, perception, and/or creativity
• Below expected requirements
(D-F) U=Unacceptable Performance
• Shows little to no skill, perception, and/or creativity
• May require clinical retake to receive education credit
Weighted:
50% Clinical Paper. Typed in-depth reflection of the prescribed guidelines, _____________
integrating course objectives with clinical application.
50% The ability to connect the course and the clinical _____________
(lesson planning/teaching/observation/forms).
Final Grade _____________
Copies to: Student file
Student
09/09
CLINICAL SUMMATION EVALUATION FORM
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CLINICAL SUMMATION EVALUATION FORM (Wisconsin Lutheran College)

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Completed 21 July 2020

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