Internship Evaluation of Clinical Educator

Please complete this evaluation. The form will be sent to the Office of Field Experience and yourself. Note that the University Supervisor does not receive a copy of it through this online form.

Please rate your clinical educator member on the following statements. Select either Satisfactory or Unsatisfactory on the rating scale below. If the score is unsatisfactory, a comment is necessary to provide additional clarity.
Clinical Educator Data
11/2/2025 8:02:06 PM
Responsibility 1: Building Positive Relationships
Responsibility 2: Planning and Teaching
Responsibility 3: Conferencing and Assessment Skills
Responsibility 4: Diversity
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Important: Click the 'Submit' button ONCE in a session. If you are unsure your form was submitted OR you got a 'critical error' notice in a pink box after form submission, please contact Kellie Hatch to verify if the form was submitted successfully.