Midpoint Review Form

At the Midpoint of the Practicum, we request you complete the following form to update us on the status of the students.

Student Information
Name
First Last
Email
Practicum Site Name
Semester
1. Briefly describe the student’s primary role on site, and major accomplishments to date.
2. Has the student’s work on site met the overall goals established in the beginning of the semester? Do you believe this has made a positive contribution to your organization?
3. Describe any challenges or obstacles encountered that have impacted the progress of this practicum. Is anything being done to address these obstacles?
4. Based on the amount of time left in the practicum would you recommend any changes to the student’s role and scope of work on site?
5. Please describe any other issues which need to be addressed.
What grade would you give the student for their work to date?*

If you had to assign a grade for the student's performance to date, what would it be? A, A-, B+, B, B-, C, C-, D, F A = Superior, B= Good, C = Sufficient, D = Insuffiient, F = Failing
Is follow up from the Instructor needed with the Site Supervisor?
If yes, please select the preferred method of contact. (Please leave contact information in the additional comment section below.)
Any additional comments
Signature
Name*
First Last
Date*
Month
Day
Year

Student Information