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Site and Supervisor Questionnaire

This questionnaire is to be completed by all COU 880/881 students for each new placement and/or site supervisor. Please contact your site supervisor if you need to obtain any of the information included in the questions below.

SITE INFORMATION

What skills and/or training are required to work at your site?

Is there a minimum commitment to complete Practicum/Internship at this site?

SUPERVISOR INFORMATION

STUDENT INFORMATION

SITE EVALUATION

On a scale from 1-10, (10 being the best) how would you rate:

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