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XAVIER UNIVERSITY DEPARTMENT OF OCCUPATIONAL THERAPY LEVEL ONE FIELDWORK EVALUATION FORM* (STUDENT SELF EVALUATION) Student name: Name of fieldwork site: Dates of fieldwork: (circle one) Session I
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How to fill out level one fieldwork evaluation

How to fill out level one fieldwork evaluation:
01
Start by familiarizing yourself with the evaluation form provided by your organization or institution. Read the instructions and guidelines carefully.
02
Begin the evaluation by providing your personal information such as your name, designation, and contact details.
03
Identify the specific fieldwork experience or program that you are evaluating. This could be a placement, internship, or any other practical learning opportunity.
04
Evaluate the objectives and goals of the fieldwork. Assess if they were clearly defined and communicated to you before starting the program.
05
Reflect on the overall organization and structure of the fieldwork. Consider factors such as the availability of resources, support from supervisors or mentors, and the relevance of tasks assigned to your learning objectives.
06
Assess the quality of supervision received during the fieldwork. Evaluate the level of guidance, feedback, and support provided by your supervisors or mentors.
07
Evaluate your own performance during the fieldwork. Assess your ability to meet the learning objectives, your level of engagement, and your overall growth during the experience.
08
Provide feedback on the learning environment and the relationships established with colleagues and other stakeholders during the fieldwork.
09
Consider any challenges or obstacles faced during the fieldwork and provide suggestions for improvement.
10
Conclude the evaluation by summarizing your overall experience and any recommendations you may have for the organization or institution.
Who needs level one fieldwork evaluation?
01
Students undertaking fieldwork as part of their academic program in fields such as social work, psychology, education, or healthcare.
02
Interns or trainees participating in practical learning experiences within organizations or industries.
03
Organizations or institutions that require feedback and assessment of the effectiveness and quality of their fieldwork programs.
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What is level one fieldwork evaluation?
Level one fieldwork evaluation is a process used to assess the performance and progress of students during their initial stages of fieldwork placements.
Who is required to file level one fieldwork evaluation?
Level one fieldwork evaluation is required to be filed by both the student and the supervisor or mentor overseeing the fieldwork placement.
How to fill out level one fieldwork evaluation?
To fill out level one fieldwork evaluation, both the student and the supervisor should review the evaluation form and provide their feedback and assessment based on the student's performance during the fieldwork placement.
What is the purpose of level one fieldwork evaluation?
The purpose of level one fieldwork evaluation is to ensure that students are meeting the necessary competency levels and to identify areas for improvement in their fieldwork performance.
What information must be reported on level one fieldwork evaluation?
Level one fieldwork evaluation typically includes information about the student's work performance, communication skills, ability to follow instructions, problem-solving skills, and overall professionalism during the fieldwork placement.
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