Addictions Treatment Practicum Assessment Form

*Denotes Required Field



Please help us evaluate this student's practicum experience. Your input is a valuable part of their training and growth. Please give comments where possible as these give a better overall picture. Also, whenever possible, we encourage you to review your evaluation in person with the student before submitting them to the school.

Please reserve "5 (Outstanding)" only for those areas where the student has truly excelled. A student who serves well should score mostly 4's with perhaps some 5's and/or 3's. You  may make additional comments in the spaces provided.