LACC Radiologic Technology Student Clinical Instructor Evaluation Form

1.

 
1. Please input the following information
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2. PROFESSIONAL QUALITIES

3= Exceeds Expectations
2= Meets Expectations
1= Needs Improvement
123
1. Accepts constructive criticism well
2. Maintains adequate and appropriate records
3. Attends required meetings at the college and hospital
4. Is regularly available to students
5. Fullfills profesional responsibilities
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3. Instructor Knowledge, Skills and Abilites

3= Exceeds Expectations
2= Meets Expectations
1= Needs Improvement
123
1. The coordinator treated the students with respect and demonstrated sensitivity in working with students, faculty, and staff of diverse backgrounds and needs.
2. The coordinator encouraged students to express their own opinions and respected the students as individuals.
3. The coordinator was available during office hours.
4. The coordinator demonstrated knowledge of policies and requirements affecting students.
5. The coordinator demonstrated a thorough knowledge of the subject matter.
6. The coordinator adheres to the priciple of student confidentiality.
7. The coordinator assesses the students regularly
8. The coordinator evaluates student achievement according to the stated course evaluation criteria.
9. The coordinator submits required records and reports it in a timely manner.
10. The coordinator communicates clearly and effectively with students.
11. The coordinator functions as an effective counselor with students in need of improvement.
12. The coordinator stimulates the students interest and desire to learn.
13. The coordinator ensures the student experiences the required number of mandatory and elective exams
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4. Overall Evaluation

3= Exceeds Expectations
2= Meets Expectations
1= Needs Improvement
123
Overall Performance
5. Please give your recommendations:
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