ࡱ> CEB7 ,bjbjQQ 4*3d3d,%%%%%9999$]L9!t^^^!!!!!!!$"%d,!%^^^^,!%%A!~~~^"%%!~^!~~:,j @ ( W!0! R&&j j &%~ t^^~^^^^^,!,!~^^^!^^^^&^^^^^^^^^ : Faculty Advisor Evaluation of Students Field Placement Please complete this evaluation and discuss with the student. Submit to the MPH Program, via email at  HYPERLINK "mailto:mph@mcw.edu" mph@mcw.edu or by fax to 414-955-6529 within one week of the end of the Field Placement experience. Student Name  Faculty Advisor Site Preceptor Field Placement Site Dates of Field Placement Part I. Communication How many times did you have communication with the student? How many times did you have communication with the Site Preceptor? Part II. Student Performance Please review and assess the following components of the Field Placement. Rating Scale 1=Excellent 2=Good 3=Satisfactory 4=Unsatisfactory N/A (if didnt observe or not relevant) ValueRatingComments35%Feedback from Site Preceptor.20%Submission of Field Placement Log on monthly basis.5%Completion of a Midpoint Progress Report, including a meeting and approval by Faculty Advisor, Site Preceptor, and Program Coordinator.35%Completion of an Action Learning Project Summary Report that describes the achievement of learning objectives, attainment of competencies, and how knowledge and skills obtained through coursework have been applied.5%Conducted an oral presentation to appropriate agency/community group, if feasible. Developed a PowerPoint presentation. 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