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Mentorship Supervisor Evaluation 
Rubric Code: A24C7B7
Ready to use
Public Rubric
Subject: (General)  
Type: Assessment  
Grade Levels: Graduate

Powered by iRubric Mentorship Supervisor Evaluation
  Poor

1 pts

Fair

2 pts

Good

3 pts

Excellent

4 pts

Student Self Evaluation

(N/A)

Supervisor Evaluation

(N/A)

Preparedness for Supervision

Poor

Does not come to supervision prepared

Does not bring goals to supervision, or goals are too vague or general to be useful

Arrives late more than half the time
Fair

Comes totally prepared 50-75% of the time, or is consistently prepared less than 50% of the necessary materials

Articulates clear goals less than half of the time, or consistently articulates goals that are relatively vague and general

Only arrives on time for 50-75% of the meetings

Sometimes completes assigned readings prior to meeting, but always reads the material at some point
Good

Comes totally prepared to 75% of sessions, or is consistently prepared with more than 50%, but not all materials

Articulates clear goals most of the time, though occasionally goals are unclear

Arrives on time for at least 75% of supervision meetings

Usually completes assigned readings prior to meeting, and always makes up missed readings
Excellent

Consistently comes prepared to each session with needed materials, questions organized, and any research complete

Articulates clear goal(s) for each supervision session

Always arrives on time for supervision meetings

Arrives at sessions having completed assigned readings
Student Self Evaluation
Supervisor Evaluation
Participation in Supervision

Poor

Mostly silent and does not appear engaged in dialogue

Attention clearly not present; rarely acknowledges need for clarification


Demonstrates no effective critical thinking skills

Routinely does not solicit, attend to, or accept contributions from others

Totally intolerant of discomfort in new situations and learning
Fair

Attends to dialogue between supervisor and peers, but actively participates infrequently

Attention is divided, or mind seems elsewhere most of the time; sometimes asks for clarification

Inconsistently demonstrates critical thinking skills, or critical thinking skills are often ineffective

Accepts, but does not solicit contributions from others both in terms of own and other’s work

Occasionally willing to stretch “comfort zone”, but generally intolerant of discomfort in learning
Good

Participates in interactive dialogue, but usually does not initiate it.
Listens most of the
time, though at times appears to be distracted or inattentive; usually asks for clarification

Demonstrates critical thinking skills most of the time, though sometimes thinking is faulty

Solicits and attends to contributions about own work, or about other’s work, but not both

Willing to stretch “comfort zone” in new learning most of the time, though is usually not the first to volunteer
Excellent

Consistently initiates interactive dialogue with supervisor and peers

Listens carefully and always asks for clarification when does not understand

Consistently demonstrates effective critical thinking skills in posing questions and comments

Eagerly solicits and attends to contributions of others, both in terms of own and other’s work

Demonstrates willingness to stretch “comfort zone” in new learning (e.g., participating in role plays, trying new techniques)
Student Self Evaluation
Supervisor Evaluation
Ethical Behavior

Poor

Does not now of or employ an ethical decision-making model
Fair

Is familiar with an ethical decision-making model, but does not clearly or consistently execute it
Good

articulates a good ethical decision-making model, but is not confident in executing it
Excellent

Adheres to AASP ethical standards, including those related to the supervisory relationship

Recognizes, articulates, and uses an effective ethical decision-making model
Student Self Evaluation
Supervisor Evaluation
Case Formulation

Poor

Identification of problem routinely consists merely of accepting statements from referral without critical evaluation.

No incorporation of environmental considerations

Cannot formulate a clear coaching plan Unclear or nonexistent theoretical orientation guiding the coaching.
Fair

Some consideration of the nature of the problem beyond the information included in the referral
Only minimal &/or superficial consideration of multiple aspects of the environment.

Formulates coaching plans, but misses key elements (e.g., not empirically supported, not culturally appropriate, misses several treatment goals) Inconsistent &/or superficial connection between theoretical perspective selected and interventions utilized
Good

Consideration of the nature of the problem and some investigation of alternate sources of information beyond the referral are present.

Incomplete incorporation of multiple dimensions of the environment.

Formulates
culturally appropriate and empirically supported treatment plans, but misses one or two intervention goals
Generally, provides some relationship between interventions selected and theoretical perspective, but the relationship is not always fully or clearly articulated
Excellent

identification of the nature of a client’s problem goes well beyond the initial referral to include review of client records, consultation with others familiar with case, and independent analysis.

Formulates culturally appropriate and empirically supported treatment plans that clearly address treatment goals Demonstrates a clear link between intervention strategies utilized/planned and selected theoretical perspective.
Student Self Evaluation
Supervisor Evaluation
Openness to and Application of Feed

Poor

Does not accept praise or constructive criticism well Does not offer praise or criticism at all, or offers in judgmental or disrespectful manner Does not incorporate suggestions received and provides weak or no rationale for not using them No reflective thought evident
Fair

Only occasionally accepts praise and criticism well Only occasionally offers praise or criticism, or consistently gives one, but not the other; marked avoidance of giving feedback to supervisor Occasionally incorporates and follows up with review of suggestions but not consistently; justification for not using a suggestion is mostly unclear Some reflective thought pertaining to personal perspectives and profession development and how they inter-relateal
Good

Usually accepts praise and criticism, but sometimes does not accept from specific sources or under specific circumstances Is mostly consistent in giving praise and criticism, but may not always offer it in constructive manner; some awkwardness giving feedback to supervisor
Often incorporates suggestions, though may not always report back on or ask for further evaluation of applied suggestions; justification for not using a suggestion
may be somewhat unclear
Excellent

Accepts praise and criticism when framed in an appropriate, constructive manner
Gives praise and criticism framed in an appropriate, constructive manner, including to supervisor
Consistently incorporates suggestions received and follows up with review of effectiveness; or can effectively justify why suggestion was not used Self-reflection is evident pertaining to both personal perspectives and professional development
Student Self Evaluation
Supervisor Evaluation
Paperwork

Poor

Routinely submits paperwork late Paperwork has frequent or multiple errors Paperwork is not readable or deviates totally from the required format. Coaching impressions are unclear and there is no use of Coaching appropriate terms Uses inappropriate terms for ethnic and cultural groups
Fair

Submits paperwork on time 50-75% of the time Paperwork is basically accurate, with frequent non-content related errors, or with 1-2 errors in content material Paperwork is generally too long or short, is often not clear, or deviates from format Coaching impressions are somewhat unclear and there is little use of appropriate coaching terminology Uses some appropriate & inappropriate terms to describe ethnic and cultural groups
Good

Submits paperwork on time at least 75% of the time Paperwork is usually accurate, with a few minor, non-content related errors Paperwork is somewhat too long or short, and is sometimes not clear or does not strictly conform to format Coaching impressions are written clearly, but with only moderate use of coaching appropriate terms Mostly uses appropriate terms to describe ethnic and cultural groups
Excellent

Consistently submits all paperwork on time Consistently completes all paperwork accurately Paperwork is concise, neat, readable, and conforms to required format Coaching impressions are written using appropriate professional terminology Employs appropriate terms for ethnic and cultural groups
Student Self Evaluation
Supervisor Evaluation




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