Supervisor's Evaluation & Recommendation

Supervisor's Evaluation and Recommendation

An applicant to the doctoral program in counselor education and supervision at Duquesne University has identified you as a professional reference who has supervised or is very familiar with the quality of his/her counseling and other professional activities. Please evaluate this applicant to the Duquesne University Doctoral Program in Counselor Education and Supervision on the basis of his/her skills as a counselor and effectiveness as a professional. This evaluation will be helpful to the Admissions Committee as it completes its final selections for the training program.

If you encounter difficulties in submitting the electronic application, please contact Mrs. Sughrue at sughrueb@duq.edu.

AS REQUIRED BY THE FAMILY EDUCATION RIGHTS PRIVACY ACT OF 1974, THE STUDENT MAY RESERVE THE PRIVILEGE OF VIEWING THIS RECOMMENDATION FORM. THUS, YOU SHOULD CONSIDER THIS EVALUATION TO BE NONCONFIDENTIAL.

Applicant and Recommender

Your First Name
Your Last Name
Email
Position/Job Title
Agency/School

Applicant's Name
Relationship to Applicant
How well and how long have you known the applicant?

Evaluation / Recommendations

Using other graduate students and professionals in the field as your standard of comparison, please rate the applicant on the qualities listed below by selecting the most appropriate percentile.

Clinical Awareness (the ability to accurately identify relevant client issues, problems, concerns)
Theoretical Operations (the ability to effectively develop and communicate philosophical assumptions about human behavior)
Theoretical Approach (the ability to effectively develop, identify and communicate one's counseling orientation)
Techniques (the ability to successfully implement one's counseling orientation)
Clinical Application (the ability to comprehend possible explanations for relationships between certain behavior, thoughts and/or feelings)
Ethics (the ability to quote and use standards of professional ethics in all professional relationships)
Assessment (the ability to understand, discuss and develop intervention strategies using formal and informal assessment techniques)
Case Management (the ability to demonstrate professional writing and presentation skills regarding record keeping and creating reports)
Cultural Intentionality (the ability to demonstrate continuing and expanding awareness, knowledge and skills for culture-specific counseling and therapy)

Narrative Evaluation

Please provide a brief narrative evaluating this applicant's skills in providing counseling/therapy. Where applicable your comments should include observations relevant to the applicant's ability to provide counseling/therapy to individuals as well as groups. You may also include observations concerning consultation, record keeping, test administration and interpretation, report writing and presentations made to staff or at conferences. Please limit your narrative to 250 words.

Current word count : 0