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Student Information

Student Name

Preceptor Information

Preceptor Name

Evaluation

PLEASE EVALUATE THE STUDENT’S PERFORMANCE IN THE LABORATORY AS IT APPLIES TO YOUR EXPERIENCE. PLEASE USE THE FOLLOWING SCALE FOR THE RATING. PLEASE FEEL FREE TO ADD ANY COMMENTS.



Excellent = 1 Good = 2 Satisfactory = 3 Fair = 4 Poor = 5 Cannot Evaluate = CE (Please explain below)


IF THE STUDENT WAS UNABLE TO SPEND SUFFICIENT TIME IN THE LABORATORY BECAUSE OF THE BURDENS OF COURSEWORK, PLEASE CHECK THE NO GRADE/NO CREDIT SELECTION BELOW.


Performance
Performance
  1 2 3 4 5
Effort in the Laboratory
Current level of laboratory skills
Ability to learn new skills
Initiative to access relevant literature
Ability to independently carry out tasks
Quality of written laboratory report
Participation/preparedness for laboratory meetings
Ability
Ability
  1 2 3 4 5
Problem solving
Data interpretation
Interaction with laboratory colleagues
Capacity for independent research
Overall Grade*
Please Select One

Preceptor Signature

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