EIU Athletic Training Education

Student Evaluation Form

Student's Name Student's Name First Last
Clinical Preceptor Clinical Preceptor First Last
Clinical Site/Rotation
Date Date / MM / DD YYYY
Clinical Semester
Section Break
Professional Behavior
Punctual *
Wears Proper Attire *
Participates with daily clinical routines *
Is organized with daily clinical responsibilities *
Demonstrates enthusiasm/motivation in job performance *
Demonstrates professional responsibilities and ethics *
Is receptive to instruction/direction *
Completes assigned tasks on time *
Develops positive rapport with athletes *
Develops positive rapport with peers *
Participates in learning opportunities *
Takes initiative with clinical skills *
Demonstrates confidence with performance and interactions *
Demonstrates sound knowledge in athletic training according to level *
Overall, how would you rate the ATS according to their professional behavior *
Section Break
Clinical Skills
Taping Tecniques *
Equipment Fitting Techniques *
Treatment/First Aid Techniques *
Modality Use *
Evaluation/Assessment Skills *
Rehabilitation Techniques *
Knowledge and Use of Medications *
Knowledge and Use of Athletic Training Supplies *
Record Keeping Procedures *
Facility/Team Management Skills *
Overall, how would you rate the ATS according to their clinical skills *
Additional Comments
Strengths
Needs improving
Have they shown improvement? *
Athletic Training Student E-Signature Athletic Training Student E-Signature First Last