Information
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Client / Site
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Conducted on
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Location
Supervisor' comments
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Good attendance
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Punctual
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Well presented
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Shows interest
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Works well as part of a team
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Able to follow instructions
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Works well under own intiative
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Interacts well with clients/children
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Completes tasks required
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Applies Care Value Base
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Respectful at all times
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Able to deal with problems
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Asks for help and advice
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Accepts constructive criticism
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Listens to others
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Supervisor' comments
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Supervisor's signature
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Date
Student Experience
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Health and Safety Checklist completed
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Attendance record up to date
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Comments from Student
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Comments from Work Placement Coordinator
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Strengths
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Areas for development
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Welfare
Action Plan
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Personal Development
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College Paperwork
Authentication
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Student
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Work Placement Coordinator
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Date of observation
