Example supervisor/workplace report form - CSK-L3
Workplace/supervisor report for (name of trainee): ................................................................................
Note: The ‘units/criteria’ column in the table below should be completed by the trainee but only after the supervisor has written in their comments.
Proficiency statement. Please comment on the following:
Units / criteria
The trainee’s ability to work within the organisation’s policies and recordkeeping procedures.
The trainee’s ability to work within the boundaries of their role and proficiency level.
The trainee’s ability to establish and maintain a helping relationship.
The trainee’s ability to work with diversity issues.
CPCAB July 2008
The trainee’s ability to facilitate a user-centred approach to work with helpees.
The trainee’s development - and use - of self awareness and personal understanding in helping work.
The trainee’s application of counselling skills to their helping work.
The trainee’s ability to use supervision and self-reflection to enhance their work.
Supervisor’s name: .................................................................................... Supervisor’s signature: .............................................................................. Trainee’s signature: ...................................................................................
Date: ...................
CPCAB July 2008