Provides counseling services for individual clients. Name of Intern: Evaluator: Placement / Site: Semester: Year:

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Name of Intern: Evaluator: Placement / Site: Semester: Year: Provides counseling services for individual clients. Demonstrates understanding of counseling theories and proficiency in applying techniques to help individual clients (relative to intern's level of experience). Exhibits individual counseling strategies and techniques appropriate for clients of various ages and developmental levels (students P- 12). Edna Bridges Smokey Road middle School Fall 2010 3 KK Smith Woodland High School Fall 2010 4 Miriam Loveless Elm St. Elementary Fall 2010 4 3 4 Janice Rollins Open Campus HS Fall 2010 4 Yvonne Morgan Cartersville High School Fall 2010 3 Beth Rhodarmer Albertville Middle School Fall 2010 3 4 3 Susan S. Murphy Rocky Ridge Elementary Fall 2010 4 Emily Tucker Piper Place Spring 2011 3 deanna r. dennis, lpc highland Rivers Spring 2011 3 Jill McCombs Coosa Valley Elementary Spring 2011 4

Deborah Saska, ACSW, LCSW Northeast Alabama Regional Medical Center Spring 2011 3 Marty Barber Cartersville Elementary School Spring 2011 4 Deborah Saska, ACSW, LCSW Northeast Alabama Regional Medical Center Spring 2011 4 3 4 Emily Tucker LPC Crisis Center/ Piper Place West Spring 2011 3 Yvonne Morgan Cartersville High School Spring 2011 4 Paula M. Winston Family Links, Inc. Spring 2011 4 Emily Tucker LPC Crisis Center Piper Place West Spring 2011 4 Keena Cahela Albertville High School Spring 2011 3 4 3 Robin D. Bridges, LPC New Directions Spring 2011 3 Bowman/Dionne Stevens JBS Mental Health Spring 2011 3 Janice Martin, Ed. D., LPC New Paths Center Spring 2011 4 Robin D. Bridges, LPC New Directions Spring 2011 3 Emily Tucker LPC Piper Place Spring 2011 3 Beth Rhodarmer Big Spring Lake Spring 2011 4 Meghan Alves- Thayer Family Links Spring 2011 4 Bowman/Dionne Stevens JBS Mental Health Spring 2011 3

Jennifer Bishop Steele Junior High School Fall 2011 4 Kim Harden The Bridge, Inc. Gadsden Fall 2011 3 Dr. Carr Carr Mental Wellness Fall 2011 4 Angela Bragg Calhoun Treatment Center Fall 2011 4 Kim Harden The Bridge, Inc. Fall 2011 3 Kim Harden The Bridge Inc. Fall 2011 4 3 4 Francia Haygood Saks Elementary Fall 2011 3 Angela Bragg Calhoun Treatment Center Fall 2011 3 Dr. Carr Carr Mental Wellness Fall 2011 4 Lyndsey Gillam Family Links Fall 2011 4 Emily Tucker LPC Piper Place West Fall 2011 4 Kim Harden The Bridge, Inc. Fall 2011 3 angela bragg calhoun treatment center Fall 2011 4 Lyndsey Gillam Family Links Fall 2011 4 Marquitta Williams Anniston Community Education Foundation Fall 2011 2 3 2 Kristi Myricks JBS/ Southern Pines Fall 2011 3

Jill McCombs Coosa Valley Elementary School Fall 2011 4 3 4 Ashley L. Garrett Garrett & Consulting Fall 2012 3 4 3 Arlene McFarland Relationship Clinic Fall 2012 4 Debora Nobles Calhoun-Cleburne Mental Health Board Spring 2012 2 Marty Barber Cartersville Elementary School Spring 2012 4 Debora Nobles Calhoun-Cleburne Mental Health Board Spring 2012 2 3 2 Debra Price Willowbrooke at Tanner Spring 2012 2 2 2 Ashley Garrett Garrett and Consulting Spring 2012 4 Glenda Nanna Charleston Southern University Spring 2012 4 Cotina Houston MS LPC Bradford Health Services Spring 2012 2 2 2 Kim Harden The Bridge, Inc. Spring 2012 3 Cotina Houston MS LPC Bradford Health Services Spring 2012 2 2 2 Ashley L. Garrett Garrett & Consulting Spring 2012 3 Kate Cantrell Youth Villages Spring 2012 3 Kim Harden The Bridge, Inc. Spring 2012 3 Ashley Garrett Garrett and Consulting Sprng 2012 4

Cynthia Pruitt Pell City High School Fall 2012 4 Melanie Thomason Spain Park High School Fall 2012 4 Nicole Mouchka White Plains Elementary School Fall 2012 4 Joan Truss White Plains High School Fall 2012 4 KK Smith Woodland High School Fall 2012 4 KK Smith Woodland High School Fall 2012 4 Geraldine Nixon Pepperell High Fall 2012 4 Cynthia Pruitt Pell City High School Fall 2012 3 4 3 Jane Palmer Pepperell Primary School Fall 2012 4 Lilyluise R. Ward Whitesburg Elementary Fall 2012 3 Tammy Stewart Coosa Valley Elementary Fall 2012 4 Allison Marsh Presbyterian Home for Children Spring 201 James Murphree, LPC Mountain Lakes Behavioral Healthcare Spring 201 Allison Marsh Presbyterian Home for Children Spring 201 Rhonda Springfield Albertville Community Learning Center Spring 2013 4 Beth Rhodarmer Albertville High School Spring 2013 4

Allison M. Marsh Presbyterian Home for Children Spring 2013 4 3 4 Misty Brothers Albertville Primary School Spring 2013 4 3 4 Allison M. Marsh Presbyterian Home for Children Spring 2013 4 Valerie Shayman Crisis Center, Inc. Spring 2013 4 Kerry Montgomery Ashville Middle School Spring 2013 4 Jennifer Donaldson Iola Roberts Elementary School Spring 2013 4 3 4 Edith Couch Couch, PC Spring 201 Rhonda Springfield Schools/Albertville Community Learning Center Spring 2013 4 Chimere Madison Cobb & Constantine Elementary Spring 201 James Murphree, LPC Mountain Lakes Behavioral Healthcare Spring 201 Yvonne Morgan Cartersville High School Spring 2013 4

Provides counseling / guidance services for groups. Demonstrates understanding of counseling theories and proficiency in applying techniques to help individual clients in groups (relative to intern's level of experience). Exhibits group counseling strategies and techniques that are appropriate for clients of various ages and developmental levels (P-12). Administers tests and/or conducts informal assessments. Uses appropriate procedures in selecting and scoring tests or other assessments. Interprets and communicates assessment data appropriately. Uses assessment data in making treatment / referral decisions. 3 3 4 3 4 3 N/A N/A N/A N/A 3 N/A N/A N/A N/A N/A N/A N/A 3

3 4 3 3 4 3 4 4 N/A N/A 3 N/A 3 3 4 3 4 N/A N/A N/A N/A 3 N/A N/A N/A 3 N/A N/A 3 4 3 4 N/A N/A N/A N/A 3 3 4 3 3 N/A

3 N/A N/A N/A N/A 4 3 3 4 3 N/A N/A N/A N/A 4 N/A N/A N/A N/A 4 N/A N/A N/A N/A 3 4 4 4 3 2 N/A N/A N/A 3 4 3 4 4 3 3 1 2 2 2 4 3 4 4 3

4 3 3 4 N/A N/A N/A 4 2 3 2 2 2 2 2 2 2 2 N/A 2 N/A 2 2 2 3 2 2 2 4 3 N/A N/A 3 N/A N/A N/A 3 3 N/A N/A 3 4 3 3 N/A N/A 3

N/A N/A N/A N/A N/A 4 3 4 3 3 4 4 N/A N/A N/A N/A 4 N/A N/A N/A N/A 4 3 4 2 3 N/A N/A N/A N/A 4 3 2 2 2 N/A 3 3 4 4 3

3 2 2 2 3 4 3 4 3 3 4 2 2 2 3 N/A N/A N/A N/A N/A N/A N/A 4 4 3 4 2 2 2 3 2 3 2 3 4 3 4 3 2 2 2 N/A 4 N/A N/A 3 N/A

Delivers consultation services. Provides feedback about performance (treatment outcomes), as applicable. Plans or modifies interventions (treatments), when applicable. Works with others (e.g. with other agencies) to access services for clients (students). Uses technology to enhance the delivery of counseling services. Establishes appropriate goals and objectives. Plans for and schedules delivery of services. 3 4 3 4 N/A 3 3 3 4 4 N/A N/A N/A N/A N/A 4 3 4

3 2 2 3 3 4 3 3 4 3 N/A N/A N/A N/A N/A 4 N/A 4 4 N/A 4 1 4 3 N/A

N/A 3 4 3 N/A N/A N/A N/A 3 N/A 3 N/A 3 3 3 4 3 3 4 4 3 4 2 1 1 1 2 2 2 3 4 3

3 4 3 4 N/A 3 4 2 3 2 3 4 2 2 2 2 2 2 2 2 2 2 2 2 2 2 3 3 2 3 2 2 3 2 2 4 3 3 4 3 2 3 2 2 2 3 4 4 3 3 3

N/A N/A N/A N/A N/A N/A N/A 4 3 3 3 N/A 3 N/A 3 3 3 4 3 4 2 2 3 4 3 4 3

3 4 3 4 3 4 3 4 3 4 3 4 3 4 3 N/A N/A 4 N/A N/A 4 4 3 4 3 4 2 2 2 3 2 2 2 4 3 2 2 3 3

Manages service delivery and documents services. Completes and organizes files/materials in a timely manner. Responds appropriately to constructive feedback from supervisor. Uses effective strategies and interaction skills with clients / students, families and other professionals. Demonstrates proficiency in written and spoken language. Engages in professional growth activities. Adheres to legal mandates and ethical guidelines. 3 4 3 4 4 3 4 3 4 3 4

N/A 4 3 4 3 4 4 3 4 2 N/A 3 4 3 N/A 3 N/A 2

3 N/A 3 4 3 4 3 4 3 N/A 3 N/A 3 4 3 4 3 3 4 4 3 3 3 4 1 1 3 1 3 2 2 4

4 2 2 2 1 2 2 2 2 2 2 3 2 3 4 3 4 4 4 3 4 3 3 3 4 3 4 4 3 4

3 4 3 4 3 4 4 4 4 3 4

3 3 4 3 3 N/A N/A 4 3 3 3 3 4

Exhibits understanding of individual differences. Demonstrates sensitivity toward diverse populations in diverse settings.

4 3 3 4

3 2 3 2 3 4

2 2

3 4 3 4