Course Title:

Course Code:
Program:
Department:
College:
Institution:
 Table of Contents
A. Field Experience Identification:...............................................................................3
B. Training Delivery and Assessment:.............................................................................3
1.Training Methods and Activities:.............................................................................................3
2. Assessment Methods...............................................................................................................3
3. Differences in evaluation.........................................................................................................3
4. Verification of Credibility of Students’ Results......................................................................3
5. Recommendations...................................................................................................................4
C. Student Results..............................................................................................................4
1. Distribution of Grades.............................................................................................................4
2. Comment on Student Results..................................................................................................4
3.Recommendations....................................................................................................................4
D. Field Experience Learning Outcomes.........................................................................4
1. Learning Outcomes Assessment Results.................................................................................4
2. Recommendations...................................................................................................................4
E. Field Experience Quality Evaluation.........................................................................5
1. Students Evaluation of the Quality of Field Experience.........................................................5
2. Supervisory Staff.....................................................................................................................5
3. Other Evaluations....................................................................................................................5
4.Recommendations:...................................................................................................................6
F. Difficulties and Challenges...........................................................................................6
G. Field Experience Improvement Plan..........................................................................6
1. Field Experience Improvement Actions..................................................................................6
2. Action Plan for Next Semester/Year.....................................................................................6

2
 A.Field Experience Identification
Number of Students
No Supervisor(s) Location Starting Completing
the course the course

Dates and timing (duration) of field experience activities implementation:

a. Dates:
b. Timing (Duration):

B. Training Delivery and Assessment

1. Training Methods and Activities
Were They Difficulties
Implemented? Experienced
Training Methods and Activities Suggested Actions
Yes No in Implementation
(if any)

2. Assessment Methods
Were They Difficulties
Implemented? Experienced in
Planned Assessment Methods Suggested Actions
Yes No Implementation
(if any)

3. Differences in Evaluation
If the field teaching staff and the program faculty and teaching staff share responsibility for student assessment,
what process is followed for resolving differences?

4. Verification of Credibility of Students’ Results

Method(s) of Verification Conclusions

5. Recommendations

3
 C. Student Results
1. Distribution of Grades
Grades Status Distributions

In Progress

Withdrawn
Incomplete
Denied
Entry
A+ A B+ B C+ C D+ D F

Pass

Fail
Number of
Students

Percentage

2. Comment on Student Results

(including special factors (if any) affecting the results)

3. Recommendations

D. Field Experience Learning Outcomes

1. Learning Outcomes Assessment Results
Assessment
learning Outcomes PLOs Assessment Results Comment on
Methods Target
(CLOs) Code Level/ Actual Assessment Results
Criterion Level
for Success
1 Knowledge and Understanding
1.1

1.2

1.3

1...

2 Skills:
2.1

2.2

2.3

2...

3 Values:
3.1

3.2

3.3

3...

2. Recommendations

E. Field Experience Quality Evaluation

4
 1. Students Evaluation of the Quality of Field Experience
Number of Percentage of
Date of Survey: Evaluation Result:
Participants: Participation:
Course Coordinator/Instructor
Students Feedback
Comments/Response
Strengths:



Areas for improvement:



Suggestions for Improvement:





2. Supervisory Staff
(Including Field Supervisors, Supervising Teaching Staff)
Evaluation method: Date: Number of Participants:
Course Coordinator/Instructor
Supervisory Staff Feedback
Comments/Response
Strengths:



Areas for improvement:


Suggestions for Improvement:



* Add separate table for each evaluation
3. Other Evaluations
Ex. Evaluation by program administrators, peer reviewers, independent reviewers, program advisory committee,
Others (specify)
Evaluation method: Date:
Course Coordinator/Instructor
Evaluator(s) Comments
Comments/Response
Strengths:


Areas for improvement:


Suggestions for Improvement:


* Add separate table for each evaluation

5
 4. Recommendations:

F. Difficulties and Challenges

Difficulties and Challenges Consequences Actions Taken
Administrative Issues*

Supervision **

Students

* Include administrative Issues, implementation times (Duration) and locations, learning resources, facilities and
equipment, etc.
** Include field supervisors from inside and outside the program

G. Field Experience Improvement Plan

1. Field Experience Improvement Actions
Recommended
Actions Taken Results Comments
Actions
1.1 Previous Report Recommendations

2.2 Other Improvement Actions*

* The developmental measures taken during Training and not included in the development plan of it.
2. Action Plan for Next Semester/Year
Responsibility Time Needed
Recommendations Actions For
Implementation Start End Support
1.
2.
3.