CPE 200-Final Student Evaluation (SE)
This evaluation is a confidential document containing observations and reflections on the student named below and their educational experience during this course of Clinical Pastoral Education.
CPE Course Dates
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CPEI Affiliate Organization
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NAME: Student
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First Name
Last Name
EMAIL: Student
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example@example.com
NAME: CPE Supervisor Educator
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First Name
Last Name
EMAIL: CPE Supervisor Educator
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example@example.com
Total IACET CEUs Awarded
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30.0 CEUs for 1 course
Student Introduction: Provide a brief overview of the student's personal history (e.g. work, education, marital status, children, etc.).
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Student Internship (Clinical Site): Describe the student's specific internship site(s) including the type of site, if healthcare (size and services), and their specific tasks, responsibilities, etc.
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CPE Program: Include a brief description of course modality (online/hybrid), types of activities used (case studies/verbatims, individual/group sessions, and didactic topics), course schedule, etc.
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Articulated Outcomes: List and discuss the student's learning goals for this course/unit. To what extent did the student achieve these goals?
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Peer Group: Briefly identify the peer group by using their initials or first names, faith background, disclosed personal histories, etc. and how you evaluated the student interacting with them.
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Accomplishment of Learning Outcomes
Evaluate how you believe the student met the following learning outcomes. Provide clear and thoughtful responses with specific examples.
CPE 201: Discuss the student’s strengths and limitations and how these affect their pastoral care.
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10- Exceeded the learning outcome.
9.0-Met the learning outcome.
8.0-Making progress toward the learning outcome.
7.0-Minimally addressed the learning outcome.
6.0-Failed to address the learning outcome.
Comment
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CPE 202: Discuss how the student is integrating insights learned from the behavioral and social sciences into pastoral care.
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10- Exceeded the learning outcome.
9.0-Met the learning outcome.
8.0-Making progress toward the learning outcome.
7.0-Minimally addressed the learning outcome.
6.0-Failed to address the learning outcome.
Comment
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CPE 203: Describe how the student has demonstrated awareness of diverse (cultural, gender-related, spiritual, etc.) needs and what they have learned about these.
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10- Exceeded the learning outcome.
9.0-Met the learning outcome.
8.0-Making progress toward the learning outcome.
7.0-Minimally addressed the learning outcome.
6.0-Failed to address the learning outcome.
Comment
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CPE 204: How has the student demonstrated sensitivity to the emotional and spiritual needs of those experiencing crisis or trauma?
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10- Exceeded the learning outcome.
9.0-Met the learning outcome.
8.0-Making progress toward the learning outcome.
7.0-Minimally addressed the learning outcome.
6.0-Failed to address the learning outcome.
Comment
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CPE 205: How has the student utilized spiritual assessments in practice?
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10- Exceeded the learning outcome.
9.0-Met the learning outcome.
8.0-Making progress toward the learning outcome.
7.0-Minimally addressed the learning outcome.
6.0-Failed to address the learning outcome.
Comment
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CPE 206: How is the care provided by the student influenced by their personal theology?
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10- Exceeded the learning outcome.
9.0-Met the learning outcome.
8.0-Making progress toward the learning outcome.
7.0-Minimally addressed the learning outcome.
6.0-Failed to address the learning outcome.
Comment
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CPE 207: Discuss what you have observed regarding the student’s strengths and limitations in asserting personal and pastoral authority.
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10- Exceeded the learning outcome.
9.0-Met the learning outcome.
8.0-Making progress toward the learning outcome.
7.0-Minimally addressed the learning outcome.
6.0-Failed to address the learning outcome.
Comment
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CPE 208: How does the student navigate ethics and specific ethical dilemmas encountered in their clinical practice?
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10- Exceeded the learning outcome.
9.0-Met the learning outcome.
8.0-Making progress toward the learning outcome.
7.0-Minimally addressed the learning outcome.
6.0-Failed to address the learning outcome.
Comment
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CPE 209: Discuss how the student has used innovative approaches to group and individual supervision interactions.
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10- Exceeded the learning outcome.
9.0-Met the learning outcome.
8.0-Making progress toward the learning outcome.
7.0-Minimally addressed the learning outcome.
6.0-Failed to address the learning outcome.
Comment
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CPE 210: How has the student demonstrated engagement with current research in fields such as chaplaincy, people-helping, pastoral care, etc.? Discuss how you have seen this applied.
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10- Exceeded the learning outcome.
9.0-Met the learning outcome.
8.0-Making progress toward the learning outcome.
7.0-Minimally addressed the learning outcome.
6.0-Failed to address the learning outcome.
Comment
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CPE 211: Discuss the student’s understanding of the needs developed in those experiencing grief and loss.
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10- Exceeded the learning outcome.
9.0-Met the learning outcome.
8.0-Making progress toward the learning outcome.
7.0-Minimally addressed the learning outcome.
6.0-Failed to address the learning outcome.
Comment
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CPE 212: Discuss the student’s implementation of self-care strategies.
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10- Exceeded the learning outcome.
9.0-Met the learning outcome.
8.0-Making progress toward the learning outcome.
7.0-Minimally addressed the learning outcome.
6.0-Failed to address the learning outcome.
Comment
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CPE 213: Discuss the role pastoral/spiritual care plays in the life of your clinical setting.
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10- Exceeded the learning outcome.
9.0-Met the learning outcome.
8.0-Making progress toward the learning outcome.
7.0-Minimally addressed the learning outcome.
6.0-Failed to address the learning outcome.
Comment
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CPE 214: Discuss the student’s demonstrated ability in establishing healthy relational boundaries in the clinical, group, and professional settings.
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10- Exceeded the learning outcome.
9.0-Met the learning outcome.
8.0-Making progress toward the learning outcome.
7.0-Minimally addressed the learning outcome.
6.0-Failed to address the learning outcome.
Comment
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CPE 215: Discuss how the student has sought and made use of consultation and support from peers, supervisors, and others.
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10- Exceeded the learning outcome.
9.0-Met the learning outcome.
8.0-Making progress toward the learning outcome.
7.0-Minimally addressed the learning outcome.
6.0-Failed to address the learning outcome.
Comment
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Total Score
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Grade
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Please Select
A= 91-100
B= 81-90
C= 71-80
D= 61-70
F= 0-60
Final Comments
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Summary
This evaluation reflects the student's ability to engage the standards, objectives, and expected outcomes for Clinical Pastoral Education as set forth by Clinical Pastoral Education International (CPEI). This document will be on file with CPEI for five years in accordance with CPEI Standards and will not be released to anyone without permission. The accreditation review site team may have access.
Certification
I certify the student has successfully met the requirements for one course of Clinical Pastoral Education as certified by Clinical Pastoral Education International (CPEI). This evaluation should be read in conjunction with the student’s final self-evaluation to receive a full picture of the educational process that was engaged.
Signature Required
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Supervisor/Educator Signature
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Date Supervisor Signed
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Month
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Day
Year
Date
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