pro

Behavior

Example Actions Observed

Points

0= Never

0.25= Rarely

0.5= Occasionally

1

= Always

Comments

Provide examples of how you demonstrate these behaviors.

Accountability

· Student accepts consequences of own actions

· Student adheres to FNU’s Student Code of Ethics

· Actively seeks feedback regarding progress

· Communicates with Faculty in a timely manner regarding concerns or errors

· Completes all assignments in a timely manner

Attendance

· Student attends all mandatory class sessions

· Student is punctual

Professional Interactions

· Demonstrates respect for peers, instructors and volunteers

· Values input from others

· Contributes to team activities and projects

· Demonstrates Ability to balance own needs with the needs of peers, instructors, volunteers and patients.

· Demonstrates active listening skills and follows instructions provided by faculty carefully and consistently in all areas.

Appearance

· Student comes to class in required uniform and identification.

Duty

· Student is committed to meeting obligations

· Student is cognizant of safety and confidentiality

Integrity

· Adheres to institutional policies and procedures

· Demonstrates honesty and trustworthiness

Communication

· Address program faculty appropriately

· Speaks respectfully to the Institution’s faculty and staff

· Uses respectful language

Always = 100% of the time; occasionally = Greater than 50% of the time but less than 100%;

Rarely = 50% of the time or less; Never = 0% of the time.

Identify at least 3 areas with room for growth:

1.

_________________________________________________________________________________________________________

2.

_________________________________________________________________________________________________________

3.

_________________________________________________________________________________________________________

Goals to improve professional behavior: related to identified areas above.

4.

5.

Plan of action to achieve goals:

1. ________________________________________________________________________________________________________________________________________________________________________________________________________________________

2. ________________________________________________________________________________________________________________________________________________________________________________________________________________________

3. ________________________________________________________________________________________________________________________________________________________________________________________________________________________

4. ________________________________________________________________________________________________________________________________________________________________________________________________________________________

5. ________________________________________________________________________________________________________________________________________________________________________________________________________________________