School of Communication Arts

University of Western Sydney

in collaboration with
Nordoff-Robbins Music Therapy Australia
Master of Creative Music Therapy
Clinical lacement Assessment !orm
Unit.
(please put unit name and number)
Name and ID number of Student ..
Name of Facility.
Name of Supervisor..
Date placement commenced..
Date placement was completed.
Signature of supervisor..
Signature of student
Date
"U#$%&#N%S !'R C'M&%T#N" T(% ASS%SSM%NT !'RM
!is form s!ould be completed by t!e supervisor alone and t!en discussed wit! t!e student.
"lease c!oose an individual mar# for eac! assessment category from $ % &$ reflecting t!e
student's level of ability. (dd t!e totals and place in t!e final mar# bo). *ou may leave
categories unmar#ed if you feel you are unable to assess t!e student. !e final average and
grade awarded will ta#e t!is into account.
85-100
An area of strength for this level of training. This grade may also be given to
recognise particular originality or creativity.
75-84 uperior performance together !ith efficient organisation and selectivity.
"5-74
#ood performance sho!ing more than satisfactory achievement for this level of
training.
50-"4 atisfactory performance.
0-4$ %nsatisfactory performance &'ail(
"lease send t!e completed form electronically to+
Dr (lan ,em
S-S( ,ecturer in .reative -usic !erapy
/olden Stave -usic !erapy .entre
,oc#ed 0ag &121
"enrit! Sout! D.
NS3 &121
a.lem4uws.edu.au
If you have no access to email, please send the form to the above address or fax it to:
(02) 47 30 2!!"
"%N%RA& C'N$UCT
5eliability6 punctuality and professional be!aviour

#omments:
(ttitude to supervisory relations!ip and willingness to follow guidance
and instruction
#omments:
/eneral ability to relate to people (clients and non7clients) on placement

#omments:
T(%RA) S*#&&S
8bservation s#ills

#omments:
3illingness and ability to 9uestion6 reflect and comment on t!e wor#
#omments:
Understanding of clinical tec!ni9ues and interventions in t!erapy
#omments:
Understanding of evaluation and assessment procedures
.omments+
3ritten notes in relation to sessions

#omments:
C&#N#CA& MUS#C#ANS(#
"laying pre7composed material
#omments:
Improvisation s#ills
#omments+
:ffective use of voice
#omments:
S#ills in leading sessions
#omments:
S#ills in co7t!erapy
#omments:
What do you consider to be the student+s most developed s,ills-
What do you consider to be the student+s least developed s,ills-
Which s,ills do you thin, the student should wor, on in order of priority-
Any other comments about the student and . or about this assessment-