Horry-Georgetown Technical College Physical Therapist Assistant Program Professional Behaviors Self Assessment (1.2.2) Student Name:
____________________________________________________
NOTE TO THE STUDENT: Honest self assessment is essential to growth. Please fill out the following form after giving serious in-depth and honest thought to your performance and/or growth in the following areas. For each major category, you will find a list of observable behaviors. You MUST choose two (2) behaviors that you feel are areas of strength and two (2) behaviors that you feel you need to improve upon. Lastly you must provide a written commentary on the areas of strength and strategies that you will implement to strengthen the areas in need of improvement. Note that no academic grade will be based on anything you write on this form. It is meant to be a tool for you to use for your own improvement. You will need to include this form in your employment portfolio, so keep it for later use. If you feel that you need to talk with a faculty member about your self-assessment either before you complete it or after you receive faculty input in response to your self-assessment, please make an appointment to do so.
Student Signature ___________________________________ Date _____________
Faculty Signatures:
______________________________________________ Date _____________ Program Director
______________________________________________ Date _____________ ACCE
The Science of Healing: The Art of Caring Revised July 2011 81