II-5 PSW Student Questionnaire.docx - PSW STUDENT...

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© N A C C 2 0 1 7 V . 4 Section II. Forms. Student Questionnaire 1 | 3 PSW STUDENT QUESTIONNAIRE The PSW Student Questionnaire is a short-written questionnaire that can be completed by the student at the time of interview and then reviewed and discussed with the student. The questionnaire serves a number of purposes. It: confirms that the student understands the program. demonstrates the student’s ability to write (and spell) in the English language. highlights any program areas which need further discussion and clarification. provides a measure of student suitability for the program; and identifies potential situations (financial, childcare, etc.) which may need to be addressed for the student to be successful. Completed Student Questionnaires (if used by the school) are part of the student’s permanent record and are to be placed in the student’s file.
STUDENT QUESTIONNAIRE PERSONAL SUPPORT WORKER NAME: Lisa DATE: Russ EDUCATION (Grade level completed): College YEAR COMPLETED: 2011 1.

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