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 PAGE \* MERGEFORMAT 9 INTERPERSONAL PROFESSIONAL RELATIONSHIPS COMPETENCY Rating Form Trainee Name:  Name of Placement:  Date Evaluation Completed:Name of Person Completing Form (please include highest degree earned):Licensed Psychologist: Yes No Was this trainee supervised by individuals also under your supervision? Yes No Type of Review:Initial Review Mid-placement reviewFinal ReviewOther (please describe): Dates of Training Experience this Review Covers: _____ Training Level of Person Being Assessed: Year in Doctoral Program: Intern:  Select the column corresponding to the training level of the person being assessed. Rate items in that column by responding to the following question using the scale below: How characteristic of the trainee’s behavior is this competency description? Not at All/SlightlySomewhatModeratelyMostlyVery01234If you have not had the opportunity to observe a behavior in question, please indicate this by circli...