Defiance College Social Work Program

Defiance College Social Work Program

AGENCY FIELD INSTRUCTOR JUNIOR FIELD EVALUATION

Student: Initial Site Visitation Date:______

Agency

Field Instructor

Mid-Term Date______Final Evaluation Date

Rating scale for evaluation of Field Placement performance

5 / The student is exceeding expected competency in this area for generalist social work practice.
4 / The student is demonstrating expected competency in this area.
3 / The student is demonstrating beginning competency in this area
2 / The student is gaining experience and meeting expectations in this area
1 / The student has not as yet met the expectations in this area, but there is evidence that the student will meet the expectations in the near future.
0 / The student has not met the expectations in this area, and there is not much evidence that the student will meet the expectations in this area in the near future.
N/A / Not applicable, as the student has not had the opportunity to demonstrate competence in this area

2.1.1 Competency: Student identifies as a professional social worker and conducts herself/himself accordingly Evaluation

Practice Behaviors: / Activities to Meet Competency / Date Completed / Midterm / Final
1.1 / Advocate for client access to the services of Social Work
1.4 / Demonstrate professional demeanor in behavior, appearance and communication
1.5 / Engage in career long learning
1.6 / Use supervision and consultation

Instructor Comments

Student Comments

2.1.2 Competency: Student applies social work ethical principles to guide professional practice Evaluation

Practice Behaviors: / Activities to Meet Competency / Date Completed / Midterm / Final
2.1 / Recognize and manage personal values in a way that allows for professional values to guide practice
2.2 / Make ethical decisions by applying standards of the NASW Code of Ethics
2.3 / Tolerate ambiguity in resolving ethical conflicts
2.4 / Apply strategies of ethical reasoning in decision making

Instructor Comments

Student Comments

2.1.3 Competency: Student applies critical thinking to inform and communicate professional judgments Evaluation

Practice Behaviors: / Activities to Meet Competency / Date Completed / Midterm / Final
3.2 / Analyze models of assessment, prevention, intervention, and evaluation
3.3 / Demonstrate effective oral and written communication in working with individuals, families, groups, organizations, and communities

Instructor Comments

Student Comments

2.1.4 Competency: Student engages in diversity and difference in practice Evaluation

Practice Behaviors: / Activities to Meet Competency / Date Completed / Midterm / Final
4.1 / Recognize the extent to which a culture’s structures and values may oppress, marginalize, alienate, or create or enhance privilege and power
4.2 / Gain sufficient self awareness to eliminate the influence of personal biases and values in working with diverse groups
4.3 / Recognize and communicate understanding of the importance of difference in shaping life experiences
4.4 / View self as a learner and engage those with whom one works as informants

Instructor Comments

Student Comments

2.1.5 Advance human rights and social and economic justice Evaluation

Practice Behaviors: / Activities to Meet Competency / Date Completed / Midterm / Final
5.1 / Understand (identify and articulate) the forms and mechanisms of oppression and discrimination

Instructor Comments

Student Comments

Please identify two areas of student strengths and two areas in need of further development.

MIDTERM: FINAL:

Strengths: Strengths:

1. 1.

2. 2.

Development: Development:

1. 1.

2. 2.

Signature for Midterm

Student: Date:

Agency Field Instructor: Date:

College Field Coordinator: Date:

Signature for Final Please circle recommended grade.

Student: Recommended grade: Pass / Fail Date:

Agency Field

Instructor: Recommended grade: Pass / Fail Date:

Signature certifies that student has completed the necessary 140 hours for field

College Field Coordinator: Grade Awarded: Pass / Fail Date: