Field Instructor Evaluation of the Program
Stockton University Social Work Program
201_-201_
Instructions: Your help in assessing the quality of field education for Stockton University Social Work Program Students (Juniors and Seniors) would be appreciated. We sincerely appreciate your commitment and partnership in the best interest of social work education. Please return completed form by ______
SECTION 1: DEMOGRAPHIC QUESTIONS
1)How many students did you provide field instruction to during this past academic year?
______
2)How many years have you been a field instructor for Stockton University?
______
3)How many Stockton University field instructor trainings have you attended?
______
4)Are you SIFI (Seminar in Field Instruction) certified through Stockton or another Social Work Program? Yes _____ No _____
5)How many times did the field liaison (either Douglas Deane, Hilda Rivera or Christine Lill) visit your site? ______
6)How many times did the field liaison telephone or e-mail you to discuss the student’s performance? ______
BSWMSW
PhD
Other: ______
CSW
LSW
LCSW
Other: ______
7)Please indicate all the degrees 8) Please indicate all of the certifications that you have been awarded that you have been awarded
Instructions: Select only one numbered response for
each statement.
/ Strongly Disagree /Disagree
/Neutral
/Agree
/ Strongly AgreeSECTION 2: ASSESSMENT QUESTIONS
/ 1 / 2 / 3 / 4 / 59 / I am interested in obtaining a SIFI certificate
10 / I am interested in attending our field instructor orientation and training? (18 Free CEUs offered every summer)
11 / The student intern was adequately prepared to begin the field experience
12 / The student intern received an orientation to the agency
13 / The student intern was provided with regular and consistent supervision
14 / The student’s performance, attendance, attitude toward the field experience was at the level expected of an intern
15 / I was provided with sufficient material to understand the goals and objectives of the Social Work program
16 / I was prepared to understand the social work program’s practice behaviors and competency areas
17 / I understand how the field curriculum relates to the practice behaviors and competency areas
18 / I was able to assist the student in connecting actual agency activities and experiences with the behaviors and competencies?
19 / The contacts I had with the field liaison were helpful.
20 / The field manual was a helpful resource.
21 / I am willing to continue as a field instructor for the social work program
SECTION 3: COMMENTS
22) What were some of the things you liked the most about the field experience? ______
______
______
______
23) What suggestions do you have to strengthen the field experience? ______
______
______
______
23) Is there anything our field liaison could do to help you make the field experience more successful?
______
______
______
______
Instructions: This section of the evaluation form is
focused on investigating the effectiveness of the junior
field placement experience, and how well it prepares
students for the senior field placement experience. Under
the old model, students were expected to intern at a field
agency for 90 hours. Under the new model, students
complete more coursework that exposes them to the
expectations of field, with fewer hours spent in the field.
Please respond to the following items concerning your
perceptions of these two different field models
/ Strongly Disagree /Disagree
/Neutral
/Agree
/ Strongly AgreeSECTION 4: THE JUNIOR FIELD PLACEMENT
/ 1 / 2 / 3 / 4 / 524 / I am satisfied with the old junior field model, where students were expected to work at a field agency for 90 hours
25 / I believe the old junior field model adequately prepared students for their senior field placement
26 / I am satisfied with the newer field model, where students complete more coursework that exposes them to the expectations of field, with fewer hours spent in the field
27 / I believe the newer junior field model adequately prepared students for their senior field placement
28 / If you prefer the old model, would you be able to accommodate a 90-hour junior field placement? / Yes No
You can email the completed form back to or mail to or submit on TK20 per instructions and link provided:
Stockton University
SOBL-Douglas Deane
101 Vera King Farris Drive
Galloway, NJ 08205
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