CUA
The Catholic University of America
National Catholic School of Social Service
Office of Field Education
Washington, DC 20064
202-319-5457
Fax 202-319-5640
Junior BSW Field Evaluation
Student Name: Date:______
Agency: ______Seminar Instructor: ______
Field Instructor: ______
Essential Professional Behaviors / Yes / No- Student reports to field on time.
- Student attends field regularly.
- Student is receptive and open to feedback from field instructor.
- Student handles absences and/or unavoidable lateness responsibly.
For each item below, place the appropriate rating in the space provided, representing the student’s performance at the field placement at the present time. Please use the ratings below to guide your scoring:
1=This practice behavior has not yet emerged as expected
2=This practice behavior is demonstrated at a low/inconsistent level ofcompetence
3=This practice behavior is demonstrated at an emerging level of competence
4=This practice behavior is demonstrated at a good level of competence
5=This practice behavior is demonstrated at a high level of competence
NA =Not applicable to internship experience
IE =Too little experience up to this point to be able to assign any rating
1.Identify as a professional social worker and conduct oneself accordingly:
__Takes initiative for own learning
__Utilizes supervision time constructively
__Consults with field instructor as appropriate
__Accepts feedback and recommendations for further learning
__Understands professional roles and boundaries
__Understands agency recordkeeping methods
2. Apply social work ethical principles to guide professional practice:
__Understands and identifies with theCode of Ethics
__Shows beginning ability to distinguish professional, personal and client values
__Student is knowledgeable about the value base of the profession, its ethical standards, and relevant laws.
3. Apply critical thinking to inform and communicate professional judgments:
__Synthesizesand communicates relevant information
__Distinguishes, appraises, and integrates multiple sources of knowledge, including research-based knowledge and practice wisdom
__Demonstrates effective oral and written communication
4. Engage, assess, intervene, and evaluate with individuals, families, groups, organizations, and communities:
__Demonstrates basic interviewing skills
__Demonstrates ability to establish rapport with client(s)
__Relates to clients in caring manner
__Engages in active listening and empathic responding
In an attachment, thefield instructor is asked to briefly describe the most clearly demonstrated areas of strength and areas for continued development.
The Junior Field Placement is completed in conjunction with 352: Social Work Theory and Practice 1. The student must successfully complete 96 hours in the internship, and the letter grade for the field internship accounts for 20% of the overall course grade.
Recommended grade for field: ______
______
Field Instructor’s Signature Student’s Signature Date
*Agree with Evaluation: ___* Disagree with Evaluation: ___
*In the event that student does not agree with any aspect of this evaluation, he/she may append a statement describing specific disagreements and reasons for them.