Mid-Year Field Evaluation Foundation

Mid-Year Field Evaluation Foundation

Mid-Year Field Evaluation Foundation

Name of Agency: Field Instructor:

Student’s Name: Semester and Year:

Please rate the student’s progress to date for each of the Core Competencies. The Practice Behaviors are listed, but for the mid-year evaluation they do not need to be assessed individually. If the Field Instructor assesses the student to be progressing slowly or fails to show progress, the student needs to attach an addendum to this assessment outlining what they plan to do to become competent in these areas before the final evaluation. Please make comments in the section below if you think additional information may be helpful.

2.1.1 Identify as a Professional Social Worker and Conduct Oneself Accordingly
Practice Behaviors
a. advocates for client access to the services of social work;
b. practices personal reflection and self-correction to assure continual professional development;
c. attends to professional roles and boundaries;
d. demonstrates professional demeanor in behavior, appearance, and communication;
e. prepares to engage in career-long learning; and
f. uses supervision and consultation. / Assessment
Fails to show progress
Is progressing slowly
Is progressing at an adequate pace
Is progressing rapidly
Will be completed second part of the semester / Basis for Assessment (check all that apply)
Direct observation
Direct interactions with student
Review of written work
Feedback from others
Other
Comments
2.1.2 Apply Social Work Ethical Principles to Guide Professional Practice
Practice Behaviors
a. recognizes and manages personal values in a way that allows professional values to guide practice;
b. makes ethical decisions by applying standards of the National Association of Social Workers Code of Ethics
c. tolerates ambiguity in resolving ethical conflicts;
d. applies strategies of ethical reasoning to arrive at principled decisions. / Assessment
Fails to show progress
Is progressing slowly
Is progressing at an adequate pace
Is progressing rapidly
Will be completed second part of the semester / Basis for Assessment (check all that apply)
Direct observation
Direct interactions with student
Review of written work
Feedback from others
Other
Comments
2.1.1 Identify as a Professional Social Worker and Conduct Oneself Accordingly
Practice Behaviors
a. advocates for client access to the services of social work;
b. practices personal reflection and self-correction to assure continual professional development;
c. attends to professional roles and boundaries;
d. demonstrates professional demeanor in behavior, appearance, and communication;
e. prepares to engage in career-long learning; and
f. uses supervision and consultation. / Assessment
Fails to show progress
Is progressing slowly
Is progressing at an adequate pace
Is progressing rapidly
Will be completed second part of the semester / Basis for Assessment (check all that apply)
Direct observation
Direct interactions with student
Review of written work
Feedback from others
Other
Comments
2.1.3 Apply Critical Thinking to Inform and Communicate Professional Judgments
Practice Behaviors
a. distinguishes, appraises, and integrates multiple sources of knowledge, including research-based knowledge, and practice wisdom
b. analyzes models of assessment, prevention, intervention, and evaluation; and
c. demonstrates effective oral and written communication in working with individuals, families, groups, organizations, communities, and colleagues. / Assessment
Fails to show progress
Is progressing slowly
Is progressing at an adequate pace
Is progressing rapidly
Will be completed second part of the semester / Basis for Assessment (check all that apply)
Direct observation
Direct interactions with student
Review of written work
Feedback from others
Other
Comments
2.1.4 Engage Diversity and Difference in Practice
Practice Behaviors
a. recognizes the extent to which a culture’s structures and values may oppress, marginalize, alienate, or create or enhance privilege and power;
b. gained sufficient self-awareness to eliminate the influence of personal biases and values in working with diverse groups;
c. recognizes and communicates their understanding of the importance of difference in shaping life experiences; and
d. views themselves as learners and engages those with whom they work as informants. / Assessment
Fails to show progress
Is progressing slowly
Is progressing at an adequate pace
Is progressing rapidly
Will be completed second part of the semester / Basis for Assessment (check all that apply)
Direct observation
Direct interactions with student
Review of written work
Feedback from others
Other
Comments
2.1.5 Advance Human Rights and Social And Economic Justice
Practice Behaviors
a. understands the forms and mechanisms of oppression and discrimination;
b. advocates for human rights and social and economic justice; and
c. engages in practices that advance social and economic justice. / Assessment
Fails to show progress
Is progressing slowly
Is progressing at an adequate pace
Is progressing rapidly
Will be completed second part of the semester / Basis for Assessment (check all that apply)
Direct observation
Direct interactions with student
Review of written work
Feedback from others
Other
Comments
2.1.6 Engage in Research-Informed Practice and Practice-Informed Research
Practice Behaviors
a. uses practice experience to inform scientific inquiry; and
b. uses research evidence to inform practice / Assessment
Fails to show progress
Is progressing slowly
Is progressing at an adequate pace
Is progressing rapidly
Will be completed second part of the semester / Basis for Assessment (check all that apply)
Direct observation
Direct interactions with student
Review of written work
Feedback from others
Other
Comments
2.1.7 Apply Knowledge of Human Behavior and the Social Environment
Practice Behaviors
a. utilizes conceptual frameworks to guide the processes of assessment, intervention, and evaluation; and
b. critiques and applies knowledge to understand person and environment. / Assessment
Fails to show progress
Is progressing slowly
Is progressing at an adequate pace
Is progressing rapidly
Will be completed second part of the semester / Basis for Assessment (check all that apply)
Direct observation
Direct interactions with student
Review of written work
Feedback from others
Other
Comments
2.1.8 Engage in Policy Practice to Advance Social and Economic Well-Being
and to Deliver Effective Social Work Services.
Practice Behaviors
a. analyzes, formulates, and advocates for policies that advance social well-being; and
b. collaborates with colleagues and clients for effective policy action. / Assessment
Fails to show progress
Is progressing slowly
Is progressing at an adequate pace
Is progressing rapidly
Will be completed second part of the semester / Basis for Assessment (check all that apply)
Direct observation
Direct interactions with student
Review of written work
Feedback from others
Other
Comments
2.1.9 Respond to Contexts that Shape Practice
Practice Behaviors
a. continuously discovers, appraises, and attends to changing locales, populations, scientific and technological developments, and emerging societal trends to provide relevant services; and
b. provides leadership in promoting sustainable changes in service delivery and practice to improve the quality of social services. / Assessment
Fails to show progress
Is progressing slowly
Is progressing at an adequate pace
Is progressing rapidly
Will be completed second part of the semester / Basis for Assessment (check all that apply)
Direct observation
Direct interactions with student
Review of written work
Feedback from others
Other
Comments
2.1.10 Engage, Assess, Intervene, and Evaluate with Individuals, Families, Groups, Organizations, and Communities
2.1.10 a Engagement
Practice Behaviors
a. substantively and affectively prepares for action with individuals, families, groups, organizations, and communities;
b. uses empathy and other interpersonal skills; and
c. develops a mutually agreed-on focus of work and desired outcomes. / Assessment
Fails to show progress
Is progressing slowly
Is progressing at an adequate pace
Is progressing rapidly
Will be completed second part of the semester / Basis for Assessment (check all that apply)
Direct observation
Direct interactions with student
Review of written work
Feedback from others
Other
Comments
2.1.10 b Assessment
Practice Behaviors
a. collects, organizes, and interprets client data;
b. assesses client strengths and limitations;
c. develops mutually agreed-on intervention goals and objectives; and
d. selects appropriate intervention strategies. / Assessment
Fails to show progress
Is progressing slowly
Is progressing at an adequate pace
Is progressing rapidly
Will be completed second part of the semester / Basis for Assessment (check all that apply)
Direct observation
Direct interactions with student
Review of written work
Feedback from others
Other
Comments
2.1.10 c Intervention
Practice Behaviors
a. initiates actions to achieve organizational goals;
b. implements prevention interventions that enhance client capacities;
c. helps clients resolve problems;
d. negotiates, mediates, and advocates for clients; and
e. facilitates transitions and endings. / Assessment
Fails to show progress
Is progressing slowly
Is progressing at an adequate pace
Is progressing rapidly
Will be completed second part of the semester / Basis for Assessment (check all that apply)
Direct observation
Direct interactions with student
Review of written work
Feedback from others
Other
Comments
2.1.10 d Evaluation
Practice Behaviors
a. critically analyzes, monitors, and evaluates interventions. / Assessment
Fails to show progress
Is progressing slowly
Is progressing at an adequate pace
Is progressing rapidly
Will be completed second part of the semester / Basis for Assessment (check all that apply)
Direct observation
Direct interactions with student
Review of written work
Feedback from others
Other
Comments
2.1.11 Engage in practice which is consistent with the needs and the culture of the region
Practice Behaviors
a.  develop awareness of one’s own culture and recognize how it enhances or reduces power
b.  critically analyze the relationships of the regional Appalachian culture to urban cultures
c.  utilize information about the regional Appalachian culture to guide the process of advocacy, engagement,
assessment, intervention, and evaluation. / Assessment
Fails to show progress
Is progressing slowly
Is progressing at an adequate pace
Is progressing rapidly
Will be completed second part of the semester / Basis for Assessment (check all that apply)
Direct observation
Direct interactions with student
Review of written work
Feedback from others
Other
Comments

Overall, do you assess this student as progressing at an adequate pace?

Are there problems with the student’s work practice skills or behaviors that should receive attention now?

Other comments?

Signatures

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Field Instructor Date

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Student Date

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Seminar Instructor Date

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Agency MSW Supervisor Date

(If different from Field Instructor)

Updated 2/25/13