Seattle University
Criminal Justice Department
Agency Field Experience Evaluation
Student:______
Agency:______
Date:______Quarter:______
I.Describe student’s assignments:
II.Indicate other learning experiences provided:
Evaluate student in the following areas by filling out the given space with one of the following:
A = ExcellentD = Below Average
B = Above AverageF = Poor
C = AverageNA = Not Applicable
III.Knowledge of Agency: did student learn
A. Agency philosophy
B. Agency programs and structures
C. Lines of authority
D. Lines of communication
IV.Community Resources: did student acquire
A. Knowledge of community resources and programs
B. Understanding of referral process
C. Understanding and ability to utilize community resources
V.Application of Knowledge and Values:
A. Understanding and ability to put into criminal justice practice,
social service values
B. Ability to relate knowledge of individual to placement
VI.Integration and Application of Methods and Techniques:
A. Intervention skills
B. Ability to take client’s requests and give appropriate service
C. Ability to communicate effectively with clients and collaterals
D. Ability to communicate effectively with other organizations if required to do so
E. Competency in utilizing interventive processes with individuals/groups or committees
F. Uses authority constructively
VII.Self-Awareness
A. Understanding of own value system and how it can help or hinder student’s role as a helping person
B. Ability to face and manage own feelings
C. Ability to work with clients and personnel of a different background from student’s
D. Ability to identify in the role of a helping person
E. Ability to understand the role of authority and how it influences personal behavior and perception
VIII.Work Skills
A. Ability to organize work load
B. Relationship with co-workers
C. Performance of assigned tasks
D. Ability to work with and learn from staff (co-workers)
E. Use of supervision (i.e. seeks and uses help, accepts criticism, expresses feeling, etc.)
F. Adaptation to agency
G. Ability to communicate effectively in written and oral form
H. Punctuality
IX.What are student’s weak points as revealed in contacts with superiors, staff, and clients?
X.What are the student’s areas of strength?
XI.What is the student’s aptitude for a career in the Criminal Justice program?
XII.Other comments:
Name of person completing form:______
Position in agency:______
Date:______
Student’s signature:______