The Catholic University of America
National Catholic School of Social Service, Office of Field Education
STUDENT FIELD EVALUATION: Foundation MSWs
(First and Second Semesters)
Date: 1st Sem: ______2nd Sem: ______Student ID # :______
Student Name: ______Field Liaison/Seminar Instructor: ______
Field Instructor, Degree & Title: ______
Agency/Program: ______
Instructions:
Submit TWO copies of the Field Evaluation and Log of Hours to your seminar instructor/liaison
GENERAL EXPLANATION OF EVALUATION FORM
This form evaluates the student’s mastery of the practice behaviors in the 10 Core Competencies established by the Council on Social Work Education (CSWE). At the end of the semester, student current progress and performance in the field placement should be reviewed by the student and field instructor. The Evaluation Form should be discussed, signed, and dated by field instructor and student, and submitted to the Seminar Instructor. The student receives a grade each semester for the 3-credit Field Instruction/Integrative Seminar. The final grade is based on Field Instruction (60%) and Seminar work (40%). Grade assignment is in accordance with the University grading system found in the CUA Student Handbook. Students must receive a grade of ‘C’ or above in Seminar and in Field in order to progress to the next semester of Field Instruction. The Seminar Instructor assigns a grade for the semester, based on seminar performance and performance in field, as evaluated by field instructor. The field evaluation makes up 60% of the grade for the course (a minimum grade of ‘C’ or above on field evaluation is equivalent to an average score of ‘3’ on field evaluation).
Note:
If a student receives ratings of No in any of the 4 Essential Professional Behaviors a Student Review will be convened. If there are 5 or more scores of 1 in Practice Behaviors, a Student Review will be convened.
Essential Professional Behaviors
Students are expected to behave professionally in their field placements. Four Essential Professional Behaviors have been identified. Please rate and discuss with your student whether they are exhibiting all of these behaviors:
Essential Professional Behaviors / Yes(Fall) / No
(Fall) / Yes
(Spring) / No
(Spring)
1. Student reports to field on time.
2. Student attends field regularly.
3. Student is receptive and open to feedback from field instructor.
4. Student handles absences and/or unavoidable lateness responsibly.
TEN AREAS OF COMPETENCE
Please rate the student’s level of skill for each practice behavior based on the following scale:
1 = This skill has not yet emerged
2 = This skill is emerging and is demonstrated at a low and inconsistent level
3 = This skill is achieved at a consistent and acceptable level
4 = This skill is performed at an advanced level
5 = This skill is exceptional
NA = Not applicable to internship experience.
IE = Too little experience up to this point to be able to assign any rating
I. Identify as a PROFESSIONAL SOCIAL WORKER and conduct oneself accordingly.
Practice Behaviors / 1st Sem / 2nd Sem1. Student advocates for client access to social work services.
2. Student practices personal reflection and self-correction to assure continual professional development.
3. Student attends to professional roles and boundaries.
4. Student demonstrates professional demeanor in behavior, appearance, and communication
5. Social workers engage in career-long learning
6. Student uses supervision and consultation effectively.
II. Apply social work ETHICAL PRINCIPLES to guide professional practice.
Practice Behaviors / 1st Sem / 2nd Sem1. Social workers recognize and manage personal values in a way that allows professional values to guide practice;
2. Social workers make ethical decisions by applying standards of the National Association of Social Workers Code of Ethics2 and, as applicable, of the International Federation of Social Workers/International Association of Schools of Social Work Ethics in Social Work, Statement of Principles;
3. Social workers tolerate ambiguity in resolving ethical conflicts
4. Social workers apply strategies of ethical reasoning to arrive at principled decisions
III. Apply CRITICAL THINKING to inform and communicate professional judgments.
Practice Behaviors / 1st Sem / 2nd Sem1. Distinguish, appraise, and integrate multiple sources of knowledge, including research-based knowledge, and practice wisdom
2. Analyze models of assessment, prevention, intervention, and evaluation
3. Demonstrate effective oral and written communication in working with individuals, families, groups, organizations, communities, and colleagues
IV. Engage DIVERSITY AND DIFFERENCE in practice.
Practice Behaviors / 1st Sem / 2nd Sem1. Recognize the extent to which a culture’s structures and values may oppress, marginalize, alienate, or create or enhance privilege and power
2. Gain sufficient self-awareness to eliminate the influence of personal biases and values in working with diverse groups
3. Recognize and communicate their understanding of the importance of difference in shaping life experiences
4. View themselves as learners and engage those with whom they work as informants
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V. Advance HUMAN RIGHTS AND SOCIAL AND ECONOMIC JUSTICE.
Practice Behaviors / 1st Sem / 2nd Sem1. Understand the forms and mechanisms of oppression and discrimination
2. Advocate for human rights and social and economic justice
3. Engage in practices that advance social and economic justice
VI. Engage in RESEARCH-INFORMED PRACTICE and PRACTICE-INFORMED RESEARCH.
Practice Behaviors / 1st Sem / 2nd Sem1. Use practice experience to inform scientific inquiry
2. Use research evidence to inform practice
VII. Apply KNOWLEDGE OF HUMAN BEHAVIOR and the social environment.
Practice Behaviors / 1st Sem / 2nd Sem1. Utilize conceptual frameworks to guide the processes of assessment, intervention, and evaluation
2. Critique and apply knowledge to understand person and environment
VIII. Engage in POLICY PRACTICE to advance social and economic well-being and to deliver effective social work services.
Practice Behaviors / 1st Sem / 2nd Sem1. Analyze, formulate, and advocate for policies that advance social well-being
2. Collaborate with colleagues and clients for effective policy action
IX. Respond to CONTEXTS THAT SHAPE PRACTICE.
Practice Behaviors / 1st Sem / 2nd Sem1. Continuously deliver, appraise, and attend to changing locales, populations, scientific and technological developments, and emerging societal trends to provide relevant services
2. Provide leadership in promoting sustainable changes in service delivery and practice to improve the quality of social services
X. ENGAGE, ASSESS, INTERVENE, AND EVALUATE individuals, families, groups, organizations, and communities.
Practice Behaviors / 1st Sem / 2nd SemEngagement
1. Substantively and affectively prepare for action with individuals, families, groups, organizations, and communities
2. Use empathy and other interpersonal skills
3. Develop a mutually agreed-on focus of work and desired outcomes
Assessment
4. Collect, organize, and interpret client data
5. Assess client strengths and limitations
6. Develop mutually agreed-on intervention goals and objectives
7. Select appropriate intervention strategies
Intervention
8. Initiate actions to achieve organizational goals
9. Implement prevention interventions that enhance client capacities
10. Help clients resolve problems
11. Negotiate, mediate, and advocate for clients
12. Facilitate transitions and changes
Evaluation
13. Social workers critically analyze, monitor, and evaluate interventions
To be completed by student:
FALL SEMESTER: In the space below, describe tasks and responsibilities during the Fall Semester. Include information in boxes below as appropriate. Because different field internship sites will offer different activities/tasks/projects over the course of the year, intern may not have had opportunities for a full range of generalist activities by the end of the fall semester – simply complete information as applicable.
Mezzo
Macro
Comments
SPRING SEMESTER: In the space below, please describe new tasks and responsibilities that were assigned during the Spring Semester.
MicroMezzo
Macro
Comments
To be completed by field instructor:
FALL SEMESTER NARRATIVE (Feel free to attach page)
I. Briefly describe the most clearly demonstrated areas of strength and demonstrated areas of ability and development this semester.
II. Briefly describe areas where student should focus on for continued growth and development. Specifically discuss any items of concern.
Please check one of the following:
o Intern is functioning well above midyear expectations of competence for interns.
o Intern is functioning above the midyear expectations of competence for interns.
o Intern is functioning at the midyear expectations of competence for interns.
o Intern is functioning below the midyear expectations of competence for interns.
Recommended (P/F) grade for fall semester: ______
______
Field instructor signature Date
______
Student’s Signature Date Agree w/Evaluation: q *Disagree: q
*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.
To be completed by field instructor:
SPRING SEMESTER NARRATIVE (Feel free to attach page)
I. Briefly describe the most clearly demonstrated areas of strength and demonstrated areas of ability and development this semester.
II. Briefly describe areas where student should focus on for continued growth and development. Specifically discuss any items of concern.
FINAL OVERALL EVALUATION:
Please check one of the following at the end of the spring semester:
o Intern has excelled in field placement by performing well above expectations.
o Intern has exceeded field placement performance expectations.
o Intern has met field placement expectations.
o Intern has demonstrated significant problems in performance in key areas of the foundation year placement.
Recommended (P/F) grade for spring semester: ______
______
Field instructor signature Date
______
Student’s Signature Date Agree w/Evaluation: q *Disagree: q
*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.
Rev. 9/2/2014
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