Western Michigan Univeristy School of Social Work

WESTERN MICHIGANUNIVERISTY SCHOOL OFSOCIAL WORK

Field EducationLearning Contract and Evaluation

MSW Concentration-Policy, Planning and Administration (PPA)

Student’s Name:

Phone:

E-mail:

PrimaryField Instructor:

Agency:______

Address:

Phone:

E-mail:

Secondary Field Instructor:

Phone

E-mail:

Faculty Liaison:

Phone

E-mail:

INSTRUCTIONS:

1.Thestudent completes thetop of this document.

2.Thestudent and the fieldinstructor then agreeononeor more agencyor placement specificactivitiesor productsthe studentwill completethat will demonstrate their competencyfor each practicebehaviorand enter theseinto the spaceprovided.

3.Thestudent and the fieldinstructor then print this document and signand date in the spacedesignated as “LearningContract”on the final pageof this document.

4.Thestudent submits thistothe Faculty Liaisonforreview, approval and signature/dateif nochanges areneeded.

5.All parties shouldkeep a copy ofthis document each timeit is changedand/or signed and dated.

6.At the end ofeach semester, field instructors willevaluate thestudent’s levelof competencydemonstrated. Field instructorswill enter

their evaluation ratings for thestudent in the appropriate column on the farright usingthe numericalratingscale providedatthe bottom of each page.

7.Thestudent and the fieldinstructor then print this document and signand date in the spacedesignated as “ Semester Evaluation”on the final pageof this document.

8.Thestudent submits thisto thefacultyliaison forreview, signature and date.

9.All parties shouldkeep a copy ofthis document each timeit is changedand/or signed and dated.

Thisdocument is intended tobeadded to as needed whenapproved bythe Faculty Liaison.

E.P.2.1.1 Competency#1:Identifyasaprofessionalsocialworkerandconductoneselfaccordingly.Socialworkersserveasrepresentativesoftheprofession,
itsmission,anditscorevalues.Theyknowtheprofession’shistory.Socialworkerscommitthemselvestotheprofession’senhancementandtotheirownprofessionalconductandgrowth.
MacroAdvancedPracticeBehaviors / Activitiesorproducts:Howwillyoudemonstrate
thatyouarecompetentineachpracticebehavior? / Date Added / Date Completed / SemesterEvaluation
1st / 2nd
PPAPB1Integratepersonalreflection,self-
correctionandprofessionaldevelopmentinprofessionalleadershiproleinworkingwithorganizationsandcommunities.
PPAPB2Demonstratecapacitytocoordinate
activities,developleadership,anddelegatetasksinworkingwithstaff,committees,orcoalitionstoaddressarangeofhumanandsocietalneeds.

FieldInstructor’sCommentsforFirstSemester:FieldInstructor’sCommentsforSecondSemester:

E.P.2.1.2 Competency#2:Applysocialworkethicalprinciplestoguideprofessionalpractice.Socialworkershaveanobligationtoconductthemselves
ethicallyandengageinethicaldecision-making.Theyareknowledgeableaboutthevaluebaseoftheprofession,itsethicalstandards,andrelevantlaw.
MacroAdvancedPracticeBehaviors / Activitiesorproducts:Howwillyoudemonstrate
thatyouarecompetentineachpracticebehavior? / Date Added / Date Completed / SemesterEvaluation
1st / 2nd
PPAPB3Approachethicaldilemmaswithself-
reflection,appreciationofcomplexityofcontextandunderstandingofdiversityofperspectives:anduseasystematicapproachtoarriveatadecision.

FieldInstructor’sCommentsforFirstSemester:FieldInstructor’sCommentsforSecondSemester: