Department of Social Work
SOWK410: Social Work Practice with Individuals, Families, and Groups
Student Performance Evaluation in Pre-Field Agency
Student:
Agency:
Supervisor(s):
Please describe the assignments the student had during the pre-field experience. (For example,
describe any interactions the student may have had with clients in your agency. Were there any
opportunities for agency participation, such as staff meetings, conferences, consultation with
staff, in-service training, etc.? Include any “special projects” assigned to the student.)
Please provide an overall assessment / evaluation of the student’s performance. Cite examples
when appropriate.
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Please rate the student’s performance on each of the following dimensions using the following
scale. If you did not have an opportunity to observe the student on a dimension, please write
“n/o” (not observed).
0
2
4
6
8
10
Very poor
poor
adequate
good
very good
superb
Selfconfidence
0
1
2
3
4
5
6
7
8
9
10
Initiative
0
1
2
3
4
5
6
7
8
9
10
Emotional
maturity
0
1
2
3
4
5
6
7
8
9
10
Dependability
0
1
2
3
4
5
6
7
8
9
10
Time
Management
0
1
2
3
4
5
6
7
8
9
10
Communication
Skills
0
1
2
3
4
5
6
7
8
9
10
Enthusiasm
0
1
2
3
4
5
6
7
8
9
10
Critical thinking
0
1
2
3
4
5
6
7
8
9
10
Self-awareness
0
1
2
3
4
5
6
7
8
9
10
Commitment to
social work
values / ethics
0
1
2
3
4
5
6
7
8
9
10
Appreciates
diversity
0
1
2
3
4
5
6
7
8
9
10
Knowledge of
generalist social
work practice
0
1
2
3
4
5
6
7
8
9
10
Use of supervision
0
1
2
3
4
5
6
7
8
9
10
Writing skills
0
1
2
3
4
5
6
7
8
9
10
Ability to establish
rapport with clients 0
1
2
3
4
5
6
7
8
9
10
Ability to empathize
with clients
0
1
2
3
4
5
6
7
8
9
10
Working relationships
with staff
0
1
2
3
4
5
6
7
8
9
10
Understanding of
agency mission
1
2
3
4
5
6
7
8
9
10
0
Supervisor:
Date:
Student:
Date: