Winthrop University
Department of Social Work
FIELD PRODUCTIVITY REPORT
Course: ☐BSW, ☐MSW 612, ☐MSW 622, ☐MSW 632
Student’s Name: _________________________________
Agency: ____________________________________
Field Experiences for the week of: __________________________________________________________________
Hours in Field this week: __________________________
TOTAL ACCUMULATED Hours: __________________
WEEKLY FIELD EXPERIENCES
(Please check all that apply)
DAY:
SUN.
MON.
TUES.
WED.
THURS.
DATE:
Attendance at Meetings (client related,
general staff, in-service, etc.)
Client Interviews by Students
Court Hearings
Documentation: intake, social history
progress notes, termination summary
transfer summary, etc.
Groups Led by Students
Home, hospital or school visits
Observation of Groups
Observations of Interviews by Students
Process Recording/ Referrals
Supervision
Telephone Contacts Made
Trainings/ Conferences
Visits to Other Agencies
Other Activities
TOTAL HOURS PER DAY
Comments:
Student’s Signature
Date
Field Instructor’s Signature
Date
FRI.
SAT.