Mid-term Evaluation of Student Learning Outcomes SCWK 622 Student: _______________________________ Agency Field Instructor: _________________________ Date: Agency: ______________________________________ _______________________________ Section I LIST THE STUDENT’S KEY LEARNING EXPERIENCES AND ASSIGNMENTS THUS FAR Section II CORE COMPETENCIES Use the assessment tool below to rate/asses the student’s progress toward achieving each core competency. Please refer back to the learning contract for competency definitions and corresponding practice behaviors. Core Competency Not Applicable (Student has not had the opportunity to demonstrate skills in this area) Concerns Identified (Student is struggling in this area and is in danger of not achieving competency if not improved) Meeting Expectations (Student is progressing adequately & appropriately; is on target to achieve competency in this area by the end of the course) Exceeding Expectations (Student excels in this area of practice) EP2.1.1- Identify as a professional social worker and conduct oneself accordingly. EP2.1.2- Apply social work ethical principles to guide professional practice. EP2.1.3- Apply critical thinking to inform and communicate professional judgments. EP2.1.4- Engage diversity and difference in practice. EP2.1.7- Apply knowledge of human behavior and the social environment. EP2.1.10 (a & b) - Engagement and assessment with individuals, families, groups, organizations, and communities. Mid-term Field Evaluation Rev. 8/2015 Page 1 of 2 Does the student seem to be fully engaged in this learning experience? Yes No Are there any concerns at this time that need to be corrected/addressed? No Yes If yes, please describe: Key learning activities and assignments to still be completed: The student must sign this evaluation. The student's signature indicates that the student has read the evaluation. Any discrepancies in the student's and field instructor's perception of the student's performance should be noted below and discussed with the Field Director/Field Faculty during the agency site visit. Field Instructor Date Student Date Student's comments: Mid-term Field Evaluation Rev. 8/2015 Page 2 of 2