Evaluation Form For SW 342 Internship Experience Social Work Practice with Individuals and Families Date:________________ Student Name:_______________________________________________ Agency:_____________________________________________________ Supervisor:___________________________________________________ Course Instructor:_____________________________________________ Number of Hours Completed by Student:____________ Student’s Role (generally):_______________________________________________________________ ____________________________________________________________________________________ As you go through this evaluation, please score your student on each item using an “X,” including “Not Applicable” if suitable. There are 10 items as well as space at the end of the evaluation for your general comments. Once completed, please sign and date the evaluation and return it directly to your student’s professor. Please involve the student in the evaluation process, as it is an important learning experience. The scale provided is based on the Council on Social Work Education’s 10 Core Competencies and uses that language. As beginning learners in many cases the student will have only a certain level of exposure to the practice areas that make up the Core Competencies. Please use your best judgment. Once again, thank you for your support and commitment in shaping the future of the social work profession. We value your partnership and hope to contribute to that in every way possible. If you have questions about the evaluation, please email swfield@monmouth.edu. 1. The student identifies as a social worker and conducts her/himself accordingly. (This can include basic professional skills and behaviors like writing, comportment, conduct and more.) Not Beginning Competent Highly Expert Not Applicable Competent Competent Competent Competence 2. The student is able to apply ethical principles to practice. (This can include things like judgment and decision making, and is often a good topic for supervision.) Not Beginning Competent Highly Expert Not Applicable Competent Competent Competent Competence 3. The student is able to demonstrate critical thinking. (This can include things like problem solving and communicating appropriately in a professional context.) Not Beginning Competent Highly Expert Not Applicable Competent Competent Competent Competence 4. The student engages diversity and difference. (This can include things like demonstrating an appreciation for and comfort with diversity and difference.) Not Beginning Competent Highly Expert Not Applicable Competent Competent Competent Competence 5. The student is able to connect practice to advancing human rights and social and economic justice. (This can include things like an ability to understand the interrelation of wider influences on a practice area and is again, a good topic for supervision.) Not Beginning Competent Highly Expert Not Applicable Competent Competent Competent Competence 6. The student is able to understand the connection between research and practice and vice versa. (This can include things like understanding how theory and scholarship inform intervention.) Not Beginning Competent Highly Expert Not Applicable Competent Competent Competent Competence 7. The student is able to understand principles of human behavior and the social environment. (This can include things like the student’s connecting social forces with behavioral impact.) Not Beginning Competent Highly Expert Not Applicable Competent Competent Competent Competence 8. The student understands policy practice toward advancing wellbeing and the delivery of services. (This can include things like demonstrating an understanding of how wider policy forces, funding mechanisms, laws and changes thereto effect practice. It is also a good topic for supervision.) Not Beginning Competent Highly Expert Not Applicable Competent Competent Competent Competence 9. The student is able to respond to contexts that shape practice. (This can include things like understanding the changes in an area, a population, a technology and even emerging trends that might affect services.) Not Beginning Competent Highly Expert Not Applicable Competent Competent Competent Competence 10. The student is able to demonstrate the ability to intervene, assess, engage and evaluate individuals, groups and communities. (This can include the student demonstrating the beginning skills of a social worker and your observation of that student practicing.) Not Beginning Competent Highly Expert Not Applicable Competent Competent Competent Competence Please discuss some of the student’s strengths: __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ Are there areas of concern that exceed the need for appropriate growth relative to the student’s class level? __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ _________________________________ ____________________________ Supervisor’s Signature Date Thank you for supervising a Monmouth University social work student!