Student Evaluation of Field Practicum Agency
2010 - 2011
Name of Student
Semester
Name of Agency
1. Please identify two aspects of this placement that you really liked.
2. Please identify two aspects of this placement that you believe could be changed.
3. Please comment in general about the supervision you received.
4. Please rate your experience with the following supervisory skills:
1= Not at
all
2= Not
often
3=No
opinion
4= Often
5=
Frequently
Field Supervisor was available.
Field Supervisor was able to
articulate agency procedures.
Field Supervisor was able to explain
values and ethical practice.
Field Supervisor demonstrated
valuable social work skills.
Field Supervisor met with you
weekly.
Field Supervisor met with you to
complete evaluations.
Comments on any of the rated experiences above:
5.
Will you leave this internship with confidence in your ability to step into a beginning level social
work position? Why or why not?
6. Would you recommend this site to another student? Why or why not?
Please assess your growth in learning with regards to each of the departmental objectives. Rate your
learning on the scale and comment if you wish.
1= Not at all
2= At times
3= Frequently
4= Constantly
1. Identifies as a professional social worker and conducts himself/herself accordingly, through the
use of supervision, consultation, and collaboration.
1
Comments:
2
3
4
2. Applies social work values and ethical principles to guide his or her practice.
1
Comments:
2
3
4
3. Applies critical thinking to inform and communicate professional judgments.
1
Comments:
2
3
4
4. Practice with respect, knowledge, and skill related to clients’ age, class, color, culture, disability,
ethnicity, gender, gender identity and expression, immigration status, political ideology, race,
region, religion, sex, and sexual orientation.
1
2
3
4
Comments:
5. Understand the forms and means of oppression and discrimination, and advance human rights
and social, political, and economic justice.
1
2
3
4
Comments:
6. Engage in research-informed practice and practice-informed research.
1
2
3
4
Comments:
7. Integrate knowledge of human behavior and the social environment into generalist social work
practice.
1
2
3
4
Comments:
8. Engage in creative policy practice to advance social, political, and economic well-being and to
deliver effective social work services.
1
Comments:
2
3
4
9. Engage in skillful communication and historical analysis in order to respond to contexts that
shape practice.
1
Comments:
2
3
4
10. Practice generalist social work effectively with individuals, families, groups, organizations, and
communities, through engagement, assessment, intervention, and evaluation.
1
Comments:
2
3
4