BSW Field Internship - Learning Contract & Evaluations – Internship #1 Appendix G
School of Social Work
Student Name: __________________________________________________________
Field Instructor(s): _______________________________________________________
Email: ___________________________________ Telephone: ____________________
Agency Mentor (where no on-site Field Instructor):_____________________________
Email: ___________________________________ Telephone: ____________________
Field Setting: __________________________________________________________
Students are required to:
 complete a 350 hour field internship typically during a four day week over the course of
 a semester (minimum 11 weeks); meet with their field Instructor on a weekly basis in a 1.5 hour block for field
instruction;
 demonstrate professional behaviour and competence as evidenced by meeting or exceeding the objectives contained in the six outcome goal areas in this document; demonstrate professional and ethical behavior as described in the bolded learning 
objectives in this document;
 adopt dress and communication styles appropriate to the field setting; and
 abide by safety standards, policies, and procedures of the field setting.
Failure to do so may jeopardize successful completion of the BSW field internship.
The overall goal of the 1st internship is to provide students with a beginning level of
competence in social work practice, with emphasis on the development of self-awareness and professional use of self, beginning ability to implement planned interventions with diverse populations, and an appreciation for social justice activities.
In all field documents, service recipient (client) refers to "a person, family, group of persons, incorporated body, association or community on whose behalf a social worker provides or agrees to provide a service or to whom the social worker is legally obligated to provide a service."
(CASW Code of Ethics, 2005)
LEARNING CONTRACT:
The learning contact specifies the responsibilities of the student and field instructor in the field internship, assists in the formulation of an individual educational plan, and ensures the student has appropriate opportunities to learn and demonstrate social work values, knowledge, and/or skills on each of the identified evaluation criteria. The learning contract forms the basis for the mid-term and final evaluation.
Responsibility for completing the contract is shared between the student, field instructor, and agency mentor (where there is no onsite field instructor). All listed objectives and activities
are mandatory. The student is expected to consult with the field instructor to identify additional learning activities for each objective, specific to the field setting.
The contract
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BSW Field Internship - Learning Contract & Evaluations – Internship #1 Appendix G is negotiated, completed, and signed by the student, field instructor, and agency mentor (where appropriate), and approved by the field liaison. It is reviewed at midterm and may be revised at any point in the internship.
Copies of the typed contract, including any revisions, are kept by the student and the field instructor, and submitted electronically in Microsoft Word (doc/docx) or Rich Text Format
(rtf) to Lisa Muise, field secretary, at lmuise@mun.ca
, on or before the fifteenth day of the
field internship.
MIDTERM and FINAL EVALUATION:
The midterm evaluation outlines six outcome areas reflecting a comprehensive array of social work values, knowledge, and skills students are expected to achieve during their field experience.
The stated objectives represent minimum requirements for the first field internship.
Copies of the typed evaluations are kept by the student and the field instructor, and submitted
electronically in Microsoft Word (doc/docx) or Rich Text Format (rtf) to Lisa Muise, field secretary, at lmuise@mun.ca
. The midterm evaluation is due at the end of the 6 th week of the internship and the final evaluation is due during the last week of the internship.
Please mark the scale number that most accurately reflects student performance. Add
detailed comments about each outcome area. The items bolded within the form represent
suitability criteria (refer to Appendix SF-2), in which students must achieve a minimum rating
of 3 (meets performance expectations) to receive a grade of PAS in the final evaluation.
GRADING SCALE:
5
4
3
2
1
Exceptional – consistently exhibits:
 Comprehensive knowledge of theory and skills;
 High degree of creativity and critical thinking;
 Superior analytical skills; and
 Outstanding communication skills
Above Average – Consistently exhibits:
 Considerable knowledge of theory and skills;
 Moderate degree of creativity and critical thinking;
 Very good analytical skills; and
 Very good communication skills
Meets Performance Expectations – Consistently exhibits:
 Acceptable level of theory and skills;
 Some degree of creativity and critical thinking;
 Good analytical skills; and
 Good communication skills
Needs Improvement – Consistently exhibits:
 Minimal level of theory and skills;
 Inadequate degree of creativity and critical thinking;
 Insufficient analytical skills; and
 Some limitations in communication skills
Unsatisfactory – Consistently exhibits:
 Inadequate level of theory and skills;
 Failure to demonstrate any degree of creativity and critical thinking;
 Inability to apply analytical skills; and
 Inability to effectively use communication skills
90%+
75% - 89%
65% - 74%
50% - 64% (Fail)
<50% (Fail)
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BSW Field Internship - Learning Contract & Evaluations – Internship #1 Appendix G
RECORDINGS/DOCUMENTATION:
Students are required to complete a minimum of six recording activities, including any combination of the following, at least two different types. Please indicate the number of
recordings you plan to complete in the following areas. (Refer to the BSW field manual and resource manual for descriptions and examples of recordings.)
Agency documentation _____ Audio recordings _____ Community/Needs assessments _____
Critical analysis of meetings _____ Event planning and coordination _____ Group work recordings _____
Observation and analysis of intervention _____ Process recordings _____ Program/project recordings _____
Reflections on direct observations _____ Video recordings _____
In addition to the above recording requirements, this document outlines six outcome areas reflecting a comprehensive array of social work values, knowledge, and skills students are expected to achieve during their field experience. The stated objectives represent minimum
requirements for the internship.
OUTCOME 1:
To Function Efficiently and Effectively Within Field Setting and
Community Context
Mid
5-1
Final
5-1
Objectives: By the end of the FIRST internship the student is expected to demonstrate an ability to:
1.1 explain field setting mandates, programs, services, policies, and procedures.
Review policy/procedure manual or equivalent
Review organizational chart or equivalent
Review website/pamphlets
1.2 identify the specific needs/concerns and requirements of the people served by the field setting / community and how programs and procedures to achieve the goals.
Visit and/or explore the roles of agencies relevant to the internship
Talk with field setting staff about needs of service recipients (individuals, families, groups, organizations, communities)
Read material relevant to service recipients to discover characteristics and needs
Learn the benefits, strengths, and challenges of programs and services
Outline the details of programs and services
1.3 participate in the work of the field setting / community in an ethical and effective manner.
Review the CASW Code of Ethics and guidelines for practice
Identify likely challenges to the Code in the field setting/community
Discuss ethical issues/dilemmas with field instructor and field setting staff
1.4 meet field setting / community standards for documentation
Review course material on assessment and recording practices
Identify recording techniques relevant to the field setting
Explain the importance of social work recording in relation to field setting requirements and provincial legislation
Complete recordings assigned by the field instructor/field setting staff
Discuss quality of recording with field instructor
Meet deadlines for field setting recording/documentation
1.5 describe sources of oppression within the field setting, community, and her/himself.
Listen to concerns expressed by service recipients reflecting oppressive practices
Participate in staff meetings and identify possible oppressive practices reflected in staff concerns
Request feedback from field instructor about personal behaviors that may be oppressive
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BSW Field Internship - Learning Contract & Evaluations – Internship #1 Appendix G
Talk with field instructor about personal biases and beliefs that promote oppression
Examine and discuss with field instructor cultural influences that affect ability to adopt an antioppressive stance
Identify services and programs available to diverse populations
1.6 explain the skills of advocacy at individual, organizational, and societal levels of practice.
Observe how advocacy occurs within the field setting and within services outside the field setting
Talk with advocates about the processes they use
Identify effective advocacy techniques
Share observations and discoveries with field instructor
1.7 work effectively as a member of the team
Review course or other material on factors contributing to effective team functioning
Talk with field instructor about how to be a contributing team member
Solicit feedback on her/his role as a team player from team/colleagues and field instructor
Shadow agency staff
Identify organizational factors, societal beliefs, group norms and individual beliefs impacting team functioning
Identify role overlap and complementarities during field instruction
Explore the roles of colleagues and the appropriate means of establishing relationships with them
Midterm comments on functioning efficiently and effectively within a field setting and community context:
Final comments on functioning efficiently and effectively within a field setting and community context:
OUTCOME 2:
To Function Effectively within a Teaching and Learning Context
Objectives: By the end of the FIRST internship the student is expected to demonstrate an ability to:
2.1 engage in the internship as an adult learner as evidenced by independent learning and selfdirection
Prepare for daily tasks within the field setting
Seek learning opportunities by meeting with field instructor and staff to identify appropriate learning experiences/work assignments
Identify and regularly discuss with field instructor course material relevant to field setting
2.2 prepare for and participate actively in weekly field instruction sessions
Prepare proposed agendas for field instruction sessions
Prepare questions and issues for discussion in field instruction
Complete and submit all journals and recording in a timely fashion
Regularly attend and participate actively in field instruction sessions
Identify learning needs in discussion with field instructor
2.3 transfer knowledge from one situation to another
Examine topics from courses and readings - identify how these are relevant in field setting
Reflect on personal experiences having relevance to practice in field setting
Incorporate knowledge into work with service recipients and identify this knowledge in discussion with field instructor
Incorporate knowledge into interactions with colleagues and identify this knowledge in discussion with field instructor
Midterm comments on functioning effectively within a teaching and learning context:
Mid
5-1
Final
5-1
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BSW Field Internship - Learning Contract & Evaluations – Internship #1 Appendix G
Final comments on functioning effectively within a teaching and learning context:
OUTCOME 3:
To Function Effectively Utilizing Theory and Knowledge
Objectives: By the end of the FIRST internship the student is expected to demonstrate an ability to:
3.1 identify theories used in practice
Observe field setting staff at work and identify the theories/approaches used to achieve goals
Read material about approaches to populations served by the field setting
3.2 apply theoretical concepts from social work and other courses
Identify the concepts most relevant to field setting practice
Select and apply concepts to be used in specific interventions
Obtain feedback from field instructor and field setting staff on the application of theory
3.3 identify and implement strategies for respectfully sharing knowledge with field setting staff and service recipients
Provide at least one presentation to field setting staff/volunteers on a mutually selected topic
Offer ideas and concepts during discussions with colleagues
Midterm comments on functioning effectively utilizing theory and knowledge:
Final comments on functioning effectively utilizing theory and knowledge:
OUTCOME 4:
To Function with Appropriate Self-Awareness
Objectives: By the end of the FIRST internship the student is expected to demonstrate an ability to:
4.1 utilize reflective thinking and relate knowledge derived from personal/familial experiences to practice situations
Devote time each week to consideration of how personal experiences have positively and negatively influenced practice
Enter insights about personal influences into weekly log
Reflect on differences and similarities between self and service recipients
Observe how personal cultural and social experiences affect work with service recipients
4.2 modify personal behaviours which inhibit or prevent the development and maintenance of positive relationships
Identify personal behaviors inhibiting building and maintaining relationships
Seek feedback from colleagues and service recipients about the quality of her/his relationships
Explore with field instructor strategies to address behaviors, personal issues
Read field setting material and other resources focused on addressing personal and professional issues
Consult with field instructor to select strategies for application to behavioural issues/challenging situations
Review material on team skills, group dynamics, and relationship-building strategies
4.3 establish relationship boundaries conforming to the CASW Code of Ethics and the expectations of the field setting / community
Review the sections of the Code addressing boundary issues
Identify potential and existing sources of boundary problems in relationships
Mid
5-1
Mid
5-1
Final
5-1
Final
5-1
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BSW Field Internship - Learning Contract & Evaluations – Internship #1 Appendix G
Discuss boundary issues with field instructor
4.4 express awareness of strengths and areas for growth.
Identify personal and professional strengths and challenges in weekly logs
Solicit feedback from field instructor about strengths and areas for growth
Identify areas where she/he can perform independently and where she/he needs assistance
4.5 use self-disclosure in an ethical manner.
Talk with field instructor about the type of self-disclosure appropriate to the field setting
Review course material and Code of Ethics sections related to self-disclosure
Decide on the level of disclosure appropriate in interactions with service recipients and colleagues
4.6 develop and implement strategies for self-care
Review course material and other resources on self-care strategies
Talk with field instructor about self-care strategies
Select preferred strategies and record in weekly log
Plan and implement self-care strategies
Midterm comments on functioning with appropriate self-awareness:
Final comments on functioning with appropriate self-awareness:
OUTCOME 5:
To Function within a Professional Context
Objectives: By the end of the FIRST internship the student is expected to demonstrate an ability to:
5.1 demonstrate understanding of and respect for social work’s purpose, values,
ethical principles, and roles in the field setting / community
Incorporate social work values and principles into discussions within the field setting
Identify and discuss with field instructor situations, issues, policies, and procedures where social work values/principles are not evident
Describe in weekly log instances when social work values/principles are applied with service recipients and colleagues
Review information on the roles of social work in field setting and other settings
Describe and discuss with field instructor her/his insights about roles
5.2 demonstrate how political issues impact social work practice
Review government programs and polices relevant to field setting mandate
Identify and describe in weekly log the politics influencing field setting practice
Participate in discussions on the impact of political issues on practice
5.3 incorporate into practice the values and principles underlying the CASW Code of
Ethics
Review field setting standards regarding safety, dress code, and respectful workplace behavior
Review with staff formal and informal behavioral norms
Regularly identify and record in weekly logs examples of the use of ethical principles in interventions
Analyze at least one of the required recordings to identify and discuss ethical principles that are or should be present in the recordings.
Identify and discuss with field instructor ethical issues/dilemmas emerging in practice
5.4 understand the value of critical thinking and analysis to collaborative practice
During meetings, identify examples of critical thinking and track the impact to the outcome of the meeting
Talk with field instructor to identify ways to improve critical thinking skills
Analyze interventions to identify strengths and areas for improvement
Mid
5-1
Final
5-1
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BSW Field Internship - Learning Contract & Evaluations – Internship #1 Appendix G
Midterm comments on functioning within a professional context:
Final comments on functioning within a professional context:
OUTCOME 6:
To Function Utilizing Social Work Practice Principles and Methods
Objectives: By the end of the FIRST internship the student is expected to demonstrate an ability to:
6.1 develop respectful working relationships with service recipients/communities
using ethical sensitivity and commitment to social justice
Identify relationship-building skills appropriate for working with diverse populations
Talk with field instructor about the ways in which ethical principles affect relationship building
Provide information to service recipients to ensure they understand their rights
6.2 select and apply theories and interventions appropriate to access needs of people served by the field setting
Engage in planning for assessments, including identifying theories to be used
Talk with staff and field instructor about approaches to be used and the appropriateness of those approaches
Shadow staff who are completing assessments to observe integration of theory and practice
Use assessment skills (individual, family, group, organization ,community) to understand the needs, strengths, and goals of service recipients
Consult with field instructor to evaluate the assessment and the relevance and effectiveness of specific theories
6.3 implement planned interventions reflecting appropriate knowledge and skills within at least two practice areas: individuals, families, groups, committees, organizations, and communities
Shadow staff/field instructor to observe interventions
Consult with field instructor to select interventions and service recipients from above list
Provide intervention
Discuss the nature of interventions appropriate to field setting mandate (i.e., number of interviews, groups meetings)
Review field setting procedures and relevant techniques for coordination and management
6.4 apply anti-oppressive principles in practice
Discuss with field instructor about how to integrate anti-oppressive principles into practice
Apply anti-oppressive principles and practices during interventions
Midterm comments on functioning utilizing social work practice principles and methods:
Final comments on functioning utilizing social work practice principles and methods:
Mid
5-1
Final
5-1
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BSW Field Internship - Learning Contract & Evaluations – Internship #1 Appendix G
School of Social Work
Completing this page indicates that both the student and field instructor have read this document.
STUDENT:
Name: ________________________________________________________________________
Date: _________________________________________________________________________
FIELD INSTRUCTOR / AGENCY MENTOR:
Name: ________________________________________________________________________
Date: _________________________________________________________________________
Please complete electronically, save, and email the learning contract as an attachment to
Lisa Muise, field secretary, at lmuise@mun.ca
.
FIELD LIAISON:
Name : _______________________________________________________________________
Date Reviewed: __________________________________________________________________
Memorial University protects your privacy and maintains the confidentiality of your personal information. The information requested in this form is collected under the general authority of the Memorial University Act (RSNL 1990 Chapter M-7) and is required for facilitating your BSW Field Internship, academic administration and BSW program planning. Questions about this collection and use of personal information may be directed to the BSW Field Coordinators by calling the field secretary at 709-864-2556.
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BSW Field Internship - Learning Contract & Evaluations – Internship #1 Appendix G
List completed recordings and comment on their quality:
List goals to be achieved between midterm and the end of the field internship:
Do you have any concerns about the student’s values, knowledge, skill, performance and professional suitability? Please elaborate.
The number of hours completed to date: _________
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BSW Field Internship - Learning Contract & Evaluations – Internship #1 Appendix G
School of Social Work
Completing this page indicates that both the student and field instructor have read this document.
The following section is to be completed by the Field Instructor.
Is the student at risk of failing? Yes _____ No _____
If yes, please clearly describe where the student is encountering problems in any of the six outcome areas, what the problems are, and what the student must do to meet or exceed expectations.
This midterm evaluation has been read by the student Yes ______ No ______
STUDENT:
Name: ________________________________________________________________________
Date: _________________________________________________________________________
FIELD INSTRUCTOR / AGENCY MENTOR:
Name: ________________________________________________________________________
Date: _________________________________________________________________________
Please complete electronically, save, and email the midterm evaluation as an attachment to Lisa Muise, field secretary, at lmuise@mun.ca
.
For Memorial University Use Only.
FIELD LIAISON:
Name : ________________________________________________________________________
Date Reviewed: __________________________________________________________________
Memorial University protects your privacy and maintains the confidentiality of your personal information. The information requested in this form is collected under the general authority of the Memorial University Act (RSNL 1990 Chapter M-7) and is required for facilitating your BSW Field Internship, academic administration and BSW program planning. Questions about this collection and use of personal information may be directed to the BSW Field Education Coordinators by calling the field secretary at 709-864-2556.
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BSW Field Internship - Learning Contract & Evaluations – Internship #1 Appendix G
List completed recordings and comment on their quality:
Please summarize your assessment of the student's overall growth and development, competence in social work practice, and suitability for the profession, as per your experience and feedback from service recipients and colleagues, during the 1 st BSW field internship.
Please discuss suggestions for the student’s second field internship, and continuing growth, development, and professional education.
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BSW Field Internship - Learning Contract & Evaluations – Internship #1 Appendix G
School of Social Work
Completing this page indicates that both the student and field instructor have read this document.
The following statements are to be completed by the Field Instructor.
I recommend that ___________________________________ (student’s name) be given the grade of: Pass _____ Fail _____ Incomplete _____
This final evaluation has been read by the student Yes ______ No ______
STUDENT:
Name: ________________________________________________________________________
Date: __________________________________________________________________________
FIELD INSTRUCTOR / AGENCY MENTOR:
Name: ________________________________________________________________________
Date: _________________________________________________________________________
Please complete electronically, save, and email the final evaluation as an attachment to
Lisa Muise, field secretary, at lmuise@mun.ca
.
FIELD LIAISON:
Name : ________________________________________________________________________
Date Reviewed: __________________________________________________________________
Memorial University protects your privacy and maintains the confidentiality of your personal information. The information requested in this form is collected under the general authority of the Memorial University Act (RSNL 1990 Chapter M-7) and is required for facilitating your BSW Field Internship, academic administration and BSW program planning. Questions about this collection and use of personal information may be directed to the BSW Field Education Coordinators by calling the field secretary at 709-864-2556.
Page 12 of 12 (Revised 08/13)