BSW Field Internship - Learning Contract & Evaluations – Internship #2 Appendix H
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 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 second internship provides students with opportunities to apply social work principles,
knowledge, and skills, and to demonstrate the capacity for independent practice at micro
and macro levels. Emphasis is placed on developing strong analytical abilities, applying enhanced practice skills, mastering a variety of social work roles, implementing strategies that impact social justice, and making professional judgments in increasingly complex situations.
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
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BSW Field Internship - Learning Contract & Evaluations – Internship #2 Appendix H and add any additional learning activities specific to the field setting.
The contract 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 second 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 enter scale number that most accurately reflects student performance in the area
provided. 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 #2 Appendix H
RECORDINGS/DOCUMENTATION:
Students are required to complete a minimum of six recording activities, including any combination of the following, maximum of two per category. 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
Objectives: By the end of the SECOND internship, students are expected to demonstrate an ability to:
Mid
5-1
Final
5-1
1.1 critically analyze strengths and challenges in the agency/community’s programs’ structures, policies and services
Review policy and procedure manual or equivalent, organizational chart or equivalent, and agency promotional material (website, pamphlets)
Discuss agency/community programs, policies, and services with service recipients and team members
Discuss feedback from service recipients and team members and my analysis with field instructor
1.2 compare and contrast strengths and challenges of collateral resources in relation to needs of service recipients and community
Visit and/or explore the roles of agencies relevant to the internship
Critically reflect on and discuss strengths and challenges of collateral resources with team members and field instructor
Review strengths, challenges, and insights with student peer group
Brainstorm how to maximize strengths and remove barriers to collateral resources with field instructor
1.3 critically analyze barriers to and politics impacting advocacy
Observe how field instructor and team members navigate systems toward service recipientfocused results
Discuss challenges and politics of advocacy with team members and field instructor
Actively engage in advocating for service recipients in a politically sensitive and strategic manner
1.4 contribute to effective inter-professional practice
Reflect on factors influencing productive inter-professional teamwork
Participate independently and as a team member during the internship
Contribute to discussions and meetings within the agency and with affiliated staff and volunteers
1.5 articulate strategies for addressing oppression in agency and community
Reflect on and evaluate use of anti-oppressive practice (AOP) principles in the agency and identify areas for improvement
Acknowledge and work with power differentials between service recipients, staff, and volunteers
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BSW Field Internship - Learning Contract & Evaluations – Internship #2 Appendix H
Critically reflect on and discuss with field instructor the impact of intersecting oppressions on service recipients, including their experiences, challenges, and resiliency
Acknowledge and respond to service recipients as expert on their experiences; work together to promote social justice and empowerment
1.6 identify potential solutions for workplace challenges
Critically reflect on and discuss with field instructor the value of inter-professional teamwork
Discuss roles within agency with team and field instructor
Communicate openly and honestly and work collaboratively with team members
Critically reflect on my role and how to address challenges
Debrief, on a regular basis, with field instructor, strategizing about how to resolve conflict
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 SECOND internship, students are expected to
demonstrate an ability to:
2.1 implement a collaborative process during field instruction
Prepare for field instruction by completing and submitting logs; completing relevant readings; preparing questions and topics for discussion
Actively participate in field instruction
Respond openly and respectfully to critique and feedback
2.2 establish priorities for addressing learning needs
Review of learning contract, goals, and activities
Critically reflect on strengths, challenges, and areas for improvement
Negotiate learning activities with field instructor
Maintain daily and/or weekly record of activities and insights
Actively participate in training and educational opportunities on an ongoing basis
2.3 engage in collegial discussions with field instructor, team members, and peers
Discuss questions and concerns with field instructor, team members, and peers
Engage in discussion about social work values, skills, and knowledge
Present professional views of agency, community, and broader issues and concerns
Prepare for and actively participate in peer consultation
Midterm comments on functioning effectively within a teaching and learning context:
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 SECOND internship, students are expected to
demonstrate an ability to:
3.1 integrate theoretical concepts with practice interventions at micro/mezzo/macro levels
Connect use of theory to practice during field instruction and in self-reflection
Review current literature regarding relevant theories and evidence-based practices
Mid
5-1
Final
5-1
Mid
5-1
Final
5-1
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BSW Field Internship - Learning Contract & Evaluations – Internship #2 Appendix H
3.2 respectfully share theory and related knowledge with staff, volunteers, and service recipients
Critically reflect on and discuss theories providing direction to practice
Demonstrate awareness of impact of social location on service recipients, staff, and volunteers on strategies for sharing knowledge
Consult with field instructor and team on practical application of theories to practice
3.3 apply critical thinking to application of theoretical concepts to practice
Discuss application of theory in peer consultation, field instruction, and weekly logs
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 SECOND internship, students are expected to
demonstrate an ability to:
4.1 utilize reflexive thinking in practice situations
Critically reflect on how knowledge and experiences shape understandings and meanings for myself, service recipients, volunteers, and staff
Reflect on and address how my social location, roles, and relationships influence processes, interactions, and interventions
Demonstrate awareness of use of self and of personal/professional values and beliefs
4.2 display confidence in professional identity as a social worker
Incorporate CASW Code of Ethics into daily practice and perspectives
Recognize strengths and challenges in social work student role
Nurture and develop view of self as a social worker
4.3 initiate change in personal/professional performance to maximize personal/professional strengths
Reflect on and address areas for personal and professional growth
Solicit, respectfully consider, and integrate feedback about strengths, challenges, and areas for growth
Debrief and consult with field instructor, team members, and peers about impact of practice on self (i.e., vicarious trauma)
Identify and practice self-care strategies
4.4 consistently establish relationship boundaries conforming to the CASW Code of
Ethics and the expectations of the agency and community
Integrate CASW standards for relationships (as outlined in the Code of Ethics and Guidelines for
Ethical Practice) into my practice
Set, critically assess, and consistently maintain boundaries, including those governing self disclosure
Critically discuss my relationships, boundaries, and use of self with field instructor and peers
Midterm comments on functioning with appropriate self-awareness:
Final comments on functioning with appropriate self-awareness:
Mid
5-1
Final
5-1
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BSW Field Internship - Learning Contract & Evaluations – Internship #2 Appendix H
OUTCOME 5:
To Function within a Professional Context
Objectives: By the end of the SECOND internship, students are expected to
demonstrate an ability to:
5.1 identify challenges to the profession’s purpose, values, and ethical principles
Increase awareness of structural factors impacting the social/political context of social work practice
Address misconceptions and stereotypes about the role of social work where and when they arise
5.2 use professional judgment in the face of complex and competing interests
Identify, critically reflect on, and address conflicts of interest, dual relationship, and ethical dilemmas inherent in work with individuals, families, groups, organizations, and communities
Consult with field instructor regarding the decision-making process
5.3 exhibit professional proficiencies consistent with my level of education and field opportunities
Manage assigned workload efficiently and effectively
Inform service recipients of limits of responsibility and confidentiality
Document appropriately in accordance with agency expectations
5.4 incorporate knowledge of and respect for differences/similarities among disciplines in professional practice
Critically reflect on complementary, different perspectives, and varying roles in an interdisciplinary setting.
Seek consultation and collaboration with other disciplines and roles where appropriate
Critically discuss with peers, team, and field instructor the importance of collaborative practice
Critically analyze and discuss with field instructor collaborative situations
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 SECOND internship, students are expected to
demonstrate an ability to:
6.1 develop mutually respectful working relationships with service recipients, colleagues, collateral resources, and communities within an ethically sensitive
context, reflecting a commitment to social justice
Consult the CASW Code of Ethics and Guidelines to Ethical Practice
Discuss with team and field instructor establishing and maintaining mutually respectful working relationships
Understand and practice agency policies concerning relationship boundaries
Incorporate AOP principles and ethical practice into all interventions and interactions
6.2 assess the complex needs and strengths of populations served by the agency
Engage with service recipients to learn about their identified needs and goals
Critically reflect on and discuss with field instructor, team, and peers the social, political, and structural factors impacting the people and their community
Critically reflect on and discuss with field instructor, team, and peers various challenges service recipients navigate
6.3 implement planned interventions reflecting appropriate knowledge and skills within at least two practice areas: individuals, families, groups, committees, organizations, and communities
Shadow team and field instructor to observe interventions
Mid
5-1
Mid
5-1
Final
5-1
Final
5-1
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BSW Field Internship - Learning Contract & Evaluations – Internship #2
Consult with field instructor to select service recipients and appropriate interventions
Prepare for and provide intervention
Critically reflect on, evaluate, and discuss with field instructor your preparation and interventions
6.4 provide advanced level and complexity of interventions appropriate to service recipients and agency
Research and integrate best practices into interventions
Consult with field instructor and team to ensure appropriate level, type, and complexity of interventions
6.5 apply knowledge of policy and organizational analysis and change
Review and implement appropriate policies, procedures, and best practices
Identify and deconstruct the rationale and evidence informing policies, procedures, and best practices
Discuss with team and field instructor the limits and benefits of agency policies and procedures
Respectfully and strategically advocate for organizational change
Work with agency staff and volunteers to initiate changes of benefit to service recipients and the community
Midterm comments on functioning utilizing social work practice principles and methods:
Final comments on functioning utilizing social work practice principles and methods:
Appendix H
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BSW Field Internship - Learning Contract & Evaluations – Internship #2 Appendix H
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 #2 Appendix H
MIDTERM EVALUATION:
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 #2 Appendix H
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 #2 Appendix H
FINAL EVALUATION:
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 2 internship. nd BSW field
Please discuss suggestions for the student’s continuing growth, development, and professional education.
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BSW Field Internship - Learning Contract & Evaluations – Internship #2 Appendix H
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.
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