Faculty Advisor
:
Lehman College / CUNY
Department of Social Work
FIELDWORK EVALUATION – SWK 471
UNDERGRADUATE SOCIAL WORK PROGRAM
SPRING SEMESTER 20__
STUDENT:
AGENCY:
(Address)
FIELD INSTRUCTOR:
INSTRUCTOR TELEPHONE:
(Area Code)
INSTRUCTOR EMAIL:
(City)
(Number)
(State) (Zip Code)
Extension
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SUMMARY OF STUDENT’S PRIMARY RESPONSIBILITIES

FIELDWORK EVALUATION INSTRUMENT
This evaluation instrument assesses the practice behaviors associated with each competency, which students should demonstrate by the end of the second semester of the field practicum.
When rating each practice behavior, please provide content (eg. descriptive examples or anecdotes) to support the rating you provide. Also, please include ways in which the student’s performance can be further improved for each practice behavior.
On the scale provided after each practice behavior, please indicate the student’s level of performance at the end of the semester by placing an X in the appropriate box.
IP Insufficient Progress
Rarely demonstrates awareness, knowledge and skills as a social work intern
C
EC Emerging Competence
Is beginning to demonstrate awareness, knowledge and skills as a social work intern
FC Frequent Competence
Frequently demonstrates awareness, knowledge and skills as a social work intern
Competence
Consistently demonstrates awareness, knowledge and skills as a social work intern
AC Advanced Competence
Expertly demonstrates awareness, knowledge and skills as a social work intern
Evaluation Process
 The field instructor and student jointly review the student’s performance in terms of the criteria specified in this evaluation instrument.
 Following their review and discussion, the field instructor completes this instrument. The student then reviews it and, if he or she wishes, writes comments in the section indicated.
If the student wishes, he or she may append an additional statement to the instrument.
 Finally, the field instructor and student both sign and date the instrument.
Note: The student’s signature does not indicate agreement, but rather that the evaluation has been read.
 The field instructor sends the completed evaluation to the faculty advisor, who reviews and signs the evaluation.
 The faculty advisor assigns the grade for the field practicum.
The Social Work Department at Lehman College appreciates your work with our student

COMPETENCY I:
Identify as a professional social worker and conduct oneself accordingly
Key: IP = Insufficient Progress; EC = Emerging Competence; FC = Frequent Competence;
C = Competence; AC = Advanced Competence
Practice Behaviors
1.
Identify need and advocate for client access to the services of social work.
IP EC FC C AC
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2.
Practice personal reflection and demonstrate positive change that assures continual professional development.
3.
Recognize and attend to professional roles and boundaries.
4.
Demonstrate professional demeanor in behavior, appearance, and communication appropriate to agency context.
5.
Engage in career-long learning.
6.
Utilize supervision and consultation.
Evidence to support rating and strategies to increase competence:
IP EC FC C AC
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IP EC FC C AC
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IP EC FC C AC
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IP EC FC C AC
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IP EC FC C AC
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COMPETENCY II:
Apply social work ethical principles to guide professional practice.
Key: IP = Insufficient Progress; EC = Emerging Competence; FC = Frequent Competence;
C = Competence; AC = Advanced Competence
Practice Behaviors
7.
Recognize and manage personal values in a way that allows professional values to guide practice
8.
Make ethical decisions by applying the standards of the “Code of Ethics of the
National Association of Social Workers” and, as applicable, “Ethics in Social
Work, Statement of Principles” of the
International Federation of Social
Workers/International Association of
Schools of Social Work.
IP EC FC C AC
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IP EC FC C AC
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9.
Tolerate ambiguity in resolving ethical conflicts.
IP EC FC C AC
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IP EC FC C AC
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10.
Apply strategies of ethical reasoning to arrive at principled decisions.
Evidence to support rating and strategies to increase competence:

COMPETENCY III:
Apply critical thinking to inform and communicate professional judgments.
Key: IP = Insufficient Progress; EC = Emerging Competence; FC = Frequent Competence;
C = Competence; AC = Advanced Competence
Practice Behaviors
11.
Distinguish, appraise, and integrate multiple sources of knowledge, including research-based knowledge, and practice wisdom.
IP EC FC C AC
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12.
Analyze models of assessment, prevention, intervention, and evaluation.
IP EC FC C AC
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13.
Demonstrate effective oral and written communications in working with individuals, families, groups, organizations, communities, and colleagues.
Evidence to support rating and strategies to increase competence:
IP EC FC C AC
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COMPETENCY IV:
Engage diversity and difference in practice in the urban environment.
Includes: Age, class, perception of physical appearance, culture, disability, ethnicity, gender, gender identity and expression, immigration status, political ideology, race, religion, spirituality and the full spectrum of beliefs, sex, sexual orientation
Key: IP = Insufficient Progress; EC = Emerging Competence; FC = Frequent Competence;
C = Competence; AC = Advanced Competence
Practice Behaviors
14.
Analyze and deconstruct the extent to which societal structures and values may present opportunities to maximize potential; oppress, marginalize, or alienate; and create or enhance privilege and power.
15.
Be sufficiently self-aware to eliminate the influence of personal biases and values in working with diverse groups.
IP EC FC C AC
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IP EC FC C AC
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16.
Recognize and communicate an understanding of the importance of differences in shaping life experiences.
IP EC FC C AC
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17.
Utilize themselves as learners and engage those with whom they work .
Evidence to support rating and strategies to increase competence:
IP EC FC C AC
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COMPETENCY V:
Advance human rights and social and economic justice.
Key: IP = Insufficient Progress; EC = Emerging Competence; FC = Frequent Competence;
C = Competence; AC = Advanced Competence
Practice Behaviors
18.
Confront the forms and mechanisms of oppression and discrimination, as well as countervailing systems of empowerment.
IP EC FC C AC
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19.
Advocate for human rights and social and economic justice.
IP EC FC C AC
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IP EC FC C AC
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20.
Participate in practices that advance social and economic justice.
Evidence to support rating and strategies to increase competence:

COMPETENCY VI:
Engage in research-informed practice and practice-informed research.
Key: IP = Insufficient Progress; EC = Emerging Competence; FC = Frequent Competence;
C = Competence; AC = Advanced Competence
Practice Behaviors
21.
Use practice experience to inform scientific inquiry.
IP EC FC C AC
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IP EC FC C AC
22.
Use research evidence to inform practice.
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Evidence to support rating and strategies to increase competence:
COMPETENCY VII:
Apply knowledge of human behavior and the social environment.
Key: IP = Insufficient Progress; EC = Emerging Competence; FC = Frequent Competence;
C = Competence; AC = Advanced Competence
Practice Behaviors
23.
Utilize conceptual frameworks to guide the process of assessment, intervention, and evaluation.
24.
Critique and apply knowledge to understand person and environment, with emphasis on the urban context.
Evidence to support rating and strategies to increase competence:
IP EC FC C AC
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IP EC FC C AC
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COMPETENCY VIII:
Engage in policy practice to advance social and economic well-being and to deliver effective social work services.
Key: IP = Insufficient Progress; EC = Emerging Competence; FC = Frequent Competence;
C = Competence; AC = Advanced Competence
Practice Behaviors
25.
Analyze, formulate and advocate for policies that advance social well-being.
IP EC FC C AC
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26.
Collaborate with colleagues and clients for effective policy action.
IP EC FC C AC
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Evidence to support rating and strategies to increase competence:
COMPETENCY IX:
Respond to contexts that shape practice.
Key: IP = Insufficient Progress; EC = Emerging Competence; FC = Frequent Competence;
C = Competence; AC = Advanced Competence
Practice Behaviors
27.
Continuously discover, appraise, and attend to changing communities, locales, populations, scientific and technological developments, and emerging societal trends to provide relevant services.
IP EC FC C AC
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28.
Provide leadership in promoting sustainable changes in service delivery and practice to improve the quality of social services.
Evidence to support rating and strategies to increase competence:
IP EC FC C AC
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COMPETENCY X:
Engage, assess, intervene, and evaluate with individuals, families, groups, organizations, and communities.
Key: IP = Insufficient Progress; EC = Emerging Competence; FC = Frequent Competence;
C = Competence; AC = Advanced Competence
Practice Behaviors
29.
Substantively and affectively prepare for practice with individuals, families, groups, organizations, and communities.
IP EC FC C AC
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30.
Use empathy and other interpersonal skills.
IP EC FC C AC
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31.
Develop a mutually agreed-on focus of work and desired outcomes.
IP EC FC C AC
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32.
Collect, organize, and interpret client data.
33.
Assess client strengths and limitations.
IP EC FC C AC
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IP EC FC C AC
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34.
Develop mutually agreed-on intervention goals and objectives.
35.
Select appropriate intervention strategies.
36.
Initiate actions to achieve client and organizational goals.
37.
Implement prevention strategies and enhances client capacities.
38.
Help clients resolve problems.
39.
Negotiate, meditate, and advocate for clients.
IP EC FC C AC
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IP EC FC C AC
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IP EC FC C AC
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IP EC FC C AC
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IP EC FC C AC
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IP EC FC C AC
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40.
Facilitate transitions and endings.
41.
Critically analyzes, monitors, and evaluates interventions.
Evidence to support rating and strategies to increase competence:
IP EC FC C AC
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IP EC FC C AC
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S
UMMARY OF STUDENT ACHIEVEMENT
UNDERGRADUATE EVALUATION OF STUDENT PERFORMANCE
SRING SEMESTER
I. Student’s Strengths:
II. Student’s Limitations or Areas Identified for Additional Experience
III. Student’s Comments
Signature of Field Instructor
Signature of Student
Signature of Faculty advisor
Date
Date
Date