Faculty Advisor:
Lehman College / CUNY
Department of Social Work
FIELDWORK I EVALUATION – SWK 671
GRADUATE SOCIAL WORK PROGRAM
FALL SEMESTER 20__
STUDENT:
AGENCY:
(Address)
(City)
(State)
(Zip Code)
FIELD INSTRUCTOR:
INSTRUCTOR TELEPHONE:
(Area Code)
(Number)
Extension
INSTRUCTOR EMAIL:
-------------------------------------------------------------------------------------------------------------------------------------------------------------------
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 first 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
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
C
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
Note: Those Practice Behaviors followed by “Spring Semester Only” are not evaluated during
the Fall semester.
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 students
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.
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:
Spring Semester Only
IP
EC
FC
C
AC
  
 
IP
C
EC
FC
AC
  
 
IP
C
EC
FC
AC
  
 
IP
C
EC
FC
AC
  
 
IP
C
EC
FC
  
AC
 
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.
9. Tolerate ambiguity in resolving ethical
conflicts.
10. Apply strategies of ethical reasoning to
arrive at principled decisions.
Evidence to support rating and strategies to increase competence:
IP
EC
FC
  
C
AC
 
Spring Semester Only
Spring Semester Only
IP
EC
FC
  
C
AC
 
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.
12. Analyze models of assessment, prevention,
intervention, and evaluation.
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:
Spring Semester Only
Spring Semester Only
IP
EC
FC
C
AC
 

 
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.
16. Recognize and communicate an
understanding of the importance of
differences in shaping life experiences.
17. Utilize themselves as learners and
engage those with whom they work .
Evidence to support rating and strategies to increase competence:
Spring Semester Only
Spring Semester Only
IP
EC
FC
C
AC
  
 
IP
C
EC
FC
  
AC
 
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.
19. Advocate for human rights and social and
economic justice.
20. Participate in practices that advance social
and economic justice.
Spring Semester Only
Spring Semester Only
Spring Semester Only
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.
22. Use research evidence to inform practice.
Spring Semester Only
Spring Semester Only
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.
Spring Semester Only
IP
EC
FC
  
C
AC
 
Evidence to support rating and strategies to increase competence:
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.
26. Collaborate with colleagues and clients for
effective policy action.
Spring Semester Only
Spring Semester Only
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.
28. Provide leadership in promoting sustainable
changes in service delivery and practice to
improve the quality of social services.
Spring Semester Only
Spring Semester Only
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.
30. Use empathy and other interpersonal
skills.
31. Develop a mutually agreed-on focus of
work and desired outcomes.
32. Collect, organize, and interpret client data.
33. Assess client strengths and limitations.
34. Develop mutually agreed-on
intervention goals and objectives.
IP
EC
FC
C
AC
  
 
IP
C
EC
FC
AC
  
 
IP
C
EC
FC
  
AC
 
Spring Semester Only
IP
EC
FC
C
AC
  
 
IP
C
EC
FC
  
AC
 
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.
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
  
 
IP
C
EC
FC
AC
  
 
IP
C
EC
FC
AC
  
 
IP
C
EC
FC
AC
  
 
IP
C
EC
FC
AC
  
 
IP
C
EC
FC
AC
  
 
IP
C
EC
FC
  
AC
 
SUMMARY OF STUDENT ACHIEVEMENT
GRADUATE EVALUATION OF STUDENT PERFORMANCE
FALL SEMESTER
I.
Student’s Strengths:
II.
Student’s Limitations or Areas Identified for Additional Experience
III.
Student’s Comments
Signature of Field Instructor
Date
Signature of Student
Date
Signature of Faculty advisor
Date