UNIVERSITY of ALASKA ANCHORAGE
Bachelor of Social Work Field Education Program
Field Instructor Check-List Sheet for Student Agency Orientation
The following are items for the student and field instructor/agency representative to work
on during the first two weeks of the semester.
Field Instructor: Please check off the items as finished and/or reviewed by you. This
form may be turned in by the student as part of the Agency Orientation Report.
Student completes any pre-agency requirements – special training, immunization
or other medical documentation, background checks, etc.
Student and field instructor attend the field orientation together.
Field instructor suggests 4 agencies for student to visit during orientation period.
Field instructor suggests a self-help group for the student to visit.
Student receives tour of agency and is assigned a spot for working.
Student is directed to the agency’s mission statement.
Student is directed to the agency’s policy and procedure manuals.
Student is given a phone list of agency staff.
Student is given an organizational chart of the agency.
Student is given an overview regarding other programs within the agency.
Student and field instructor make a plan for the in-agency orientation process and
interviews of agency personnel.
Field instructor reviews the student’s completed orientation process.
4 agency visit forms
1 self-help visit form
Agency orientation summary report (about 10 pages)
Please feel free to add any comments or ask any questions here:
Field Instructor Signature
2012-2013 Academic Year
687285601
Date
BSW Field Manual
Page 1 of 1
Field Instructor Check List
Appendix B: Form #1