MSW Concentration Learning Plan & Field Evaluation
Student:
Student ID #:
Permanent Non-UND
Email Address:
Field Instructor’s
Phone/Email:
Semester/Year:
Field Instructor:
Agency:
Faculty Field Liaison:
This Learning Plan is based on the ten competencies students are expected to demonstrate upon finishing their internship. Each competency has identified practice
behaviors specific to the competency. The field instructor will help the student identify practice opportunities, including timelines, related to the competency which will
be identified and assessed during the semester. The practice behaviors are closely related to each other and may be addressed with the same internship activities. You
should refer to the Learning Plan each week in supervision and update it as field activities change. Any substantive changes must be approved by the faculty field liaison.
This evaluation presents an opportunity for the student and field instructor to evaluate the student’s growth and development of the ten competency areas developed by
the Council on Social Work Education. By the end of the internship, the student will have demonstrated competency in each of the following arenas of performance as an
advanced generalist social worker. For students who do not demonstrate the designated benchmark in any practice behavior, please indicate, in the instructor’s comments,
specific plans to support student need for development in these areas. If there is a need for a remedial plan to assist the student in achieving a competency, the faculty
field liaison will meet with the student and field instructor to develop the plan. Students may exceed a benchmark if they meet the criteria defined in practice behaviors.
The Final Field Evaluation will ask you to evaluate skill development in each of these areas.
For each evaluation item, please rate the student accordingly to the following scale:
0
1
2
3
4
N/A
Not Skilled: Student does not demonstrate this skill at all.
Beginning Skill: Student has to consciously work at this skill.
Moderate Skill: This skill is becoming more integrated in the student’s practice.
Skilled: Student demonstrates this skill with confidence.
Advanced Skill: The student demonstrates this skill with confidence and has made it an integral part of their practice.
No Opportunity: Student has not yet had the opportunity to demonstrate this skill.
2.0 - Desired benchmark for first half of internship.
3.0 - Desired benchmark for second half of internship.
Comments may be made under any competency statement, if desired. Please be sure to indicate those areas in which you think the student is particularly strong and
those areas that need improvement. This evaluation is intended to give the student feedback about her or his performance. Final scores will contribute to the
determination of final grade (Pass/Fail).
Please sign and return the Learning Plan to faculty field liaison when completed.
Competency 1.0 – Identify as a professional social worker and conduct oneself accordingly.

Practice Behaviors
Advocate for creative and inclusive strategies that will help all
clients reach their full potential.

Continually model a professional identity as a reflective and
reflexive advanced generalist practitioner, practicing
conscious use of self and self-correction in practice situations.

Adhere to and model professional roles and boundaries.

Form professional relationships and model professional
demeanor in behavior, appearance, and communication.

Engage in career and lifelong learning.

Evaluate and synthesize learning experiences and practice
skills through the appropriate use of supervision and
consultation.
LEARNING PLAN
Internship Activities with Timeline
EVALUATION
0=Not Skilled 1=Beginning 2=Moderate 3=Skilled 4=Advanced N/A=No Opportunity
S/he advocates for creative and inclusive strategies that will help all clients reach their full
1
potential.
S/he continually models a professional identity as a reflective and reflexive advanced generalist
2
practitioner, practicing conscious use of self and self-correction in practice situations.
3 S/he adheres to and models professional roles and boundaries.
S/he forms professional relationships and models professional demeanor in behavior,
4
appearance, and communication.
5 S/he engages in career and lifelong learning.
S/he evaluates and synthesizes learning experiences and practice skills through the appropriate
6
use of supervision and consultation.
Instructor’s Mid-Term Comments:
Instructor’s Final Comments:
How will the practice behaviors be evaluated?
Mid-Term Evaluation
Student Field Instructor
Final Evaluation
Student Field Instructor
Competency 2.0 – Apply social work ethical principles to guide professional practice.

Practice Behaviors
Systematically implement practice skills to manage personal
values and allow professional values to guide practice.

Apply the values base and ethical principles of social work
within complex practice settings and across practice levels.

Analyze value statements and make informed value-based
professional judgments that address and resolve conflicts and
ambiguities.

Demonstrate leadership in applying ethical reasoning for
problem resolution.
LEARNING PLAN
Internship Activities with Timeline
EVALUATION
0=Not Skilled 1=Beginning 2=Moderate 3=Skilled 4=Advanced N/A=No Opportunity
S/he systematically implements practice skills to manage personal values and allows professional
7
values to guide practice.
S/he applies the values base and ethical principles of social work within complex practice settings
8
and across practice levels.
S/he analyzes value statements and makes informed value-based professional judgments that
9
address and resolve conflicts and ambiguities.
10 S/he demonstrates leadership in applying ethical reasoning for problem resolution.
Instructor’s Mid-Term Comments:
Instructor’s Final Comments:
How will the practice behaviors be evaluated?
Mid-Term Evaluation
Student Field Instructor
Final Evaluation
Student Field Instructor
Competency 3.0 – Apply critical thinking to inform and communicate professional judgments.

Practice Behaviors
Distinguish, appraise, and integrate a broad range of
interdisciplinary and multi-disciplinary knowledge, including
research-based knowledge, and practice wisdom.

Analyze models of assessment, prevention, intervention, and
evaluation, and apply knowledge and experience to
differentially select practice strategies.

Demonstrate proficiency in using logic, critical thinking, and
creativity in oral and written communication.
LEARNING PLAN
Internship Activities with Timeline
EVALUATION
0=Not Skilled 1=Beginning 2=Moderate 3=Skilled 4=Advanced N/A=No Opportunity
S/he distinguishes, appraises, and integrates a broad range of interdisciplinary and multi11
disciplinary knowledge, including research-based knowledge, and practice wisdom.
S/he analyzes models of assessment, prevention, intervention, and evaluation, and applies
12
knowledge and experience to differentially select practice strategies.
S/he demonstrates proficiency in using logic, critical thinking, and creativity in oral and written
13
communication.
Instructor’s Mid-Term Comments:
Instructor’s Final Comments:
How will the practice behaviors be evaluated?
Mid-Term Evaluation
Student Field Instructor
Final Evaluation
Student Field Instructor
Competency 4.0 – Engage diversity and difference in practice.

Practice Behaviors
Apply strengths and empowerment perspective as practice
approaches with diverse groups at multiple levels.

Transform one’s behavior in response to recognition of one’s
biases related to difference or diversity.

Modify and adapt mainstream knowledge and interventions
to meet the needs of diverse populations.

Respect and apply to one’s practice the wealth of knowledge
extant within the community and available from people who
have lived with the problem or condition.
LEARNING PLAN
Internship Activities with Timeline
EVALUATION
0=Not Skilled 1=Beginning 2=Moderate 3=Skilled 4=Advanced N/A=No Opportunity
S/he applies strengths and empowerment perspective as practice approaches with diverse
14
groups at multiple levels.
S/he transforms one’s behavior in response to recognition of one’s biases related to difference or
15
diversity.
S/he modifies and adapts mainstream knowledge and interventions to meet the needs of diverse
16
populations.
S/he respects and applies to one’s practice the wealth of knowledge extant within the community
17
and available from people who have lived with the problem or condition.
Instructor’s Mid-Term Comments:
Instructor’s Final Comments:
How will the practice behaviors be evaluated?
Mid-Term Evaluation
Student Field Instructor
Final Evaluation
Student Field Instructor
Competency 5.0 – Advance human rights and social and economic justice.

Practice Behaviors
Help clients and colleagues understand the mechanisms of
oppression and discrimination so they can better plan and
implement strategies to address them.

Advance specific principles from national and international
professional documents to eliminate social, economic, and
environmental injustice.

Use leadership skills to advance social and economic justice.
LEARNING PLAN
Internship Activities with Timeline
EVALUATION
0=Not Skilled 1=Beginning 2=Moderate 3=Skilled 4=Advanced N/A=No Opportunity
S/he helps clients and colleagues understand the mechanisms of oppression and discrimination
18
so they can better plan and implement strategies to address them.
S/he advances specific principles from national and international professional documents to
19
eliminate social, economic, and environmental injustice.
20 S/he uses leadership skills to advance social and economic justice.
Instructor’s Mid-Term Comments:
How will the practice behaviors be evaluated?
Mid-Term Evaluation
Student Field Instructor
Final Evaluation
Student Field Instructor
Instructor’s Final Comments:
Competency 6.0 – Engage in research-informed practice and practice-informed research.


Practice Behaviors
Design and implement research processes within practice
settings.
Evaluate the relative merits of research evidence and apply
research knowledge to inform and improve practice.
LEARNING PLAN
Internship Activities with Timeline
How will the practice behaviors be evaluated?
EVALUATION
0=Not Skilled 1=Beginning 2=Moderate 3=Skilled 4=Advanced N/A=No Opportunity
21 S/he designs and implements research processes within practice settings.
S/he evaluates the relative merits of research evidence and applies research knowledge to inform
22
and improve practice.
Instructor’s Mid-Term Comments:
Mid-Term Evaluation
Student Field Instructor
Final Evaluation
Student Field Instructor
Instructor’s Final Comments:
Competency 7.0 – Apply knowledge of human behavior and the social environment.


Practice Behaviors
Differentially apply conceptual frameworks to guide the
processes of assessment, prevention, intervention, and
evaluation.
LEARNING PLAN
Internship Activities with Timeline
How will the practice behaviors be evaluated?
Synthesize a broad understanding of multi-disciplinary
knowledge related to person and environment, and critique
the strengths, weaknesses, and assumptions of theoretical
frameworks.
EVALUATION
0=Not Skilled 1=Beginning 2=Moderate 3=Skilled 4=Advanced N/A=No Opportunity
S/he differentially applies conceptual frameworks to guide the processes of assessment,
23
prevention, intervention, and evaluation.
S/he synthesizes a broad understanding of multi-disciplinary knowledge related to person and
24 environment, and critiques the strengths, weaknesses, and assumptions of theoretical
frameworks.
Instructor’s Mid-Term Comments:
Instructor’s Final Comments:
Mid-Term Evaluation
Student Field Instructor
Final Evaluation
Student Field Instructor
Competency 8.0 – Engage in policy practice to advance social and economic well-being and to deliver effective social work services.


Practice Behaviors
Analyze, formulate, and advocate for policies that respond to
emerging local, regional, and societal trends to advance wellbeing, especially for the most vulnerable.
LEARNING PLAN
Internship Activities with Timeline
How will the practice behaviors be evaluated?
Facilitate and strengthen the development of civic society for
effective policy action.
EVALUATION
0=Not Skilled 1=Beginning 2=Moderate 3=Skilled 4=Advanced N/A=No Opportunity
S/he analyzes, formulates, and advocates for policies that respond to emerging local, regional, and
25
societal trends to advance well-being, especially for the most vulnerable.
26 S/he facilitates and strengthens the development of civic society for effective policy action.
Instructor’s Mid-Term Comments:
Mid-Term Evaluation
Student Field Instructor
Final Evaluation
Student Field Instructor
Instructor’s Final Comments:
Competency 9.0 – Respond to contexts that shape practice.


Practice Behaviors
Analyze changing contexts and demonstrate the ability to
initiate innovative and resourceful action with regard to
emerging local, regional, and societal trends, needs, and
opportunities.
Provide leadership in promoting sustainable within- and
cross-system changes in service delivery and practice to
improve the quality of social services and build healthier
communities.
LEARNING PLAN
Internship Activities with Timeline
How will the practice behaviors be evaluated?
EVALUATION
0=Not Skilled 1=Beginning 2=Moderate 3=Skilled 4=Advanced N/A=No Opportunity
S/he analyzes changing contexts and demonstrates the ability to initiate innovative and
27 resourceful action with regard to emerging local, regional, and societal trends, needs, and
opportunities.
S/he provides leadership in promoting sustainable within- and cross-system changes in service
28
delivery and practice to improve the quality of social services and build healthier communities.
Instructor’s Mid-Term Comments:
Mid-Term Evaluation
Student Field Instructor
Final Evaluation
Student Field Instructor
Instructor’s Final Comments:
10.0 – Engage with individuals, families, groups, organizations, and communities.

Practice Behaviors
Continuously adapt one’s ability to effectively and
substantively engage with client systems across practice
levels.

Using empathy and other interpersonal skills, attend to the
interpersonal dynamics and contextual factors that both
strengthen and potentially threaten helping relationships.

Evaluate complexity of client circumstances and develop a
mutually agreed-on focus of work and desired outcomes.
LEARNING PLAN
Internship Activities with Timeline
EVALUATION
0=Not Skilled 1=Beginning 2=Moderate 3=Skilled 4=Advanced N/A=No Opportunity
S/he continuously adapts one’s ability to effectively and substantively engage with client systems
29
across practice levels.
S/he uses empathy and other interpersonal skills, attends to the interpersonal dynamics and
30
contextual factors that both strengthen and potentially threaten helping relationships.
S/he evaluates complexity of client circumstances and develops a mutually agreed-on focus of
31
work and desired outcomes.
Instructor’s Mid-Term Comments:
Instructor’s Final Comments:
How will the practice behaviors be evaluated?
Mid-Term Evaluation
Student Field Instructor
Final Evaluation
Student Field Instructor
10.1 – Assess with individuals, families, groups, organizations, and communities.

Practice Behaviors
Show increasing ability to independently conduct
assessments as a continuing and dynamic process.

Systematically and purposefully utilize assessment data to
assess client strengths and challenges.

Establish a culturally responsive relationship with client that
encourages them to be equal participants in the
establishment of goals and expected outcomes.

Develop and utilize appropriate and effective strengths-based
and empowerment-oriented intervention strategies based on
continuous assessment.
LEARNING PLAN
Internship Activities with Timeline
EVALUATION
0=Not Skilled 1=Beginning 2=Moderate 3=Skilled 4=Advanced N/A=No Opportunity
S/he shows increasing ability to independently conduct assessments as a continuing and dynamic
32
process.
S/he systematically and purposefully utilizes assessment data to assess client strengths and
33
challenges.
S/he establishes a culturally responsive relationship with client that encourages them to be equal
34
participants in the establishment of goals and expected outcomes.
S/he develops and utilizes appropriate and effective strengths-based and empowerment-oriented
35
intervention strategies based on continuous assessment.
Instructor’s Mid-Term Comments:
Instructor’s Final Comments:
How will the practice behaviors be evaluated?
Mid-Term Evaluation
Student Field Instructor
Final Evaluation
Student Field Instructor
10.2 – Intervene with individuals, families, groups, organizations, and communities.

Practice Behaviors
Initiate actions to actualize the professional values and ethics
of social work practice while attending to the specific
organizational goals of the employing agency.

Develop and utilize appropriate and effective prevention
strategies that build and harness client capacities.

Differentially utilize a variety of evidence-based tools and
strategies to help clients resolve complex problems.

Demonstrate the ability to navigate complex systems to
coordinate care and advocate for clients at multiple system
levels.

Facilitate effective client-centered terminations and
transitions.
LEARNING PLAN
Internship Activities with Timeline
EVALUATION
0=Not Skilled 1=Beginning 2=Moderate 3=Skilled 4=Advanced N/A=No Opportunity
S/he initiates actions to actualize the professional values and ethics of social work practice while
36
attending to the specific organizational goals of the employing agency.
S/he develops and implements prevention interventions that enhance client capacities and
37
promote well-being.
S/he differentially utilizes a variety of evidence-based tools and strategies to help clients resolve
38
complex problems.
S/he demonstrates the ability to navigate complex systems to coordinate care and advocate for
39
clients at multiple system levels.
40 S/he facilitates effective client-centered terminations and transitions.
Instructor’s Mid-Term Comments:
Instructor’s Final Comments:
How will the practice behaviors be evaluated?
Mid-Term Evaluation
Student Field Instructor
Final Evaluation
Student Field Instructor
10.3 – Evaluate with individuals, families, groups, organizations, and communities.

Practice Behaviors
Critically analyze, monitor, and evaluate advanced generalist
practice interventions across systems at multiple levels with
diverse populations.
LEARNING PLAN
Internship Activities with Timeline
EVALUATION
0=Not Skilled 1=Beginning 2=Moderate 3=Skilled 4=Advanced N/A=No Opportunity
S/he critically analyzes, monitors, and evaluates advanced generalist practice interventions
41
across systems at multiple levels with diverse populations.
Instructor’s Mid-Term Comments:
Instructor’s Final Comments:
How will the practice behaviors be evaluated?
Mid-Term Evaluation
Student Field Instructor
Final Evaluation
Student Field Instructor
LEARNING PLAN
Signatures
Student: ________________________________________________________________________________________________
Date: ______________________________
Field Instructor: _______________________________________________________________________________________
Date: ______________________________
Faculty Field Liaison: __________________________________________________________________________________
Date: ______________________________
MID-TERM EVALUATION
Mid-Term Comments
Student’s strengths:
Student’s areas for improvement:
Signatures
Student: ________________________________________________________________________________________________
Date: ______________________________
Field Instructor: _______________________________________________________________________________________
Date: ______________________________
FINAL EVALUATION
Final Comments
Student’s strengths:
Student’s areas for improvement:
Signatures
My field instructor has discussed this final evaluation with me and I have received a copy. My agreement or disagreement is as follows:
I agree with the final evaluation.
I do not agree with the final evaluation.*
*If the student disagrees with this evaluation, she/he should attach an explanation of their disagreement.
Student: ________________________________________________________________________________________________
Date: ______________________________
Field Instructor: _______________________________________________________________________________________
Date: ______________________________
All signatories should retain a copy of this Learning Plan & Field Evaluation.