CALIFORNIA STATE UNIVERSITY, EAST BAY
UNDERGRADUATE FIELD MANUAL
SOCIOLOGY & SOCIAL SERVICES
2013-2014
C A L I F O R N I A S T A T E UNIVERSITY EAST BAY
Undergraduate
Social Services Option
FIELD
MANUAL
DEPARTMENT of SOCIOLOGY & SOCIAL SERVICES
3095 Meiklejohn Hall, 25800 Carlos Bee Boulevard, Hayward, CA 94542
(510) 885-3173 FAX: (510) 885-2390
https://sites.google.com/a/csueastbay.edu/sso/
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CALIFORNIA STATE UNIVERSITY, EAST BAY
UNDERGRADUATE FIELD MANUAL
SOCIOLOGY & SOCIAL SERVICES
2013-2014
TABLE OF CONTENTS
Welcome……………………………………………………………………………………………………………………...3
Contact Information
Purpose of Manual…………………………………………………………………………………………………………..4
Benefits of Field Education……..……………………………………………………………………………………..……4
Social Services………………………………………………………………………………………….……….………......5
Department of Sociology & Social Services………………………………………………………………….………......5
Sociology Degree Description
Social Service Option Major Requirements
Soc 4718 Field Practicum Eligibility Requirements and Prerequisites
Special Notes
Structure of Field …………………………………………………………………………………………………………….7
Objectives
Responsibilities and Roles
CSUEB Social Service Option Coordinator Responsibilities
Field Agency Responsibilities
Agency Field Instructor Responsibilities
Student Responsibilities
Field Competencies and Tasks …………………………………………………………………………………………...9
The Learning Agreement………………………………………………………………………………………….……….11
Evaluation & Grading………………………………………………............................................................................11
Performance Evaluation
Grading
Unsatisfactory Field Grades
Incomplete Grade in Field
Field Placement Terminations
Finding an Internship.…………………………………….………………………………………………………….…….13
Restrictions on Intern Duties………………………………………………….…………………………………..…..…..14
Appendices …………………………………………………………………………………………………….………...…15
2013-2014 Field Calendar
Field Placement Questionnaire
Internship Confirmation Form
Learning Agreement
Sample Learning Agreement
Examples of Intern Learning Tasks
Journal Entry Form
Student’s Evaluation of Field Placement
Hour Log
Field Instructor’s Evaluation of Student Performance
Agency Information
Social Services Option Major Checklist
Sociology & Social Services Department Faculty & Staff
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CALIFORNIA STATE UNIVERSITY, EAST BAY
UNDERGRADUATE FIELD MANUAL
SOCIOLOGY & SOCIAL SERVICES
2013-2014
WELCOME
The Department of Sociology and Social Services welcomes you to its Undergraduate Social
Service Option (SSO) Field program, commonly known as field, internship, or practicum. SSO students
apply classroom learning to community-based settings, in a service learning tradition that dates back to 19th
Century social work practice. Senior-level students gain a unique opportunity to explore their interests in
working with specific populations and social problems.
CSUEB Sociology majors have an option to concentrate on social services, rather than general
sociology. Typically, students declare the SSO in their junior year, if not before, so they are ready to
undertake the senior SSO field sequence of courses. SSO seniors enroll in SOC4716, Social Work
Theory and Methods, which is offered only in the fall quarter. Part of this course introduces students to
field procedures, this Field Manual, and obtaining a field internship. The manual is available on the CSUEB
Sociology and Social Services Department website
(http://www20.csueastbay.edu/class/departments/sociology/index.html). After completion of SOC4716,
students volunteer for a total of 240 hours in the winter and spring quarters. During this time, they enroll in
SOC4718, Field Practicum, and its companion biweekly seminar, SOC4719. The Field Manual describes
the SSO internship and includes all of the necessary forms for students and agency field instructors (FI). It
is very important for students to complete requested forms, as failure to submit paperwork in a timely
manner may preclude the student from participation in the field program or obtaining course credit.
Ultimately, the student holds the responsibility to obtain an approved internship prior to the start of the
winter quarter. The SSO Coordinator provides needed consultation concerning potential placements.
Students contact agencies and schedule interviews with potential FIs.
Field internships can be many things – exhilarating, challenging, inspiring, exhausting, and fun. We wish
interns and FIs a wonderful, rewarding social service learning experience.
Sincerely,
Holly Vugia, PhD, LCSW, PPSC
Social Services Option Coordinator
Contact Information:
CSUEB Department of Sociology & Social Services
Social Services Option
Department Secretary: Sylvia Musson
25800 Carlos Bee Blvd., Hayward, CA 94542
(510) 885-3173 FAX: (510) 885-2390
Will Johnson, PhD, Assistant Professor
will.johnson@csueastbay.edu
(510) 885-3186, MI 3101
Holly Vugia, Associate Professor
holly.vugia@csueastbay.edu
(510) 885-2121, MI 3097
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CALIFORNIA STATE UNIVERSITY, EAST BAY
UNDERGRADUATE FIELD MANUAL
SOCIOLOGY & SOCIAL SERVICES
2013-2014
PURPOSE OF MANUAL
This manual serves as a guide to the CSUEB SSO Field Program, including an overview, the
curriculum, procedures, and policies, as well as appendices with relevant forms (items in red font can be
found in the Appendices).
BENEFITS OF FIELD EDUCATION
Direct experience in social agencies has been a central feature of social work and social service education
from its inception. The first academic social work program was a six-week summer institute for social
service volunteers sponsored by the New York Charity Organization Society (COS) in 1889. The institute
featured agency internships with a few supporting lectures, and later expanded to a one-year program
called the New York School of Philanthropy. By 1910, it was a two-year program called the New York
School of Social Work. Today, its successor is the Columbia University School of Social Work.
As helping professions evolved, many transferred the responsibility of education from practice settings to
formal educational institutions. However, as social work developed a strong academic base in universities,
it consistently viewed field as a concurrent adjunct to classroom instruction.
Field serves a vital function for students allowing them to:
1. Develop practice skills by applying classroom knowledge to real-life situations;
2. Determine which evidence-based approaches work in practice and how they must be adapted to
specific situations and populations;
3. Identify personal learning gaps for further study and training;
4. Gain access to practical information that is difficult to experience in courses, books and journals;
5. Develop skills in agency-based social work in an effort to understand professional practice in an
organizational context while under professional supervision;
6. Begin exposure to and practice with diverse populations with diverse needs;
7. Formulate an initial professional identity and understand the use of self in practice; and
8. Clarify career interests and objectives.
SOCIAL SERVICES
Students often ask, “What is the difference between a Bachelor’s of Social Work (BSW) and the CSUEB
Social Services Option?” Social Services at CSUEB is housed in the Sociology and Social Services
Department. Students graduate with a Bachelor of Arts in Sociology, with a Social Services Option. They
receive a foundation of sociological theory and research, while learning social work practice skills. The
focus is somewhat broader than BSW degrees, which concentrate more specifically on the social work
profession. BSW degrees are regulated by the Council on Social Work Education (CSWE), which requires
adherence to its curricula components. Similar to BSW programs, students in the SSO take courses in six
(6) specific areas: research methods, social policy, diversity, human behavior in the social environment
(HBSE), practice methods, and field. The SSO and the BSW degrees each have their own advantages, but
the SSO allows a bit more flexibility in planning one’s undergraduate courses. The sociological foundation
paired with social work practice skills enables students to move into direct practice positions in social
services or continue on to pursue various graduate degrees. In general, social work can be conceptualized
as a professional practice and academic area in the broader field of social welfare; social services are the
network of programs and opportunities designed to support people in achieving well-being.
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CALIFORNIA STATE UNIVERSITY, EAST BAY
UNDERGRADUATE FIELD MANUAL
SOCIOLOGY & SOCIAL SERVICES
2013-2014
DEPARTMENT OF SOCIOLOGY & SOCIAL SERVICES DEGREE REQUIREMENTS
SOCIOLOGY DEGREE DESCRIPTION
Sociology at CSUEB is housed in the College of Letters, Arts, and Social Sciences (CLASS). The chart
below illustrates organizational relationships.
Business & Econ
(CBE)
Sociology Option
CLASS
CSUEB
Sociology &
Social Services
Department
Education
SOCIAL SERVICES
OPTION (SSO)
(CEAS)
Sciences
(CSCI)
The Bachelor’s of Arts (BA) requires a total of 180 quarter units.
The sociology major accounts for 61 of those units, and offers two options:
1. Sociology Option: (often called “regular sociology”) (61 units) This option is designed for
students with career interests in the public sector or business, often associated with applied social
research; or for students who plan to pursue graduate degrees in law, public administration,
sociology, anthropology, public policy, etc.
2. Social Services Option: (SSO) (61 units) This option prepares students for generalist practice in
a social service agency; or for graduate education in social work, counseling, public administration
and management, among others. The SSO entails a fulfillment of course requirements, in addition
to an internship. Field internships are only offered to students in the Social Services Option.
SSO MAJOR REQUIREMENTS
(see Major Requirement Checklist in Appendix)
CORE COURSES FOR BOTH THE SSO and THE REGULAR SOCIOLOGY OPTIONS (21 units)
CORE LOWER DIVISION COURSES
STAT 1000: Elements of Probability and Statistics
5 units
SOC 1000: Introduction to Sociology (or 1001, 1002, 2001, or 2002)
4 units
CORE UPPER DIVISION SOCIOLOGY COURSES
SOC 3310: Sociological Theory
4 units
SOC 4111: Methods of Sociological Research I
4 units
SOC 4112: Methods of Sociological Research II
4 units
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CALIFORNIA STATE UNIVERSITY, EAST BAY
UNDERGRADUATE FIELD MANUAL
SOCIOLOGY & SOCIAL SERVICES
2013-2014
REQUIRED COURSES FOR THE SSO (40 units)
DIVERSITY REQUIREMENT
SOC 3425: Prejudice & Discrimination OR
SOC 3520: Sociology of Minority Groups
SOCIAL SERVICE FOCUSED COURSES
SOC 3700: Introduction to Social Services
SOC 3710: Social Policy
SOC 3720: Human Behavior in the Social Environment
SOC 4716: Social Work Theories & Methods (Senior Year Fall Quarter)
SOC 4718: Field Practicum (Senior Year Winter Quarter, Credit/No Credit)*
SOC 4719: Field Practicum Seminar (Senior Year Winter Quarter)
SOC 4718: Field Practicum (Senior Year Spring Quarter, Credit/No Credit)*
SOC 4719: Field Practicum Seminar (Senior Year Spring Quarter)
UPPER DIVISION SOCIOLOGY ELECTIVES
An additional 8 units from upper division SOC courses are required
(up to 8 units of upper division statistics courses, selected under advisement may be
counted as sociology electives)
4 units
4 units
4 units
4 units
4 units
4 units
2 units
4 units
2 units
8 units
*Soc 4718 Field Practicum Eligibility Requirements and Prerequisites





Open to SSO majors only
Prerequisite: SOC 3700: Introduction to Social Services
Prerequisite: SOC 4716: Social Work Theories & Methods
Senior-level standing (completion of at least 135 units of upper-division coursework)
Co-requisite SOC 4719: Field Practicum Seminar
Prior to Fall of
Senior Year
Fall Senior Year
Winter Senior Year
Spring Senior Year
Must be Senior Status
(completed 150 units)
Complete SOC3700: Introduction
to Social Services
SOC4716: Social Work Theories &
Methods
Be registered as a Social Service
Option Major
Secure internship placement & have
any TB test, Fingerprints, etc.
completed if required by the agency
SOC4718: Field Practicum (placement
begins when classes begin; goal is to
complete 120 hours this quarter)
SOC4718: Field Practicum (goal is to
complete another 120 hours this
quarter)
SOC4719: Field Seminar (biweekly)
SOC4719: Field Seminar (biweekly)
Plan your winter & spring class
schedules, knowing that you will have
to complete internship hours –most
internships are during the day
Special Notes





SOC 3700 and 4716 must be completed before starting field practicum
Field Practicum (4718) requires that students spend 120 hours per quarter in placement (12 hours
per week per 10 week quarter) for a total of 240 hours
Students remain in the same social service agency for both quarters
Students must enroll in SOC 4719 concurrently with 4718 for both quarters
Grades are credit / no credit for SOC 4718
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CALIFORNIA STATE UNIVERSITY, EAST BAY
UNDERGRADUATE FIELD MANUAL


SOCIOLOGY & SOCIAL SERVICES
2013-2014
SOC 4719 Field Practicum Seminar is a biweekly discussion-focused (process) course designed
to facilitate field learning. The seminar allows interns to clarify issues that arise on-site and assist
one another in working through challenging situations. The seminar provides ongoing faculty/intern
communication and problem-solving as students gain professional, applied experience. This class
is taken on a letter-grade basis.
Based on Social Service Option Coordinator approval, some students may start field early (e.g.
fall quarter), if the agency needs this accommodation.
STRUCTURE OF FIELD
Objectives
The main objectives of the SSO field experience are to:




Facilitate an understanding of the professional roles and functions of social workers and other social
service workers;
Provide an introduction to mainstream, agency-based social work;
Provide student opportunities to develop generalist practice skills by applying theoretical and
conceptual knowledge acquired in classes to real-life experiences in agency-settings; and
Expose students to the organizational structure and workings of agencies through first-hand
experience.
Responsibilities and Roles
Glossary
SSO Coordinator: the professor responsible for administrating the SSO program (Holly Vugia)
Field Instructor (FI): the community-based supervisor who is overseeing/mentoring the student
Center for Community Engagement: this department is an administrative support office at CSUEB which promotes
community-based learning and serves as the gatekeeper for site approvals, contracts, memorandums of
understandings (MOUs), etc. It is not an academic department. It was formally known as Service Learning.
The webpage is at http://www20.csueastbay.edu/faculty/ofd/communityengagement/index.html
CSUEB SSO COORDINATOR RESPONSIBILITIES: In consultation with the Sociology/Social Services
Department Chair, the SSO Coordinator is responsible for:
1.
2.
3.
4.
5.
6.
7.
8.
Overseeing/managing the entire field program;
Implementing principles of student conduct to ensure that agency expectations are being met;
Serving as a direct liaison between agencies and CSUEB;
Supporting all parties (e.g., interns, agencies) in their respective roles;
Ensuring that students’ educational needs are being met;
Maintaining knowledge of policy and practice changes;
Developing and recruiting field placement agencies;
Creating an environment conducive to mutually beneficial experiences for interns, agencies, and
clients;
9. Orienting and supporting agency-based personnel;
10. Teaching field seminars;;
11. Supporting the development of student learning agreements in conjunction with students and agency
FIs;
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CALIFORNIA STATE UNIVERSITY, EAST BAY
UNDERGRADUATE FIELD MANUAL
SOCIOLOGY & SOCIAL SERVICES
2013-2014
12. Maintaining regular contact with agency FIs and students in order to support the field instruction
process; and
13. Mediating issues arising between students and their respective agencies.
FIELD AGENCY RESPONSIBILITIES: Per the CSUEB University Center for Community Engagement,
agencies are referred to as Community Partners. The Community Engagement website offers a great deal
of information for agencies and FIs. Of particular interest are the Community Partner Handbook and a
section on Working with Students. Specific responsibilities of agencies are to:
1.
2.
3.
4.
5.
6.
Identify a BA level employee, preferably with 2 years experience, to supervise interns;
Provide needed support and time for this employee to provide supervision;
Provide adequate work space, materials, and transportation costs to complete agency work;
Provide any agency specific training in relation to procedures and policies;
Provide liability coverage for the student while fulfilling volunteer duties; and
Provide opportunities for students to work with diverse populations.
AGENCY FIELD INSTRUCTOR (FI) RESPONSIBILITIES: The agency FI fulfills the crucial role of
supervisor and mentor to guide student experiential learning. The value of the FI and agency’s commitment
cannot be stressed enough. The FI provides practice, administrative, and educational supervision. Hence,
the relationship between the student and FI is critical to student learning.
The following are FI responsibilities:
1. Interview prospective interns, giving the student and SSO coordinator feedback regarding the
appropriateness of the placement match (see Internship Confirmation Form);
2. Assist the student in developing a Learning Agreement (LA) by the end of the fourth week of the
winter quarter;
3. Devote a minimum of 1 hour per week to direct individual or group supervision of the student;
4. Provide students with ongoing strength-based, constructive feedback, using clear examples;
5. Demonstrate a sensitivity to the cultural, professional, and personal challenges of student life;
6. Orient the student to the agency. Orientation should cover the following, if appropriate to the agency
and placement:
a. Agency or program mission;
b. Client population(s) served;
c. Organizational structure of the agency or program, (organizational charts);
d. Funding sources of the agency or program;
e. Policies and procedures including risk reduction, staff safety guidelines, confidentiality of client
records or informed consent, required documentation, and record-keeping;
f. Procedures regarding mandated reporting;
g. The agency relationship to outside community structures or organizations including how
referrals are made to/from agencies; and
h. Role(s) of the social worker and other professionals in the agency;
7. Oversee that the student is assigned beginning level tasks appropriate to a BA level—avoiding routine
work below this level (such as filing) or advanced work more appropriate of masters level training (such
as therapy);
8. Maintain contact with the SSO Coordinator or Representative regarding concerns or issues that arise
with the student. Early notification of any problems is encouraged, as the University’s quarter
system moves rapidly;
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CALIFORNIA STATE UNIVERSITY, EAST BAY
UNDERGRADUATE FIELD MANUAL
SOCIOLOGY & SOCIAL SERVICES
2013-2014
9. Submit a written Evaluation of Student Performance at the end of each quarter (see Appendix).
Timely submission of these evaluations to the SSO Coordinator or representative is necessary
in order for the student to receive course credit. The FI’s cooperation in this matter is greatly
appreciated; and
10. Attend CSUEB Field trainings or events in support of student learning and program implementation.
STUDENT RESPONSIBILITIES: SSO interns are bachelor-level learners who are capable and active
participants in the field process. To facilitate engaged learning, students must develop a learning
agreement which specifies their learning objectives consistent with the social work competencies discussed
in this manual.
1. Actively seek, interview for, and establish a placement before the beginning of the winter quarter,
working with the SSO Coordinator;
2. Be an active learner and regularly communicate with the FI and the 4719 Instructor;
3. Meet in supervision for the minimum of 1 hour per week with the FI;
4. With the FI, create a learning agreement within the first 4 weeks of the winter quarter;
5. Meet requirements as specified by the agency;
6. Conduct oneself professionally at all times, including:
a. Dress and present self in a way that is consistent with the agency’s culture;
b. Introduce self as an intern rather than giving the impression of being staff;
c. Negotiate regular placement hours and follow the agency schedule on those days. Alternative
scheduling arrangements may be established if agreed-upon by the student and the FI;
d. Report absences due to illness or some other compelling reason to the FI. (Excessive
absenteeism is just cause for an unsatisfactory grade evaluation);
7. Immediately discuss any problems or concerns with the FI or the SSO Representative;
8. Participate in her/his evaluation;
9. Complete all agency assignments and practicum coursework in a satisfactory and timely manner;
10. Complete the minimum number of placement hours (240 total) and submit a signed Hour Log each
quarter to document those hours;
11. Arrange for continuity of coverage for cases/assignments over holiday breaks or vacation periods;
12. Successfully complete the LA tasks and objectives;
13. Submit all required field documentation to the SSO Representative; and
14. Practice according to the NASW Code of Ethics.
FIELD COMPETENCIES AND TASKS
The Department of Sociology and Social Services makes a concerted effort to support the range of
available experiences of students in the field. Rather than impose a rigid framework of tasks to be
accomplished, a set of competencies has been developed that provides the basis for an organized, yet
flexible, field experience. These competencies constitute the basis for the Learning Agreement (LA),
which is to be developed and finalized by the FI and student working together. The LA defines expected
learning outcomes and field tasks. The competencies are also the basis for the two end-of-the-quarter
evaluations completed by the FI. They are intentionally broad in nature, to allow students and FI’s to
develop performance specific learning tasks related to the agency’s context.
The concepts of cultural competence and humility infuse all of the practice competencies below –
the successful mastery of which requires an awareness of the multiple socio-cultural identities and
statuses of individuals, groups, and communities. Examples to be considered include race,
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CALIFORNIA STATE UNIVERSITY, EAST BAY
UNDERGRADUATE FIELD MANUAL
SOCIOLOGY & SOCIAL SERVICES
2013-2014
ethnicity, gender, social class, sexual orientation, religious affiliation, mental and physical ability,
and age.
Field Competencies
By the end of the spring quarter of field, students are expected to demonstrate the five practice
competencies described below. Demonstrable evidence of each competency should be used as the basis
for the student’s Quarterly Performance Evaluation.
1. Relationships: The ability to form professional relationships with a range of individuals, groups
and communities. This competency involves the ability to establish and maintain professional
relationships with a variety of individuals and groups, including families, communities, agency staff and
other collateral contacts. Culturally competent forms of communication which are sensitive to and
respectful of the identities of individuals, groups and communities are used. The student demonstrates
the ability to form working alliances with individuals different than him- or herself.
2. Communication: The ability to effectively communicate in both oral and written form. This
competency includes meeting agency standards for written documentation of case findings and
preparation of other written reports, as well as effective oral communication through formal or informal
exchanges. Students may be asked to make formal presentations of case findings or other information
in meetings.
3. Comportment: The ability to demonstrate professional and ethical behavior and attitudes. This
competency involves behaving as an appropriate social service professional, the use of and adherence
to the NASW Code of Ethics, the ability to utilize supervision, and the ability to accurately assess one’s
professional strengths and areas needing improvement.
4. Services: The ability to make appropriate use of agency resources and staff in planning and
implementing interventions. This competency focuses on obtaining adequate understanding of the
agency’s mission, organizational structure, policies, procedures, and funding; the agency’s function in
the community it serves, and the role of social workers and other personnel in the agency. This
understanding is then applied to effective intervention strategies.
5. Participation: The ability to actively and effectively participate in the field experience. This
competency involves actively planning for field by developing questions and issues to discuss;
participation in, and critical examination of the field instruction process; using feedback to improve
performance; willingness to participate in activities appropriate for a bachelors-level students; and
willingness to explore how one’s own personal values, beliefs, and attitudes affect the field experience.
Field Tasks
The following tasks provide students and FIs with a general sequence for developing and implementing
learning activities related to the list of competencies. Specific learning tasks will vary due to the nature of
the agency, as well as the student’s prior experience and skill level. (See the Examples of Intern Learning
Tasks for specific ideas.) These tasks should be viewed with flexibility and as a guide.
1. Orientation: The student should spend several weeks becoming oriented to the agency and the
specific placement, including learning about its structure, function, mission, policies, procedures,
funding sources, and its socio-political affiliations. This includes learning about the target population
and the agency and client needs. It is during this time that the student should develop the LA.
2. Experiential Practice: Next, the student should transition into the substantive segment of the field
experience. The student should be closely supervised, with a minimum of one hour of supervision per
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CALIFORNIA STATE UNIVERSITY, EAST BAY
UNDERGRADUATE FIELD MANUAL
SOCIOLOGY & SOCIAL SERVICES
2013-2014
week with the FI. Students may be involved in: attending meetings; supervised interactions with clients;
completion of individual assignments; case assessment; and documentation, research, informal
interviewing, and other necessary agency functions.
3. Termination: During the final field weeks, the student and FI should begin termination, preparing for
continuity client care, and evaluation of the student’s overall performance at the agency.
THE LEARNING AGREEMENT
The Learning Agreement (LA) is a written understanding between the student, the FI and the SSO
Coordinator/Representative about the nature and content of the student’s field experience. The LA should
outline the range of field activities for the entire placement. This document provides a focus for planning the
placement and serves as a reference for ongoing evaluation. The LA is also a basis for the resolution of
any disagreement that might later arise among the various parties involved. It should also be seen as a
living document, so that the FI and student have the flexibility to add to or adapt the LA as the placement
unfolds. Changes must be agreed to by all parties.
The Field Competencies and Field Tasks serve as a guide in drafting the LA. The student develops the
LA in consultation with the FI. It is the student’s responsibility to satisfactorily write-up the LA, and
to submit the final copy to the SSO Coordinator by end of the fourth week of the winter quarter. The
LA form can be found in the Appendix, along with a sample.
The LA need only be created at the beginning of the internship, not again for the spring quarter, unless
there is an assigned placement change or other significant transition.
EVALUATION AND GRADING
While feedback on student performance should be ongoing, formal evaluations occur at the end of each
quarter. The FI submits student evaluations to the SSO Coordinator/Representative. Timely submission is
imperative in order for the student to receive course credit (see Field Calendar for dates).
PERFORMANCE EVALUATIONS
Toward the end of each quarter, the student and FI should meet in order to discuss student progress to
date and the student’s future learning goals. The supervisor is responsible for completing the written
Evaluation of Student Performance with designation of either Satisfactory or Unsatisfactory performance.
The purpose of this report is to encourage students to reflect on their experience and progress, as well as
to receive constructive feedback from respective supervisors. These evaluations are used to determine the
student’s overall grade.
The evaluation assesses the student’s progress in mastery of the 5 field competencies (relationships,
communication, comportment, services, and participation) and involves the following rating scale:
Area of Future Growth
Demonstrates
Emerging Skill
Demonstrates Skill
Consistently
Demonstrates
Advanced Accomplishment
Student has shown
evidence that this is a
clear area of needed
future growth in
relation to this skill.
Student has begun to
show evidence of this
skill, but it is still
emerging by the end
of the quarter.
Student has
consistently shown
evidence skill mastery
by the end of the
quarter.
Student has
demonstrated evidence
of advanced skill
attainment in this area by
the end of the quarter.
Narrative FI comments are welcomed and quite meaningful to students.
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CALIFORNIA STATE UNIVERSITY, EAST BAY
UNDERGRADUATE FIELD MANUAL
SOCIOLOGY & SOCIAL SERVICES
2013-2014
GRADING
In the evaluation, the FI is asked to recommend a grade of Satisfactory or Unsatisfactory, based on the
student’s overall performance and learning during each quarter. If an “Unsatisfactory” is given, the
supervisor should include a brief statement of the problems as well as what the student needs to do to
improve his/her performance. This report should be attached to the evaluation form.
Unsatisfactory Field Grades As soon as the FI identifies an issue that could lead potentially to a
recommendation of an Unsatisfactory, the SSO Coordinator should be contacted; at which time a meeting
with the student and FI will be arranged.
After the meeting has taken place, several outcomes are possible.
A. A plan may be developed to allow the student to continue in his/her placement, working to correct the
performance difficulties. This plan must be acceptable to the FI, the student, and the SSO Coordinator.
B. The student’s placement may be terminated and the student will have to find another agency in order to
fulfill the internship requirements. An unsatisfactory evaluation leading to termination will result in a No
Credit grade for the quarter.
C. The student may receive an “Incomplete” grade if illness or outside conditions are significant barriers to
meeting internship responsibilities. The student and FI should contact the SSO Coordinator as soon as
such situations arise.
D. If the student’s evaluation reflects an inability to deliver social services in a competent, safe, and ethical
manner, the SSO Coordinator, in consultation with the department Chair, will determine whether the
student should be dismissed from the SSO. Such situations generally reflect challenges in readiness or
fitness for the profession. These issues may include, but are not limited to difficulties with any of the
following abilities:
a. maintaining professional relationships with clients, colleagues, and peers;
b. adhering to the NASW Code of Ethics;
c. behaving with integrity regarding respect, honesty, and fulfillment of commitments;
d. communicating effectively and appropriately at a college level;
e. maintaining personal and professional boundaries;
f. willingness to self-evaluate, as well as evaluate and modify practice;
g. transferring theory to practice settings;
h. assuming responsibility for one’s learning and providing self-direction;
i. committing to culturally competent practice, respecting diverse cultures and lifestyles;
j. accepting responsibility for one’s actions and decisions; and
k. willingness to tolerate and consider viewpoint’s contrary to one’s own
Incomplete Grade in Field An Incomplete grade may only be assigned under the following
conditions:
1. If a student is in “good standing” (i.e., not on academic probation); and
2. The student experiences events beyond his/her control (e.g., illness/hospitalization, accident, family
emergency, significant agency complication, etc.), which prevents completion of required field by the
date evaluations and grades are due.
Field Placement Terminations Occasionally, it becomes necessary to terminate a placement due to
compelling circumstances. While termination is an option, it should only be considered after every attempt
is made to resolve the problem/issue and complete the placement. In most cases, the decision to terminate
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CALIFORNIA STATE UNIVERSITY, EAST BAY
UNDERGRADUATE FIELD MANUAL
SOCIOLOGY & SOCIAL SERVICES
2013-2014
should only be made after a meeting with the student, FI, and SSO Coordinator has taken place. However,
in some instances, the SSO Coordinator may determine that such a meeting is not feasible or desirable.
Although a student or FI may request a termination at any time, mid-quarter terminations are particularly
discouraged, as students generally do not receive credit for field days when placements are terminated
mid-quarter. If the termination is requested after successfully completing a quarter in an agency with a
Satisfactory grade, a student will be credited with days spent in the initial placement.
If a decision is made to terminate a placement:
1. The SSO Coordinator will request a written evaluation of the student’s performance from the FI,
indicating the student’s performance up to that point. The student’s grade should be indicated (e.g.,
Incomplete; Satisfactory; or Unsatisfactory).
2. Both the student and FI are asked to summarize the circumstances of the termination in a memo to the
SSO Coordinator.
After reviewing these documents, the SSO Coordinator will consult with the student and the FI to determine
the reasons for termination and credited hours (if any). The SSO Coordinator will work with the student to
identify a new agency placement.
FINDING AN INTERNSHIP
Students are required to arrange their internship. The Coordinator or the instructor for SOC 4716 can guide
the student in this process. First, students should complete the Field Placement Questionnaire as soon
as possible in the fall quarter and submit this to the SSO Coordinator. Students are encouraged to seek
placements with agencies already approved by the CSUEB Center for Community Engagement.
TO FIND SERVICE OPPORTUNITES ALREADY APPROVED BY CSUEB:
1. Go to the Center for Community Engagement webpage
http://www20.csueastbay.edu/faculty/ofd/communityengagement/index.html
2. Click on the menu item Service Opportunities
3. Click on any agency name to see further details and find the agency’s contact person.
4. Be sure the opportunity described is social service related. For example, there may be a listing
requesting volunteers to help plant a garden or provide computer support – these would probably not
be considered as a SSO placement. If you have questions, ask the SSO Coordinator.
Students should contact these agencies for placement inquiries and have a current resume and
references available for interview appointments. When an agency and student mutually agree to a
placement, the student and agency should complete the Placement Confirmation Form and submit this to
the SSO Coordinator.
Establishing a New SSO Agency as a Placement
If the student is interested in interning at an agency not on this Service Learning list, she/he must speak
with the SSO Coordinator to determine if the agency is appropriate. Some agencies have been approved,
but prefer not to be on the web-based list. However, if the agency is new to the SSO program, the
Coordinator will need to conduct a visit to the agency for final approval. The agency must complete a
Center for Community Engagement Form online at
https://www.surveymonkey.com/s/csuebcampuscommunitypartnershiprequest
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CALIFORNIA STATE UNIVERSITY, EAST BAY
UNDERGRADUATE FIELD MANUAL
SOCIOLOGY & SOCIAL SERVICES
2013-2014
and an Agency Information Sheet for the SSO program. Thus, it is important that these arrangements be
started as early as possible to allow for the approval process to take place.
A Note on Criminal Records Having a criminal record does not preclude students from an internship
experience, but securing a placement may be more challenging. Almost all placements involved with children or
adolescents require fingerprinting, as well as all placements affiliated with protective or justice functions. Some
agencies/schools will make an individual determination about internship eligibility based on the type and specifics of
an offense. Concerned students should speak with the SSO Coordinator. Students with a record and an interest in
social services are encouraged to pursue the possibility of expunging their record in their long-range plans This can
be a lengthy but worthwhile process. Some helpful websites include:
http://www.courts.ca.gov/1070.htm &
http://www.saclaw.lib.ca.us/pages/expunging-criminal-records.aspx
RESTRICTIONS ON INTERN DUTIES
Students and FIs should understand that interns are prohibited from conducting the following activities:
1.
2.
3.
4.
5.
6.
transporting clients in a student’s private vehicle;
administering or delivering medications;
providing hands-on client restraint;
being alone in an agency facility;
conducting a home visit alone; or
handling urine samples or other medically hazardous waste.
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CALIFORNIA STATE UNIVERSITY, EAST BAY
UNDERGRADUATE FIELD MANUAL
SOCIOLOGY & SOCIAL SERVICES
2013-2014
APPENDICES
2013-2014 FIELD CALENDAR
(subject to change)
FALL QUARTER
Classes begin
Field Placement Questionnaire Due
Veteran’s Day Observed
Thanksgiving Holiday
Last day of classes
Final Exams
Placement Confirmation Form Due
September 25, 2013
October 10, 2013
November 11, 2013
November 28 – 29, 2013
December 7, 2013
December 9-14, 2013
December 5, 2013
WINTER QUARTER
Classes begin
Field begins
MLK Holiday (University closed)
Learning Agreement Due
Last day of classes
Winter Performance Evaluations Due
Winter Hour Logs Due
Final Exams
Spring Break
Cesar Chavez Day (University closed)
January 6, 2014
Week of January 6, 2014
January 20, 2014
February 13, 2014
March 16, 2014
March 18, 2014
March 18, 2014
March 18-24, 2014
March 25-29
March 31, 2014
SPRING QUARTER
Classes begin
Field begins
Memorial Day holiday (University closed)
Last day of classes
Spring Performance Evaluations Due
Spring Hour Logs due
Student Evaluation of Placement Due
SSO End of Year Celebration
Final Exams
Commencement Ceremonies
April 2, 2014
Week of April 2, 2014
May 27, 2014
June 9, 2014
June 10, 2014
June 10, 2014
June 10, 2014
June 10, 2014 7pm-8:30pm
June 10-14, 2014
June 15, 16, 2014
College of Letters, Arts & Social Sciences
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CALIFORNIA STATE UNIVERSITY, EAST BAY
UNDERGRADUATE FIELD MANUAL
SOCIOLOGY & SOCIAL SERVICES
2013-2014
SOCIAL SERVICE OPTION (SS0) FIELD PLACEMENT QUESTIONNAIRE
Please complete and return to the Social Service Option Coordinator.
This information identifies student interests to assist with placement. Please TYPE.
NAME:
NET ID:
ADDRESS (Street/City/Zip):
PREFERRED PHONE (Usually cell):
PREFERRED EMAIL:
EMERGENCY CONTACT INFORMATION
Name:
Relationship:
Contact’s Phone:
ALLERGIES / SPECIAL NEEDS:
►TRANSPORTATION: Will you have use of a car during your field placement? YES
NO If not, please
state how you plan to get to your site and carry out field assignments, for instance, involving field visits with clients:
►WORK EXPERIENCE (summarize experience below)
EMPLOYER
DATES (TO-FROM)
POSITION
►PLEASE LIST ANY SPECIAL SKILLS /CERTIFICATIONS (Crisis training, domestic violence training,
CPR, etc.)
►FIELD PLACEMENT INTERESTS (PLEASE RANK ORDER YOUR TOP 3 CHOICES: 1, 2, 3)
Child Welfare
Foster Care
Adoptions
School-based
Infants/Toddlers
Adolescents
Aging/Elderly
_______ Immigration
Other [Please specify]
Adult Protection
Residential/Inpatient
Housing
Developmental Disabilities
Juvenile Justice
Adult Corrections
Food Security
_______ Legal Advocacy
Mental Health
Addictions
Health/Medical
Hospice
HIV/AIDS
Community Organization
Poverty
_______ Diversity / LGBTQQI
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CALIFORNIA STATE UNIVERSITY, EAST BAY
UNDERGRADUATE FIELD MANUAL
SOCIOLOGY & SOCIAL SERVICES
2013-2014
►LANGUAGE Please specify any language[s] other than English in which you are fluent & check fluency skills:
LANGUAGE
FLUENCY
understand
speak
read
write
►Personal Demographics: You may use this space to indicate information that you think would contribute to a
placement serving the population of your choice. For example, a women’s domestic violence placement may
specifically need a female intern, an LGBTQQI program may benefit from a transgender intern, a substance abuse
program may view an intern in recovery as a “plus”. However, do not include such information here, if you do
not want it to be disclosed to the prospective agency field instructor.
►Please provide any additional information you think will assist in determining your placement:
ADA ADVISEMENT
If you expect that you will be requesting an accommodation because of a disability, you must be registered with the
University’s Disabled Student Services. You must also provide information of the specific accommodation[s] you
require. This information will be shared with the placement agency to ensure that reasonable accommodations will be
provided. Student disclosure of a required accommodation because of a disability is voluntary and only necessary if
requesting an accommodation.
►Do you require accommodation[s] due to a disability? YES NO
If yes, what type will be required?
Thank you for taking the time to fill out this questionnaire. Please return it to the SSO Coordinator,
Holly Vugia via Blackboard Assignments.
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CALIFORNIA STATE UNIVERSITY, EAST BAY
UNDERGRADUATE FIELD MANUAL
SOCIOLOGY & SOCIAL SERVICES
2013-2014
INTERNSHIP CONFIRMATION FORM
Hard Copy Due Prior to Winter Break
Internship Time Period: January – May/June 2014
STUDENT SHOULD COMPLETE THE INFORMATION IN THIS BOX
Student Name:
Agency Name:
Agency Address:
Agency Contact Person Name:
Agency Contact Person’s Phone:
Agency Contact Person’s Email:
Agency Field Instructor (FI) Name (if different than above):
FI Phone (if different than above):
FI Email (if different than above):
AGENCY REPRESENTATIVE SHOULD COMPLETE THE INFORMATION IN THIS BOX
□
We have interviewed the above student and agree to take the student on as an intern
(typically starting in the first week of January through the end of May, 240 hours total)
Agency Contact Person’s Signature: __________________________________________________
Date: _____________________________
Student or Agency: Please return this form to Holly Vugia
25800 Carlos Bee Boulevard, 3095 Meiklejohn Hall, Hayward, CA 94542
holly.vugia@csuesastbay.edu (main office 510.885.3173) (FAX: 510.885.2390)
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CALIFORNIA STATE UNIVERSITY, EAST BAY
UNDERGRADUATE FIELD MANUAL
SOCIOLOGY & SOCIAL SERVICES
2013-2014
SOCIAL SERVICES OPTION LEARNING AGREEMENT
The student and Field Instructor should complete this LA by listing the major goals to be accomplished
during the internship, the strategies to achieve those goals, and the methods of evaluating goal completion.
At least 1 goal is recommended that relates to each competency. A signed copy must be submitted to the
Social Services Option Coordinator. Please see the sample LA. PLEASE TYPE.
Field Competencies:
1.
2.
3.
4.
5.
RELATIONSHIPS: The ability to form professional relationships with a range of individuals, groups & communities.
COMMUNICATION: The ability to effectively communicate in both oral and written form.
COMPORTMENT: The ability to demonstrate professional and ethical behavior and attitudes.
SERVICES: The ability to make appropriate use of agency resources & staff in planning & implementing interventions.
PARTICIPATION: The ability to actively and effectively participate in the field experience.
Student Name: ___________________________
Year: 2014
Field Instructor: __________________________________ Agency: ___________________________________
Weekly hours will be as listed below for the winter and spring 10 week quarters for a total of 240 hours.
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Total Hours
12.0
GOAL
(general overall goal)
STRATEGIES
(specific tasks)
EVALUATION
(how will you show the
task(s) is completed)
GOAL RELATED TO RELATIONSHIP
SKILLS:
GOAL RELATED TO COMMUNICATION
SKILLS:
GOAL RELATED TO COMPORTMENT:
GOAL RELATED TO SERVICE UTILIZATION:
GOAL RELATED TO INTERNSHIP
PARTICIPATION:
ADDITIONAL GOAL(S):
STUDENT SIGNATURE
DATE
F.I. SIGNATURE
DATE
SSO REPRESENTATIVE SIGNATURE __________________________________________
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CALIFORNIA STATE UNIVERSITY, EAST BAY
UNDERGRADUATE FIELD MANUAL
SOCIOLOGY & SOCIAL SERVICES
2013-2014
--- SAMPLE LEARNING AGREEMENT PAGE 1--SOCIAL SERVICES OPTION LEARNING AGREEMENT
Using the Field Competencies and Field Tasks, the student and FI should complete this LA by listing the
major goals to be accomplished during the internship, the strategies to achieve those goals, and the
methods of evaluating goal completion. At least 1 goal is recommended that relates to each competency. A
signed copy must be submitted to the Social Services Option Coordinator. Please see the sample LA.
Field Competencies:
1.
2.
3.
4.
5.
RELATIONSHIPS: The ability to form professional relationships with a range of individuals, groups & communities.
COMMUNICATION: The ability to effectively communicate in both oral and written form.
COMPORTMENT: The ability to demonstrate professional and ethical behavior and attitudes.
SERVICES: The ability to make appropriate use of agency resources & staff in planning & implementing interventions.
PARTICIPATION: The ability to actively and effectively participate in the field experience.
Student Name: Louise Jackson
Year: 2014
Field Instructor: ___Renee Garcia__________________ Agency: _______Helping Others ___________
Weekly hours will be as listed below for the winter and spring 10 week quarters for a total of 240 hours.
Monday
Tuesday
Wednesday
GOAL
GOAL RELATED TO RELATIONSHIP
SKILLS:
Work with a client that is
ethnically/culturally different from
myself
GOAL RELATED TO COMMUNICATION
SKILLS:
Learn to complete an intake
GOAL RELATED TO COMPORTMENT:
Develop an understanding of
ethical social service practice
GOAL RELATED TO SERVICE UTILIZATION:
Learn about agency & community
resources for the target
population.
GOAL RELATED TO INTERNSHIP
PARTICIPATION:
Thursday
Friday
9-3
9-3
STRATEGIES
1. Obtain a case assignment or
co-case assignment with
client that fits this description
2. Work with the client toward
the resolution of at least one
problem
1. Observe intakes
2. Complete an intake with me
taking the lead
3. Complete the required
documentation
1. Read NASW Code of Ethics
2. Apply the Code to a case
3. Attend an ethics committee
meeting at the agency, if
available
1. Orient self to agency with
help of FI and staff
2. Review resource materials
3. Create own list of critical
resource contacts, numbers
& websites
1) Commit to discussing these
observations in supervision with
Saturday
Sunday
Total Hours
12.0
EVALUATION
1. Discuss case with FI
2. Discuss case in practicum
seminar
Review the intake with FI
Discuss the case with FI, as well
as explore other ethical issues as
they arise
Present resource list to FI &
Identify service gaps in the list—
whether or not they truly exist
Evaluate my growth in this area
with FI
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CALIFORNIA STATE UNIVERSITY, EAST BAY
UNDERGRADUATE FIELD MANUAL
Learn to examine my own biases
& reactions to situations in social
service settings, as well as to
others beliefs
ADDITIONAL GOAL:
Participate in some type of client
group session or meeting to begin
to learn group work skills
SOCIOLOGY & SOCIAL SERVICES
2013-2014
FI & in practicum seminar
1. Explore group options at the
agency
2. Arrange to join & observe a
group
3. Plan & facilitate at least 1
activity for/with this group
1. Discuss possibilities with
supervisor & follow-up
2. If possible, meet with group
facilitator for feedback after
group
STUDENT SIGNATURE
DATE
F.I. SIGNATURE
DATE
SSO REPRESENTATIVE SIGNATURE __________________________________________
--- SAMPLE LEARNING AGREEMENT PAGE 2---
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CALIFORNIA STATE UNIVERSITY, EAST BAY
UNDERGRADUATE FIELD MANUAL
SOCIOLOGY & SOCIAL SERVICES
2013-2014
Internship Tasks Vary Depending on the Agency, Student Interests, and Student Work Experience.
Some Examples of Possible Learning Tasks are Listed Below







































Attend an agency training on mandated reporting, HIPAA, intimate partner violence, etc.
Read the agency procedures manual
Learn agency safety and emergency procedures
Learn the agency computer system
Drive, walk, or take a bus in the agency community to learn the surroundings and social climate
Bring journal entries to supervision to address supervision questions
Attend a staff meeting and be introduced
Shadow staff on different duties, such as intakes, home visits, interviews, etc.
Spend time in different departments/programs to learn the agencies workings
With supervision, conduct an intake, face sheet, etc.; some students may be ready to go solo!
Accompany supervisor to community or board meetings
Learn referral services and support clients in obtaining appropriate services
Spend some time on front desk or phones to learn agency workings and client needs
A small amount of office support is ok, but students should be involved in more challenging learning
tasks than filing, copying, data entry, etc.
Some translation assistance is also ok, but students should not be used only as translators
Attend a client group or family meeting
Co-lead group sessions or hold small group meetings
Hold individual supportive/assessment meetings with clients
Shadow a crisis intervention
Form helping relationships with a few clients
Help plan a special event
Help write a grant
Help with a research task
Help with community outreach efforts
Help with agency development efforts (fundraising, donation request, etc.)
Tutoring or support for at-risk or special needs children
Complete special projects, such as create a needed brochure, update referral sources, design an
educational bulletin board display, etc.
Supervise children, interact at recess, etc. and plan activities for children/teens
Conduct classroom observations in schools
Help design spread sheets or examine budgetary needs
Provide interaction, stimulation, activities for elderly clients
Provide psychoeducational information to clients
Attend a case presentation or case meetings
Present a topic or case to a staff meeting or intern group
Attend a court session
Complete client or community needs assessments or eligibility screenings
Identify an agency need and create a program/solution
Advocate for an underserved client or group
Explore the culture or needs of a particular group served by the agency
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CALIFORNIA STATE UNIVERSITY, EAST BAY
UNDERGRADUATE FIELD MANUAL
SOCIOLOGY & SOCIAL SERVICES
2013-2014
SOCIAL SERVICE OPTION JOURNAL ENTRY FORM
NO CREDIT IF NOT TYPED!
ENTRY NUMBER: 1 2 3 4 5 6 7 8 9 10 (highlight the number)
(10 required the winter quarter; 6 required in the spring)
MY NAME:
ENTRY DATE:
DO NOT USE ACTUAL CLIENT NAMES (CONFIDENTIALITY). PLEASE TYPE.
STUDENTS ARE ENCOURAGED TO DISCUSS THESE EXPERIENCES WITH FI’S.
Placement Site:
Free Response Entry:
After reflecting on your entry, check the areas of social work practice that relate to the situation(s) that you discussed.
Micro Intervention
Macro Issues
Oppression
Countertransference
Mezzo Intervention
Values & Ethics
Empowerment
Transference
One observed strength in self:
One observed area/skill in which I would like to grow:
One positive change observed in client, self, field relationships, agency, etc. as a result of my efforts:
A question I would like to ask my field instructor is… (called a “supervision question”)
On a scale of 1-10, how positive am I feeling about my practicum experience so far? (mark the scale)
very negative
1
2
3
4
neutral
5
6
7
8
9
very positive
10
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CALIFORNIA STATE UNIVERSITY, EAST BAY
UNDERGRADUATE FIELD MANUAL
SOCIOLOGY & SOCIAL SERVICES
2013-2014
STUDENT’S EVALUATION OF FIELD PLACEMENT
Please take the time to evaluate your field experience.
Please submit this form no later than the last day of classes in the SPRING quarter.
Responses do not affect your grade, but are used for program improvement and future student perusal.
NAME
DATE
AGENCY
FIELD INSTRUCTOR _____________________________
Circle how much you agree or disagree with each statement.
Statement
#
1
2
Strongly
Agree
5
Agree
Neutral
Disagree
4
3
2
Strongly
Disagree
1
5
4
3
2
1
5
4
3
2
1
5
4
3
2
1
5
4
3
2
1
5
4
3
2
1
5
4
3
2
1
5
4
3
2
1
5
4
3
2
1
5
4
3
2
1
5
4
3
2
1
I felt accepted in the agency.
I was invited to participate in staff meetings.
3
The agency environment and resources were
conducive to learning.
4 I had opportunities to interact with staff other than my
FI.
5 My skills & talents were used effectively by the
agency.
6 My FI supported me in getting the most out of my
internship experience.
7 I had opportunities to work with clients or groups of
people different than myself.
8 I learned a lot about social service work in this
internship.
9 I grew personally & professionally as a result of this
internship.
10 I would recommend this internship to a peer.
Please list your major tasks during the internship.
For this placement, please list 3 strengths:
1.
2.
3.
Please list 3 areas of needed improvement:
1.
2.
3.
Feel free to write any other comments on the back. Thank you for your feedback.
24
CALIFORNIA STATE UNIVERSITY, EAST BAY
UNDERGRADUATE FIELD MANUAL
SOCIOLOGY & SOCIAL SERVICES
2013-2014
HOUR LOG
Must be submitted at the end of each quarter. Please type or print all entries legibly.
NAME:
QUARTER:
COURSE: 4718 Field Practicum
F W S Sum
YEAR: 20____
FI :_______________________________________________
AGENCY____________________________________ FI PHONE ________________________________
FI EMAIL ____________________________________________________________________________
DATE
TIME IN
TIME OUT
HOURS
ACTIVITIES
Total hours on this page
Total hours for the quarter
Cumulative hours (all hours up to this point)
Student Signature ________________________ Agency FI Signature: __________________________
CSUEB SSO Representative Signature: ____________________________________________________
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CALIFORNIA STATE UNIVERSITY, EAST BAY
UNDERGRADUATE FIELD MANUAL
SOCIOLOGY & SOCIAL SERVICES
2013-2014
FIELD INSTRUCTOR’S EVALUATION OF STUDENT PERFORMANCE
Student Name: ___________________________
Quarter: Winter
Spring
Year: _______________
Field Instructor: __________________________________ Agency: __________________________________________
Please take the time to evaluate the student’s performance for this quarter. This assessment assists the
faculty in determining whether the student receives credit for the time in the field. In addition, it enables the
student and FI to identify areas of excellence as well as areas of needed improvement. Please submit this
form no later than the week of final exams (see Calendar for dates).
Please rate the student’s performance/skills using the rating table for each competency. Each table is
followed by a space for comments, which are helpful for students to evaluate their progress.
1) RELATIONSHIPS: The ability to form professional relationships with a range of individuals,
groups & communities.
Please check (√ ) the appropriate rating:
Area of Future Growth
Demonstrates
Emerging Skill
Demonstrates Skill
Consistently
Demonstrates
Advanced Accomplishment
Field Instructor’s Narrative Summary/Comments:
2) COMMUNICATION: The ability to effectively communicate in both oral and written form.
Please check (√ ) the appropriate rating:
Area of Future Growth
Demonstrates
Emerging Skill
Demonstrates Skill
Consistently
Demonstrates
Advanced Accomplishment
Field Instructor’s Narrative Summary/Comments:
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CALIFORNIA STATE UNIVERSITY, EAST BAY
UNDERGRADUATE FIELD MANUAL
SOCIOLOGY & SOCIAL SERVICES
2013-2014
3) COMPORTMENT: The ability to demonstrate professional and ethical behavior and attitudes.
Please check (√ ) the appropriate rating:
Area of Future Growth
Demonstrates
Emerging Skill
Demonstrates Skill
Consistently
Demonstrates
Advanced Accomplishment
Field Instructor’s Narrative Summary/Comments:
4) SERVICES: The ability to make appropriate use of agency resources and staff in planning and
implementing interventions.
Please check (√ ) the appropriate rating:
Area of Future Growth
Demonstrates
Emerging Skill
Demonstrates Skill
Consistently
Demonstrates
Advanced Accomplishment
Field Instructor’s Narrative Summary/Comments:
5) PARTICIPATION: The ability to actively and effectively participate in the field experience.
Please check (√ ) the appropriate rating:
Area of Future Growth
Demonstrates
Emerging Skill
Demonstrates Skill
Consistently
Demonstrates
Advanced Accomplishment
Field Instructor’s Narrative Summary/Comments:
27
CALIFORNIA STATE UNIVERSITY, EAST BAY
UNDERGRADUATE FIELD MANUAL
SOCIOLOGY & SOCIAL SERVICES
2013-2014
Total number of hours completed this quarter: _______________________________
Overall the student’s performance has been:  Satisfactory
 Unsatisfactory
 Incomplete
If “unsatisfactory” or “incomplete” have been marked, please clearly outline below what needs to be
completed or accomplished for the student to obtain a “satisfactory” rating.
This evaluation has been discussed with the student by the FI.
 yes
 no
Student Responses or Comments (Optional):
Student Signature: _______________________________________ Date: ____________________
FI Signature: ____________________________________________ Date: ___________________
SSO Representative Signature: __________________________ Date: ____________________
25800 Carlos Bee Boulevard, 3095 Meiklejohn Hall, Hayward, CA 94542-3084GFFGV
www.csueastbay.edu , 510.885.3173, FAX: 510.885.2390
28
CALIFORNIA STATE UNIVERSITY, EAST BAY
UNDERGRADUATE FIELD MANUAL
SOCIOLOGY & SOCIAL SERVICES
2013-2014
AGENCY INFORMATION
Requesting to Become an Undergraduate Internship Site
STEP 1: Agencies must complete the CSUEB Service Learning Office Form at
https://www.surveymonkey.com/s/csuebcampuscommunitypartnershiprequest
(Note: The Service Learning Office Serves All CSUEB Departments)
STEP 2: Complete the form below, specifically for the Undergraduate Social Services Program
Name of Agency
Address
Agency Phone
Contact Person
Title
Phone
Email
1. The agency will accept (please fill in a number)
undergraduate social service interns
2. Does the agency require students to have transportation between one internship-affiliated site and
another? □ NO
□ YES
3. Does the agency have any requirements BEFORE placement (e.g., fingerprinting, TB testing, etc.)?
□ NO
□ FINGERPRINTING □ TB Test
□ OTHER ________________________________
4. Does the agency PREFER or REQUIRE (circle one) a bilingual student?
□ NO
□ YES (If yes, which language(s)?) ___________________________________
5. Agency hours of operation ___________________________________________________
Is it possible for students to intern during the weekend and/or evenings? If so, please specify
_________________________________________________________________________________
6. Are stipends available? □ NO
□ YES
If yes, please specify _______________________________________________________________
7. Type of Setting □ Community Based Organization □ School □ Hospital □ County Service Agency □
University Campus □ Locked Facility □ Group Home □ Other _____________________________
8. Major social problems addressed by the agency: ___________________________________________
9. Clients
Population
adolescents
women
men
children
families
older adults
infants/toddlers
other
Ethnicity
African American/Blk
Asian
Caucasian/White
Latino/Hispanic
Native American
Middle Eastrn/S. Asian
other
29
CALIFORNIA STATE UNIVERSITY, EAST BAY
UNDERGRADUATE FIELD MANUAL
SOCIOLOGY & SOCIAL SERVICES
2013-2014
AVAILABLE TRAINING / FIELDWORK OPPORTUNITIES (Check all applicable categories)
DIRECT SERVICES
MACRO-PRACTICE
Individuals
Families
Couples
_______ Groups
Information/Referral
Advocacy
Case Management
Discharge Planning
Psychosocial Assessment
Diagnostic Assessment
Crisis Intervention
Consult/Collaborate w/staff in agency
Task Force / Committee Assignments
_______ Community Education
Fiscal / Budgetary Issues
Program Development & Evaluation
Community Networking / Linking
Special Projects / Assignments
Multi-/Interdisciplinary team meetings
Quality Assurance
Grant Writing
_______ Research
FIELD INSTRUCTOR (FI) INFORMATION (Please attach CV / Resume)
Field Instructors must have a bachelor’s degree
1. ) Name of Prospective FI ________________________________________________________
School Attended _________________________________ Degree/Year _____________________
Other degrees/certifications ________________________________________________________
Prior Intern Supervision (from other schools/universities) _________________________________
______________________________________________________________________________
Phone ___________________________________ Email ________________________________
2.) Name of Prospective FI ________________________________________________________
School Attended _________________________________ Degree/Year _____________________
Other degrees/certifications ________________________________________________________
Prior Intern Supervision (from other schools/universities) _________________________________
______________________________________________________________________________
Phone ___________________________________ Email ________________________________
Please Email, FAX or Mail this document and all other field correspondence to:
Holly Vugia CSUEB Sociology/Social Services 25800 Carlos Bee Boulevard, Hayward, CA 94542
FAX 510.885.2390
EMAIL holly.vugia@csueastbay.edu
30
CALIFORNIA STATE UNIVERSITY, EAST BAY
UNDERGRADUATE FIELD MANUAL
SOCIOLOGY & SOCIAL SERVICES
2013-2014
Sociology B.A. Major Requirements: Social Service Option Checklist
 Be sure to consult a major advisor
 Social Service Option requires 61 units
 B.A. requires 180 units
LOWER DIVISION REQUIREMENTS
SOC 1000
NOTES
Introduction to Sociology (or 1001, 1002, 2001, 2002)
4
UPPER DIVISION CORE REQUIREMENTS
SOC 3310
SOC 4111
SOC 4112
Sociological Theory
Methods of Sociological Research I
Methods of Sociological Research II
12 UNITS
Must take STAT
1000 1st; Must
take 4111 before
4112; CANNOT
take both at same
time
UPPER DIVISION OPTION REQUIREMENTS
SOC 3425
4 UNITS
4
4
4
40 UNITS
Prejudice & Discrimination
4
(or SOC 3520 Sociology of Minority Groups)
SOC 3700
SOC 3710
SOC 3720
SOC 4716
Introduction to Social Services
Social Policy
Human Behavior in the Social Environment
Social Work Theories & Methods
SOC 4718
SOC 4719
SOC 4718
SOC 4719
Field Practicum (winter)
Field Practicum Seminar (winter)
Field Practicum (spring)
Field Practicum Seminar (spring)
Electives:*
SOC _____
SOC _____
2 Upper Division Sociology courses:
COURSES IN SUPPORTING FIELDS
STAT 1000
TOTAL
Elements of Probability & Statistics
Fall only; Must
take 3700 1st;
Must take 4716
before 4718-19
Seniors only; must
take 4716 1st;
register for all four
courses with same
instructor
4
4
4
4
4
2
4
2
4
4
5 UNITS
5
61
*Up to 8 units of upper division Statistics courses, selected under advisement, may be counted as
Sociology electives.
31
CALIFORNIA STATE UNIVERSITY, EAST BAY
UNDERGRADUATE FIELD MANUAL
SOCIOLOGY & SOCIAL SERVICES
2013-2014
DEPARTMENT OF SOCIOLOGY & SOCIAL SERVICES FACULTY & STAFF
Name
Austin, Duke (Dr.)
Bowser, Ben (Dr.)
Chavez, Peggy
Ianeva, Emilia
Ivester, Sukari
Jennings, Pat (Dr.)
Johnson, Will (Dr.)
Musson, Sylvia
Long, Tom
Nilofar, Sami
Padilla, Efren (Dr.)
Payne, Macheo
Pimentel, Ben
Prince-Ingram, Susan
Puri, Vibha
Stempel, Carl (Dr.)
van der Vinne, Hester
Vugia, Holly (Dr.)
Role
Email
Phone
Office
Asst. Professor
Professor
Emeritus
Lecturer
Lecturer
Lecturer
duke.austin@csueastbay.edu
benjamin.bowser@csueastbay.edu
510.885.
510.885.3187
MI 3066
MI 3101
peggy.chavez@csueastbay.edu
emilia.ianeva@csueastbay.edu
sukari.ivester@csueastbay.edu
510.885.2154
510.885.3185
510.885.
MI 3089
MI 3101
MI 3062
CHAIR
Assoc. Professor
Assoc. Professor
Dept. Secretary
Lecturer
Lecturer
Professor
Filipino Studies
Lecturer
Lecturer
Lecturer
Lecturer
Professor
Grad. Advisor
Lecturer
Assoc. Professor
SSO Coordinator
pat.jennings@csueastbay.edu
510.885.3197
MI 3093
will.johnson@csueastbay.edu
sylvia.musson@csueastbay.edu
thomas.long@csueastbay.edu
sami.nilofar@csueastbay.edu
efren.padilla@csueastbay.edu
510.885.3186
510.888.3173
510.885.
510.885.
510.885.4818
MI 3088
MI 3095
MI 3099
macheo.payne@csueastbay.edu
ben.pimentel@csueastbay.edu
susan.ingram@csueastbay.edu
vibha.chandra@csueastbay.edu
carl.stempel@csueastbay.edu
510.885.
510.885.3173
510.885.
510.885.3170
510.885.4819
hester.vandervinne@csueastbay.edu 510.885.3786
holly.vugia@csueastbay.edu
510.885.2121
MI 3118
online only
MI 3089
MI 3087
MI 3089
MI 3103
Hay: MI 3097
Con: LB 238
National Association of Social Workers Code of Ethics
Available online at:
http://www.socialworkers.org/pubs/Code/code.asp
32