University of Wisconsin-Milwaukee
The Helen Bader School of Social Welfare Field Program
Mid-Term Self-Evaluation Progress Report
(To be completed by Student)
Date:
Student Name:
Agency:
Student ID:
Agency Address:
Agency Phone:
Agency Fax:
Agency Field Instructor:
Field Instructor Email:
University Field Liaison (select) Barbara Teske-Young
Semester
Fall
Spring
Summer
Course # (select) 421
Year 200
Graduate Students only Practicum type (select one): Direct Practice
Macro Practice
Instructions: Please briefly describe your progress in the following areas using the
following rating categories:
Note: Please refer to the Field Course Objectives for more detail related to the competency
expectations in each of the categories being evaluated.
Link to course objectives (copy web address and paste into browser):
http://www.uwm.edu/SSW/NewFieldWork/FieldManual/index.htm
Exceptional Performer - Exceeds Expectations – Skills demonstrated are consistently
above the competency expectations of students at this level.
Solid Performer - Meets Basic Expectations – Skills demonstrated are consistent with
the competency expectations of students at this level.
Skills emerging – Inconsistently Meets Basic Expectations – Skills demonstrated are
somewhat inconsistent with the competency expectations of students at this
level.
Skills not demonstrated – Fails to Meet Basic Expectations – Student consistently fails to
demonstrate basic competency or meet expectations of students at
this level.
Page 2 of 8 – Mid-Term Self-Evaluation Progress Report 1-2008
PROFESSIONAL DEVELOPMENT
1. Demonstrates the ability to handle the expectations of the professional role, which is
exhibited in their presentation, communication with others, and appropriate
relationship development with the field instructor, agency staff and consumers.
Fails to
meet expectations
(Skills not
demonstrated)
Inconsistently
meets basic
expectations
(Skills emerging))
Meets basic
expectations
(Solid Performer)
Exceeds
expectations
(Exceptional
Performer)
N/A
Comments:
2. Demonstrates the ability to manage time effectively and efficiently.
Fails to
meet expectations
(Skills not
demonstrated)
Inconsistently
meets basic
expectations
(Skills emerging)
Meets basic
expectations
(Solid Performer)
Exceeds
expectations
(Exceptional
Performer)
N/A
Comments:
3. Responds appropriately to the supervisory relationship and understands and accepts
the role of the student in the practicum setting.
Fails to
meet expectations
(Skills not
demonstrated)
Comments:
Inconsistently
meets basic
expectations
(Skills emerging)
Meets basic
expectations
(Solid Performer)
Exceeds
expectations
(Exceptional
Performer)
N/A
Page 3 of 8 – Mid-Term Self-Evaluation Progress Report 1-2008
SOCIAL WORK PRACTICE
1. Demonstrates the ability to develop positive relationships with agency
consumers.
Fails to
meet expectations
(Skills not
demonstrated)
Inconsistently
meets basic
expectations
(Skills emerging)
Meets basic
expectations
(Solid Performer)
Exceeds
expectations
(Exceptional
Performer)
N/A
Comments:
2. Demonstrates the ability to use interviewing skills effectively.
Fails to
meet expectations
(Skills not
demonstrated)
Inconsistently
meets basic
expectations
(Skills emerging)
Meets basic
expectations
(Solid Performer)
Exceeds
expectations
(Exceptional
Performer)
N/A
Comments:
3. Demonstrates the ability to assess consumers’ strengths and areas of need
utilizing knowledge of human behavior and the social environment.
Fails to
meet expectations
(Skills not
demonstrated)
Inconsistently
meets basic
expectations
(Skills emerging)
Meets basic
expectations
(Solid Performer)
Exceeds
expectations
(Exceptional
Performer)
Comments:
4. Demonstrates the ability to evaluate the degree to which the goals of the
intervention plan are being achieved.
N/A
Page 4 of 8 – Mid-Term Self-Evaluation Progress Report 1-2008
Fails to
meet expectations
(Skills not
demonstrated)
Inconsistently
meets basic
expectations
(Skills emerging)
Meets basic
expectations
(Solid Performer)
Exceeds
expectations
(Exceptional
Performer)
N/A
Comments:
5. Demonstrates the importance of, and the ability to implement, the components of
the termination and referral processes.
Fails to
meet expectations
(Skills not
demonstrated)
Inconsistently
meets basic
expectations
(Skills emerging)
Meets basic
expectations
(Solid Performer)
Exceeds
expectations
(Exceptional
Performer)
N/A
Comments:
SOCIAL WORK VALUES AND ETHICS
1. Understands and identifies how personal values may conflict with professional social
work values and how this conflict can effect or impede services to agency
consumers.
Fails to
meet expectations
(Skills not
demonstrated)
Inconsistently
meets basic
expectations
(Skills emerging)
Meets basic
expectations
(Solid Performer)
Exceeds
expectations
(Exceptional
Performer)
N/A
Comments:
2. Understands and utilizes professional social work relationship standards in working
with consumers, colleagues, and representatives of other organizations and groups.
Page 5 of 8 – Mid-Term Self-Evaluation Progress Report 1-2008
Fails to
meet expectations
(Skills not
demonstrated)
Inconsistently
meets basic
expectations
(Skills emerging)
Meets basic
expectations
(Solid Performer)
Exceeds
expectations
(Exceptional
Performer)
N/A
Comments:
DIVERSITY
1. Understands the existence and importance of human diversity within the field of
social work and demonstrates a level of comfort in interactions with a diverse group
of consumers and professionals.
Fails to
meet expectations
(Skills not
demonstrated)
Inconsistently
meets basic
expectations
(Skills emerging)
Meets basic
expectations
(Solid Performer)
Exceeds
expectations
(Exceptional
Performer)
N/A
Comments:
2. Demonstrates awareness of how their own personal experience of diversity (gender,
race, ethnicity, age, religion, sexual orientation, physical abilities, socio-economic
status, etc.) may impact their relationship with consumers, agency staff, and community
collaterals.
Fails to
meet expectations
(Skills not
demonstrated)
Inconsistently
meets basic
expectations
(Skills emerging)
Meets basic
expectations
(Solid Performer)
Exceeds
expectations
(Exceptional
Performer)
Comments:
POPULATIONS AT RISK AND SOCIAL AND ECONOMIC JUSTICE
1. Understands factors that contribute to a population being at-risk.
N/A
Page 6 of 8 – Mid-Term Self-Evaluation Progress Report 1-2008
Fails to
meet expectations
(Skills not
demonstrated)
Inconsistently
meets basic
expectations
(Skills emerging)
Meets basic
expectations
(Solid Performer)
Exceeds
expectations
(Exceptional
Performer)
N/A
Comments:
2. Identifies and implements strategies to address the needs of consumers and
families at-risk.
Fails to
meet expectations
(Skills not
demonstrated)
Inconsistently
meets basic
expectations
(Skills emerging)
Meets basic
expectations
(Solid Performer)
Exceeds
expectations
(Exceptional
Performer)
N/A
Comments:
3. Understands the dynamic relationship between populations at-risk and issues of
social and economic justice.
Fails to
meet expectations
(Skills not
demonstrated)
Inconsistently
meets basic
expectations
(Skills emerging)
Meets basic
expectations
(Solid Performer)
Exceeds
expectations
(Exceptional
Performer)
N/A
Comments:
HUMAN BEHAVIOR AND THE SOCIAL ENVIRONMENT
Understands the reciprocal relationship between human behavior/development and the
social environment.
Page 7 of 8 – Mid-Term Self-Evaluation Progress Report 1-2008
Fails to
meet expectations
(Skills not
demonstrated)
Inconsistently
meets basic
expectations
(Skills emerging)
Meets basic
expectations
(Solid Performer)
Exceeds
expectations
(Exceptional
Performer)
N/A
Comments:
SOCIAL WELFARE POLICY AND SERVICES
Is able to identify how federal, state and local policies, regulations, and programs
impact the agency and its consumers, particularly among historically disadvantaged
populations.
Fails to
meet expectations
(Skills not
demonstrated)
Inconsistently
meets basic
expectations
(Skills emerging)
Meets basic
expectations
(Solid Performer)
Exceeds
expectations
(Exceptional
Performer)
N/A
Comments:
RESEARCH
Is able to use evidence-based research and related information to inform practice.
Fails to
meet expectations
(Skills not
demonstrated)
Comments:
Inconsistently
meets basic
expectations
(Skills emerging)
Meets basic
expectations
(Solid Performer)
Exceeds
expectations
(Exceptional
Performer)
N/A
Page 8 of 8 – Mid-Term Self-Evaluation Progress Report 1-2008
SUMMARY DOCUMENTATION:
1. Please describe the learning experiences in which you have participated this
semester.
2. Please describe any additional skills and social work competencies demonstrated
this semester:
3. Based on your current skill level, identify future learning needs:
4. Please describe your strengths:
5. Other comments.
The signatures below acknowledge that there has been a discussion between the
student and the Field Instructor regarding the content of this document.
Student Signature:
Date:
Field Instructor Signature:
Date: