Department of Social Work
Red Deer College
100 College Blvd.,
Box 5005
Red Deer, Alberta
CANADA T4N 5H5
Telephone: 403.342.3304
Fax:
403.357.3655
Web-site:
ww.rdc.ab.ca/social/
FIELD WORK EVALUATION
- STUDENT
SOCIAL WORK DIPLOMA
The personal information that you provide on this form is being collected under the authority of the Post-Secondary Learning Act and the Freedom of
Information and Protection of Privacy Act of Alberta. The information will be used by the Program Area to evaluate the student’s performance in the
practicum experience. The information will be protected in compliance with the provisions of the Freedom of Information and Protection of Privacy
Act of Alberta. The information will be retained by the Program Area in accordance with approved Records and Information Management
guidelines, after which it will be destroyed in a secure manner. If you have any questions about the collection and use of this personal information,
please contact the Chairperson, Department of Social Work, Red Deer College, 100 College Blvd., Box 5005, Red Deer, Alberta, T4N 5H5, Telephone:
403.342.3304, Email: socialwork@rdc.ab.ca.
STUDENT’S NAME
DATE
AGENCY’S NAME
RDC FIELD LIAISON NAME
Learning and teaching should not stand on opposite banks and just watch the river flow by; instead, they
should embark together on a journey down the water. Through an active, reciprocal exchange, teaching can
strengthen learning how to learn.
-Loris Malaguzzi (1920–1994), Italian early childhood education specialist.
Quoted in The Hundred Languages of Children, Ch. 3, by Carolyn Edwards (1993).
The following process is recommended for completion of the formal evaluation:
1. Field Supervisor and Student reflect upon and independently complete respective written parts of the
evaluation form.
2. Discussion takes place to compare perspectives and focus on learning journey.
3. Completion of summary sheet (Part C) with signatures and date by supervisor and student. Field Supervisor
indicates recommended grade.
4. Submission of Parts A, B and C to Faculty Liaison at Red Deer College.
PART A: Student Reflection and Responses
Successes to Celebrate: What did you enjoy most? What skills are strongest and what work are you most proud of?
Challenges: What barriers, disappointments or challenges did you encounter? How were they dealt with?
Field Work Evaluation – Student, Social Work Program page 1
Progress on Learning Tasks (taken from Learning Contract):
1.
2.
3.
4.
Use additional pages if required
Field Work Evaluation – Student, Social Work Program page 2
Please rate the level of performance in areas A through F according to the following scale:
5
4
3
2
1
N
Outstanding Performance
Very Good Performance
Acceptable Performance
Needs Improvement
Unacceptable Performance
Not applicable/not yet observed
Performance is consistently above expected level
Performance is usually above expected level
Performance is acceptable but at times variable
Performance is inconsistent
Performance is below acceptable level
Items to be rated coincide with the current term of the student:
(no asterisk) - refers to expectations of all practicum students;
* (one asterisk) - refers to expectations of students in the second term of the first year onward;
** (two asterisks) - refers to expectations of second year students;
*** (three asterisks) - refers to expectations of students in the final term of second year.
“N” refers to not applicable in reference to the expectations by term and year as indicated above.
YEAR
1st
TERM
(no asterisk)
* (one asterisk)
** (two asterisks)
*** (three asterisks)
Expectations of all
students
Expectations of second term first
year students and second year
students only
Expectations of second
year students only
Expectations of second year
students in the final term
FALL
WINTER
2nd
FALL
WINTER
A. Demonstrates knowledge of:
5
4
3
2
1
N
1. structure and function of agency
2. agency policy
3. worker role with clients
*
*
4. client population
*
6. helping principles and problem-solving
5. practice methods used in this agency
7. relevant community resources
Comments:
Field Work Evaluation – Student, Social Work Program page 3
B. Demonstrates skills or abilities to:
5
4
3
2
1
N
5
4
3
2
1
N
1. form non-threatening relationships with clients
*
2. interview clients using appropriate verbal and non-verbal behavior
*
3. complete written work (forms, reports, letters and records)
*
4. assist client problems, group processes or organizational systems
**
5. help clients set clear objectives for resolution of problems
**
6. help clients define and utilize appropriate resources/skills
*
7. evaluate and terminate relationships with clients
8. gather and organize relevant information for projects and reports
**
*
**
9. make oral presentations
10. make appropriate referrals
11. search independently for new community resources
12. observe and objectively describe behavior
*
13. form an empathic, sensitive relationship with client
Comments:
C. Demonstrates the following values and attitudes:
1. regard for welfare of client as primary object
2. respect for client’s right to self-determination
3. confidentiality of client information
*
4. acceptance and non-judgmental attitude
*
5. affirmation of the worth and dignity of clients
*
6. respect for the uniqueness and individuality of clients
***
7. promotion of improvement of social policies and programs
**
8. awareness of improvement of social policies and programs
Field Work Evaluation – Student, Social Work Program page 4
Comments:
D. Develops and uses work relationship and supervision:
5
4
3
2
1
N
5
4
3
2
1
N
1. relates effectively with agency staff
2. relates effectively with other agencies
3. handles interpersonal conflict well
*
4. contributes actively to staff morale
*
5. initiates supervision when necessary
6. comes prepared for supervision
7. uses feedback constructively
*
**
8. uses co-workers for consultation when appropriate
9. gives feedback constructively
Comments:
E. Demonstrates self awareness by:
1. appropriate self-confidence and self-esteem
*
2. identification of strengths and limitations
*
3. awareness of personal needs
*
4. awareness of feelings and behaviour and their influence on helping
relationships
*
5. responsibility for own work
6. ability to cope with stress
Field Work Evaluation – Student, Social Work Program page 5
Comments:
F. Demonstrates professional work skills by:
5
4
3
2
1
N
1. dressing appropriately for agency
2. planning, organizing and using time effectively
3. attending placement consistently and punctually
4. effectively meeting organization’s administrative needs
**
5. showing initiative and independence
Comments:
Goals for Continued Learning:
What areas for growth have you identified for next term’s placement or employment?
DATE COMPLETED
Field Work Evaluation – Student, Social Work Program page 6 07/15