UNIVERSITY OF CENTRAL FLORIDA
School of Social Work
BSW Field Education
Mid-Term Evaluation
Student's Name:
Date:
Seminar Instructor:
Field Agency:
Agency Field Instructor:
Acceptable = Student is performing and learning at an acceptable or above average level.
Area for Development = Student requires continued skill building in this area.
Not Acceptable = Student is having difficulty meeting this objective in the field agency.
Not Applicable = Student has not yet had an opportunity to begin working on this objective in the
field agency. If N/A is marked, please include in the section for comments when the student will
have the opportunity for that objective.
I. Student’s Professional Behavior
1.
The Student Has:
Met people and situations in an
appropriate manner.
2.
Observed agency standards.
3.
Presented and handled him/herself
appropriately in manner and dress.
Participated adequately in staff and
other group meetings.
Presented cases adequately in staff
conferences.
Observed appropriate professional
boundaries in relation to agency staff
and clients.
4.
5.
6.
January 2010
Acceptable
1
Area for
Development
Not
Acceptable
N/A
Comments on Student’s Professional Behavior: Discuss student’s behaviors that demonstrate
competency of these tasks and any objectives that the student has not yet had an opportunity to
begin working on.
II. Student’s Relationship to Field Placement Agency
The Student Has:
1. Obtained necessary information about
the setting's program, structure,
policies, and procedures.
2. Demonstrated an understanding of the
purpose and function of setting.
3. Demonstrated the ability to effectively
interpret agency information and
purpose to clients and other
professionals.
4. Recognized the setting's role in the
community's network of services.
5. Carried out all assigned duties in a
manner consistent with setting
procedures (i.e. recording, deadlines,
meetings, etc.).
6. Worked responsibly and effectively
with other agencies.
7. Organized and followed an appropriate
weekly schedule.
8. Demonstrated judgment and flexibility
in deviating from his/her schedule
when necessary.
9. Completed necessary procedural talks
promptly (i.e. recording, reports,
letters, etc.).
10. Prepared recording suitable to agency
records.
11. Demonstrated consistency in the
handling of assigned cases and tasks.
Acceptable
Area for
Development
Not
Acceptable
N/A
Comments on Student’s Relationship to Field Placement Agency: Discuss student’s
behaviors that demonstrate competency of these tasks and any objectives that the student has not
yet had an opportunity to begin working on.
January 2010
2
III. Student’s Relationship with Clients
1.
2.
3.
4.
5.
6.
The Student Has:
Demonstrated an understanding and
acceptance of the role of social worker.
Demonstrated an understanding and
acceptance of all types of clients including
those with value systems and cultural
patterns differing from his/her own.
Demonstrated an awareness of his/her own
actions and feelings toward clients as well
as the clients’ reactions to him/her.
Respected the integrity and dignity of
clients and allowed them to take
responsibility for their own behavior.
Demonstrated awareness of and empathy
with clients' feelings.
Maintained his/her professional purpose in
relationships with clients.
7.
Defined his/her purpose to clients.
8.
Intervened on basis of the client's need
rather than his/her own need.
Identified and engaged significant others
in the helping process.
Worked successfully with antagonistic,
hostile, or difficult clients.
Used his/her own authority appropriately
(i.e. limit setting).
Demonstrated a beginning ability to assess
the needs of clients.
Mutually established realistic goals based
on the strengths and weakness of the
client.
Helped clients obtain needed services and
cope with the process of obtaining help.
Understood the client's problem, defined it
and formulated an appropriate plan of
action.
Assessed the intervention on an ongoing
basis, modifying when necessary.
Used effective interviewing skills and
techniques.
Exhibited creativity in the manner of
service delivery using a variety of
techniques to achieve goals.
9.
10.
11.
12.
13.
14.
15.
16.
17.
18.
Acceptable
19. Preserved the confidentiality of clients.
20. Handled termination effectively.
January 2010
3
Area for
Development
Not
Acceptable
N/A
Comments on Student’s Relationship with Clients: Discuss student’s behaviors that
demonstrate competency of these tasks and any objectives that the student has not yet had an
opportunity to begin working on.
IV. Student’s Relationship with Field Instructor and Staff
1.
2.
3.
4.
5.
6.
The Student Has:
Made productive use of the field
instruction.
Asked for and accepted the help of the
field instructor and/or staff when
appropriate.
Cooperated with and followed the
directions of the field instructor and/or
staff.
Demonstrated self-initiative, motivation,
and creativity.
Realized and accepted responsibility for
his/her own growth and development.
Demonstrated a critical awareness of
his/her personal feelings, attitudes, and
competence.
Acceptable
Area for
Development
Not
Acceptable
N/A
Comments on Student’s Relationship with Field Instructor and Staff: Discuss student’s
behaviors that demonstrate competency of these tasks and any objectives that the student has not
yet had an opportunity to begin working on.
January 2010
4
Use the evaluation ratings to assess in the chart below the student’s ability to perform
the following generalist Social Work competencies:
Evaluation Ratings:
4 - Exceeds expectations
3 – At expectation (satisfactory level of performance)
2 – Needs Improvement
1 – Below expectation (unsatisfactory level of performance)
N/A – Not applicable
Objectives
1. Apply the knowledge and skills of
generalist social work practice with
systems of all sizes
Outcome
1
2
3 4 N/A
2. Apply critical thinking skills
within the context of professional
social work practice.
1
2
3 4 N/A
3. Understand the value base of the
profession and its ethical standards
and principles and practice
accordingly.
4. Practice without discrimination
and with respect, knowledge, and
skills related to clients’ age, class,
color, culture, disability, ethnicity,
family structure, gender, marital
status, national origin, race, religion,
sex, and sexual orientation
1
2
3 4 N/A
1
2
3 4 N/A
5. Understand the forms and
mechanisms of oppression and
discrimination and apply strategies
of advocacy and social change that
advance social and economic justice.
1
2
3 4 N/A
6. Understand and interpret the
history of the social work profession
and its contemporary structures and
issues
1
2
3 4 N/A
Objectives
7. Use communication skills
differentially across client
populations, colleagues, and
communities.
8. Analyze, formulate, and
influence social policies
2
3 4 N/A
1
2
3 4 N/A
9. Evaluate research studies,
apply research findings to
practice, and evaluate their own
practice interventions.
10. Use theoretical frameworks
supported by empirical evidence
to understand individual
development and behavior across
the life span and the interactions
among individuals and between
individuals and families, groups,
organizations, and communities
11. Use supervision and
consultation appropriate to social
work practice.
1
2
3 4 N/A
1
2
3 4 N/A
1
2
3 4 N/A
12. Function within the structure
of organizations and service
delivery systems and seek
necessary organizational changes
1
2
3 4 N/A
Student's Signature:
Date:
Field Instructor’s Signature:
Date:
Task Supervisor's Signature:
Date:
Field Seminar Instructor’s Signature:
Date:
January 2010
5
Outcome
1