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Midterm Evaluation

This document is a midterm evaluation form for Brian Rowe, a BSW student interning at Teen HYPE. The form was completed by Brian's field instructor, Ambra Redrick, and discussed with Brian. It indicates that Brian has received orientation, completed 120 hours, actively participates in supervision, and has met expectations for all 11 core social work competencies. Ambra notes that Brian has been a great intern and appreciates his eagerness to assist. Both Brian and his faculty field liaison, Don Healy, agree with the positive evaluation.

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49 views

Midterm Evaluation

This document is a midterm evaluation form for Brian Rowe, a BSW student interning at Teen HYPE. The form was completed by Brian's field instructor, Ambra Redrick, and discussed with Brian. It indicates that Brian has received orientation, completed 120 hours, actively participates in supervision, and has met expectations for all 11 core social work competencies. Ambra notes that Brian has been a great intern and appreciates his eagerness to assist. Both Brian and his faculty field liaison, Don Healy, agree with the positive evaluation.

Uploaded by

api-315337632
Copyright
© © All Rights Reserved
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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ThisformistobecompletedbytheFieldInstructoranddiscussedwithstudent.

Itwillautomaticallybe
senttotheFacultyFieldLiaisononceitiscompletedonline.
Student:

BrianRowe

Agency:

TeenHYPE

AgencyFieldInstructor(s):

ambraredrick

FacultyFieldLiaison:

DonHealy

PleaseCheckOne:
X

BSW

BSWWOW

MSWFoundationYear

MSWAdvanceYear

Q3Pleasecheckandcompleteallthatapply.
X Studenthasreceivedagencyorientationandworkspacehasbeenassigned.
X Studenthascompleted120hourstodate.
X Studentisactivelyengagedinweeklysupervision.
X LearningPlanhasbeencompletedandsubmittedtotheFieldInstructorandFacultyFieldLiaison.
ProcessRecordingsorPRACSIShavebeenreviewedbyFieldInstructorandsubmittedtotheFaculty
X FieldLiaison(studentsshouldcheckwithassignedFacultyFieldLiaisontofindoutthenumberof
ProcessRecordingsorPRACSISrequired).
Pleasedescribeanyareasofstrengthorconcerninregardtothestudentsperformanceand/orthe
availabilityofrequiredlearningassignments.
noneatthistime
Instructionsforcompletingthemidtermevaluation:Pleaseevaluatestudentsperformancehalfway
throughthesemesterbyindicatingProgress,NoProgress,orNoOpportunity.Pleasereferencethe
studentsLearningPlanspecificpracticeoutcomestodeterminetherating.
Performanceratingscalebasedonthe(11)competencies:
PROGRESSStudentmetperformanceexpectationand/orisexhibitingprogressiontomeet
expectations
NOPROGRESSStudentdidnotmeetperformanceexpectations
NOOPPORTUNITYTherewasnotanopportunitytomeetexpectations

COMPETENCYAREAS111
Identifyasaprofessionalsocialworkerandconductoneselfaccordingly.

PROGRESS

Applysocialworkethicalprinciplestoguideprofessionalpractice.

PROGRESS

Applycriticalthinkingtoinformandcommunicateprofessionaljudgments.

PROGRESS

Engagediversityanddifferenceinpractice.

PROGRESS

Advancehumanrightsandsocialandeconomicjustice.

PROGRESS

Engageinresearchinformedpracticeandpracticeinformedresearch.

PROGRESS

Applyknowledgeofhumanbehaviorandthesocialenvironment.

PROGRESS

Engageinpolicypracticetoadvancesocialandeconomicwellbeingandtodelivereffective
PROGRESS
socialworkservices.
Respondtocontextsthatshapepractice.

PROGRESS

Engage,assess,intervene,andevaluatewithindividuals,families,groups,organizations,and
PROGRESS
communities.
Analyzetheimpactoftheurbancontextonarangeofclientsystems,includingpractice
implications.

PROGRESS

IfthereisaCompetencyAreainwhichthestudenthasnotmetminimumperformanceexpectations
todate,aplanofactionmustbenotedbelow.Iftherewillnotbeanopportunitytoaddressa
competencyarea,pleasestatethat.
n/a
Inthesectionbelow,pleaseprovideanOverallRatingofProgressorNoProgressforthestudents
performance,asindicatedbytheratingthatismostfrequentoftheeleven(11)competencies.Allparties
arerequiredtosignthemidtermevaluationtoindicatethattheyhavediscussedtheevaluation,evenifthe
studentdoesnotagreewiththeevaluation.
FIELDINSTRUCTORSECTION
Recommend:

PROGRESS

Comments:
Brainhasbeenagreatintern.Iappreciatehiseagernesstoassistwithourdaytodaytask
**Pleasenote:Bytypingmynamebelow,IcertifythatIhavereviewedthedocument,completedmy
portionandagreewiththecontent.
(Redrick,Ambra):ambraredrickApr6,201612:55AM
FieldInstructor(agencybasedsupervisor)
STUDENTSECTION

I...

Agreewiththeevaluation.

Comments:
N/A
**Pleasenote:Bytypingmynamebelow,IcertifythatIhavereviewedthedocument,completedmy
portionandagreewiththecontent.
BysigningyouwillsubmitMidtermFIASCinformationtotheassignedfacultyadvisorfromtheWayne
StateUniversitySchoolofSocialWork.Oncetheformiscompletedyouwillnotbeabletomodifyyour
responses.
(Rowe,Brian):BrianRoweMar31,20162:39PM
Student
(DonHealy):DonaldHealy,LMSWApr6,201610:46PM
FacultyFieldLiaison

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