Field Practicum Final Evaluation

Field Practicum Final Evaluation

Instructions and Criteria

Field Practicum Evaluation Final

Field Practicum Evaluation Final

The standard by which an intern is to be compared is that of a new beginning-level social worker. The 9 competencies specified in this evaluation form are those established by our national accrediting organization (the Council on Social Work Education). Under each competency statement are several items that we ask you to rate according to the following criteria.

Intern's Name*
First Last
Graduation Year*
- 2018
- 2019
- 2020
- 2021
Field Supervisor's Printed Name*
First Last
Field Supervisor Email*
Date*
MM slash DD slash YYYY
Instructions and Criteria
The standard by which an intern is to be compared is that of a new beginning-level social worker. The 9 competencies specified in this evaluation form are those established by our national accrediting organization (the Council on Social Work Education). Under each competency statement are several items that we ask you to rate according to the following criteria.

4 - Exemplary: the intern has excelled in this area
3 - Very good: the intern is functioning above expectations for interns in this area
2 - Proficient: the intern has met the expectations for interns in this area
1 - Emerging: the intern has not as yet met the expectations in this area
0 - The intern has not met the expectations in this area
N/A - Not applicable, as the intern has not had the opportunity to demonstrate competence in this area

Comments may be made under any competency statement, if desired. Please be sure to indicate those areas in which you think the intern is particularly strong and those areas in which the student needs improvement.

This evaluation is intended to give the student feedback about their performance. Please rate the student on any given item as it is appropriate to YOUR field setting. The field supervisor's rating of these items will not directly be used to calculate the grade given to the student. The field coordinator has responsibility of assigning the grade for field instruction.

The grade assigned will be based on: The faculty field coordinator's overall evaluation of the student's performance in field placement in conjunction with the field supervisor's evaluation and other submitted materials such as: intern logs, seminar participation, papers that integrate field with classroom instruction.

If you prefer to use another evaluation system in addition to this form to evaluate the student's performance please discuss this with the field coordinator.

Competency #1 Demonstrate Ethical and Professional Behavior*

Comments

Competency #2 Engage Diversity and Difference in Practice*

	4 - Exemplary: the intern has excelled in this area	3- Very good: the intern is functioning above expectations for interns in this area	2 - Proficient: the intern has met the expectations for interns in this area	1 - Emerging: the intern has not as yet met the expectations in this area	0 - The intern has not met the expectations in this area	N/A - Not applicable, as the intern has not had the opportunity to demonstrate competence in this area
2.6 apply and communicate understanding of the importance of diversity and difference in shaping life experiences in practice at the micro, mezzo, and macro levels;
2.7 present themselves as learners and engage clients and constituencies as experts of their own experiences; and
2.8 apply self-awareness and self-regulation to manage the influence of personal biases and values in working with diverse clients and constituencies.

Comments

Competency #3 Advance Human Rights and Social, Economic, and Environmental Justice*

	4 - Exemplary: the intern has excelled in this area	3- Very good: the intern is functioning above expectations for interns in this area	2 - Proficient: the intern has met the expectations for interns in this area	1 - Emerging: the intern has not as yet met the expectations in this area	0 - The intern has not met the expectations in this area	N/A - Not applicable, as the intern has not had the opportunity to demonstrate competence in this area
3.9 apply their understanding of social, economic, and environmental justice to advocate for human rights at the individual and system levels; and
3.10 engage in practices that advance social, economic, and environmental justice.

Comments

Competency #4 Engage In Practice-informed Research and Research-informed Practice*

	4 - Exemplary: the intern has excelled in this area	3- Very good: the intern is functioning above expectations for interns in this area	2 - Proficient: the intern has met the expectations for interns in this area	1 - Emerging: the intern has not as yet met the expectations in this area	0 - The intern has not met the expectations in this area	N/A - Not applicable, as the intern has not had the opportunity to demonstrate competence in this area
4.11 use practice experience and theory to inform scientific inquiry and research;
4.12 apply critical thinking to engage in analysis of quantitative and qualitative research methods and research findings; and
4.13 use and translate research evidence to inform and improve practice, policy, and service delivery.

Comments

Competency #5 Engage in Policy Practice*

	4 - Exemplary: the intern has excelled in this area	3- Very good: the intern is functioning above expectations for interns in this area	2 - Proficient: the intern has met the expectations for interns in this area	1 - Emerging: the intern has not as yet met the expectations in this area	0 - The intern has not met the expectations in this area	N/A - Not applicable, as the intern has not had the opportunity to demonstrate competence in this area
5.14 identify social policy at the local, state, and federal level that impacts well-being, service delivery, and access to social services;
5.15 assess how social welfare and economic policies impact the delivery of and access to social services;
5.16 apply critical thinking to analyze, formulate, and advocate for policies that advance human rights and social, economic and environmental justice.

Comments

Competency #6 Engage with Individuals, Families, Groups, Organizations, and Communities*

	4 - Exemplary: the intern has excelled in this area	3- Very good: the intern is functioning above expectations for interns in this area	2 - Proficient: the intern has met the expectations for interns in this area	1 - Emerging: the intern has not as yet met the expectations in this area	0 - The intern has not met the expectations in this area	N/A - Not applicable, as the intern has not had the opportunity to demonstrate competence in this area
6.17 apply knowledge of human behavior and the social environment, person-in-environment, and other multidisciplinary theoretical frameworks to engage with clients and constituencies; and
6.18 use empathy, reflection, and interpersonal skills to effectively engage diverse clients and constituencies.

Comments

Competency #7 Assess Individuals, Families, Groups, Organizations, and Communities*

Comments

Competency #8 Intervene with Individuals, Families, Groups, Organizations, and Communities*

Comments

Competency #9 Evaluate Practice with Individuals, Families, Groups, Organizations, and Communities*

Final Overall Evaluation (only check one of the following at the final evaluation)
- This intern is excelling in Field placement by performing above expectations for interns.
- This intern is meeting the expectations of a field placement intern.
- This intern is functioning somewhat below the expectations of a field placement intern. There is a question whether this intern will me ready for beginning level social work practice by the end of placement.
- This intern is functioning below the expectations of a field placement intern. There is considerable concern that this intern will not be ready for beginning level social work practice by the end of placement. This intern should perhaps be encouraged to pursue another major.
Comments
Agency*
Date*
MM slash DD slash YYYY
Signed Name*
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4 - Exemplary: the intern has excelled in this area

3- Very good: the intern is functioning above expectations for interns in this area

2 - Proficient: the intern has met the expectations for interns in this area

1 - Emerging: the intern has not as yet met the expectations in this area

0 - The intern has not met the expectations in this area

N/A - Not applicable, as the intern has not had the opportunity to demonstrate competence in this area

1.1 make ethical decisions by applying the standards of the NASW Code of Ethics, relevant laws and regulations, models for ethical decision-making, ethical conduct of research, and additional codes of ethics as appropriate to context;

1.2 use reflection and self-regulation to manage personal values and maintain professionalism in practice situations;

1.3 demonstrate professional demeanor in behavior; appearance; and oral, written, and electronic communication;

1.4 use technology ethically and appropriately to facilitate practice outcomes; and

1.5 use supervision and consultation to guide professional judgment and behavior.