BSW STUDENT EVALUATION OF PLACEMENT (FORM C) UNDERLYING PRINCIPLES

As the practicum component is a core element of the curriculum and because students evaluate classroom instruction, similar practices are appropriate in relation to field instruction and faculty consultation. This process is expected to be ongoing between both the student and Field Instructor and the student and Field Consultant throughout placement. During supervision and consultation, the student will be sharing positives and negatives with regard to the placement. This ongoing evaluation also prepares the student for professional life and the performance appraisal process.

The following guidelines are intended to assist the student in developing a near end of Practicum evaluation of both Field Instructor and Field Consultant.

Completion of the evaluation is mandatory.

Please submit completed evaluations to the Field Education Coordinator.

Student:

Placement Period (dates):

Location (city, town):

Placement Agency:

Department and General Area of Service (if applicable):

Field Instructor on Site:

External Field Instructor (if relevant):

Field Consultant:

Date:

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I. PLACEMENT SETTING

Section 1: Learning Experience

Check the practice opportunities that are available

to all students in this placement setting: Indicate your level of responsibility if involved in these functions

 practice with individuals

 practice with families or couples

 practice with groups

 grassroots community development

 social action

 social planning

 social policy

 social administration

 work with marginalized groups (identify)

 work with diverse cultural/ethnic groups

 case consultation

 attending workshops/seminars

Total  Shared  Observer 

Facilities available to students during placement

 one-way

 shared office  private office  secretarial

support  vehicle

required  other

Comment:

Evaluation methods used by your instructor

 direct observation

 process recordings/

written materials

self-evaluations  input from other professionals

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How much regularly scheduled placement

instruction time was provided per week? Did you receive supervision/consultation from other individuals ()?

Individual: Group: Yes  No  Scheduled 

ad hoc 

Use the following scale to indicate your level of satisfaction with respect to specific elements of your placement:

1 = Not meeting expectations 2 = Improvement needed 3 = Expected level

4 = Outstanding

Placement supports student.

Placement is conducive to learning.

Placement provides an environment free from discrimination or harassment.

Agency provides adequate safety training.

Availability of other professional staff for consultation?

Was your learning experience enhanced by having other social work students on site?

Was your learning experience enhanced by having students from other professions in the setting?

Comment:

Were evening meetings with clients/groups a placement

requirement? Yes/No

Comment:

Section 2: Practice Assignments

A. Briefly describe your assignments under the following headings:

a. Clinical (individuals, couples, families, groups - numbers and types of cases) b. Community Development Projects

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c. Social Planning d. Social Policy e. Administration

f. Community representation (public speaking, consultation etc.)

B. Comment on the scope and volume of the workload. Was it realistic?

C. Describe any areas of practice to which you would have liked more exposure.

Section 3: Placement Recommendations

A. Identify notable strengths and/or areas for improvement.

Placement strengths:

Areas of improvement:

B. Do you have any particular recommendations?

C. Would you be willing to speak with incoming students about the placement?

Yes  No 

II STUDENT'S EVALUATION OF FIELD INSTRUCTOR

Use the following scale to indicate your level of satisfaction with respect to your Field Instructor:

1 = Below expectations 2 = Improvement needed 3 = Expected level

4 = Outstanding

Field Instructor was sufficiently available to meet your learning needs Expectations were clear throughout supervision

Field Instructor facilitated assignments appropriate to your learning needs.

Field Instructor was open to discussion of the supervisory relationship, such as identification of theoretical differences.

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Field Instructor assisted you in managing your personal feelings and attitudes as they related to your professional involvement with clients or projects.

Field Instructor helped you relate social work principles and theories to practice.

Field Instructor used learning experiences (cases, projects) to identify and develop areas of skill and knowledge which needed more focus.

Field Instructor encouraged you to seek learning experiences with other professionals.

Field Instructor assisted with issues related to social work values and ethics.

Check () if you observed your Field Instructor involved in the following:

 Work with individuals  Work with families/couples

 Work with groups  Community development

 Social policy  Social planning

 Administration  Other

Comments:

Field Instructor Name (please print) Student Name (please print)

Field Instructor Signature Student Signature

Date: Date:

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III STUDENT'S EVALUATION OF FIELD CONSULTANT a. Field Consultant Name :

b. How often did the Field Consultant visit your placement setting?

c. What other contact did you have with your Field Consultant?

d. Did the Field Consultant meet with you and the Field Instructor?

 separately  jointly  both

e. Did you feel free to consult with the Field Consultant about problems?

Yes  No  Comments:

f. What aspects of the Field Consultant did you find particularly helpful?

g. What aspects of the Field Consultant were not helpful?

Comments:

Field Consultant Name Student Name (please print)

Date: Student Signature

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