This intern is functioning somewhat below the expectations of a field placement intern. There is a question whether this intern will be ready for advanced 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 Advanced level social work practice by the end of placement. This intern should perhaps be encouraged to pursue another major.

Recommended Grade for Field Instruction______ (please

assign student a grade of: A, B, or No Credit

Comments/elaboration:

Signature of Agency Field Instructor ________________________________________________

Agency ________________________________________________________ Date __________

Nyack Field Liaison ______________________________________________ Date __________

The following section should be completed by the intern:

My agency supervisor and faculty supervisor have discussed this evaluation with me, and I have received a copy. My agreement or disagreement follows:

I agree with the evaluation



I do not agree with evaluation



Intern’s Signature _____________________________________________ Date ____________



If the intern disagrees with the evaluation she/he should state that disagreement in writing and

submit a copy to both the agency supervisor and the faculty supervisor. A meeting between the

student, agency supervisor, and faculty supervisor should then be held to discuss the

disagreement.

Form E-2

Nyack College

SOCIAL WORK FIELD EDUCATION PROGRAM

FOR SOCIAL WORK FIELD INSTRUCTION II/ SPRING SEMESTER Field Evaluation for:

2

^nd

Year ADVANCED LEADERSHIP IN ORGANIZATIONS AND COMMUNITIES

Rating Scale for Evaluation of Field Placement Performance

Name of Intern __________________________________ Date ___________________

Instructions for Rating Interns on the 11 Competencies in the First Part of the Evaluation:

The standard by which an intern is to be compared is that of a new advanced-level social worker. The 11 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 skills that have been identified by the school as desirable for a student in an MSW advanced leadership in organizations and communities placement. The student learning activities that were assigned through the Learning Contract (See C-2) are the activities that become the basis for assessing the student’s skill development at the beginning &

evaluating the student’s skills at the end of the semester. Students are not expected to demonstrate all of the skills, and it is expected that there will be additional behaviors that are more appropriate to the agency and student learning that will be assigned to the student. The completion of this evaluation by the field instructor and the student can serve as a teaching-learning tool. It serves as a basis for assessing the student’s professional growth, performance and level of skill attained.

RATING SCALE FOR EVALUATION

(1) NONE

The intern has not met the expectations in this area.

(2) APPROACHES

The intern has not as yet met the expectations in this area, but the gives indication s/he will do so in the near future

(3) MEETS

The intern has met the expectations for interns in this area

(4) ABOVE

The intern is functioning above expectations for interns in this area

(5) EXCEEDS

The intern has excelled 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 need improvement. This evaluation is intended to give the intern feedback about her or his performance. The field instructor’s rating of these items will be a used to calculate 70% of the grade that is given to the intern. The faculty liaison has responsibility of assigning the grade for field instruction. The grade that is assigned will be based on: the faculty liaison’s overall evaluation of the student’s performance in field placement in conjunction with the field

instructor’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 a student’s performance, please discuss this with the faculty supervisor.

1.1

Demonstrate self-awareness in analyzing the effectiveness of organizations and leadership

approaches in one’s field placement and professional practice.

1.2

Identify and leverage opportunities for social workers to participate and guide efforts to enhance and develop social services.

1.3

Use supervision and consultation in organizational and leadership development

Comments:

2.1

Identify and manage personal biases as they affect practice within organizations and communities.

2.2

Apply ethical decision-making skills to issues to macro practice, recognizing the ambiguity inherent in many practice situations.

COMPETENCE 1: Identify as a professional social worker and conduct oneself

accordingly.

COMPETENCE 2:

Apply social work ethical principles

to guide professional practice.

Comments:

Comments:

4.1

Recognize how differences can be interpreted as barriers to service and seek to transform barriers into

opportunities for organizational growth and change.

4.2

Apply the value of diversity in society and demonstrate an ability to understand the distinctiveness of individuals within the environment of organizations and

communities.

Comments:

COMPETENCE 3: Apply critical thinking to inform and communicate professional judgments.

Experienced

3.1

Appraise and integrate multiple sources of organization and community data including strengths and challenges.

3.2

Select, implement and evaluate appropriate macro assessment, intervention and evaluation tools.

3.3

In both verbal and written format, demonstrate the ability to communicate multi-systemic professional judgments to others.

COMPETENCE 4:

Engage diversity and difference in practice.

Comments:

6.1

Provide a sound knowledge base of community practice, including the assessment of community needs, best practices, decision-making, and evaluation.

6.2

Engage in analyzing organizational effectiveness with an emphasis on organizational theory

COMPETENCE 5: Advance human rights and social

5.1

Assess the forms and mechanisms of oppression and discrimination within the service delivery systems for clients.

5.2

Work individually and collectively to advocate policies and practices that support social justice and the

protection human rights

COMPETENCE 6: Engage in research-informed practice and practice-informed research.

Experienced

Comments:

7.1

Synthesize and differentially apply theories of human behavior and the social environment to guide clinical practice.

7.2

Use bio-psycho-social-spiritual theories and multiracial diagnostic classification systems in formulation of comprehensive assessments.

Comments:

8.1

Use evidence-based practice and practice-based evidence in advocacy for policies that advance social and economic well-being.

8.2

Advocate with and inform administrators and

legislators to influence policies that impact clients and service

Comments:

COMPETENCE 7: Apply knowledge of human behavior and the social environment.

Experienced

COMPETENCE 8: Engage in policy practice to

advance social and economic well-being and to

deliver effective social work services.

9.1

Provide leadership in promoting organizational change to improve the quality of social services. .

9.2

Work collaboratively with others to effect systemic and sustainable contextual change

Comments:

10.1

(a).1 Engage in interventions for change in organizations and communities.

10.2

10(a).2Establish a relationship with organizations and communities.

10.3

10(a).3 Inform a process that facilitates

organization and community partners to be equal participants in the establishment of goals and expected outcomes.

10.4

(b).1Conduct assessment of organizations and communities including client strengths and weaknesses.

10.5

(b). 2 Develop mutually agreed upon interventions to achieve goals and objectives for organization and community change.

10.6

(c).1 Apply advanced knowledge and skills to achieve organizational and community goals

10.7

(c).2 Engage clients, organizations and communities in integration of interventions and new innovations.

COMPETENCE 9: Respond to contexts that shape practice.

COMPETENCE 10: Engage, assess, intervene, and evaluate with individuals, families, groups,

organizations, and communities.

10.8

(d).1 Empower and prepare organizations and communities in the evaluation of interventions

Comments:

SPRING SEMESTER EVALUATION:

Please check one of the following at the final evaluation. At the midterm evaluation do NOT complete this section.



This intern has excelled in field placement by performing above expectations for interns. If an appropriate position were open at this agency, for an advanced level social worker, this intern would be considered among the top candidates for this position.



This intern has met the expectations of the field placement. This intern is ready for advanced level social work practice.



This intern is not yet ready for advanced level social work practice.



This intern is not yet ready for advanced level social work practice, and has demonstrated serious problems in performance, and perhaps should be encouraged to pursue another major.

Recommended Grade for Field Instruction ______

(please assign student a grade of: A, B, or No Credit)

Comments/elaboration:

Signature of Agency Field Instructor ________________________________________________

Agency _______________________________________________________ Date ____________

Nyack Field Liaison ______________________________________________ Date ____________

The following section should be completed by the intern:

My agency supervisor and faculty supervisor have discussed this evaluation with me, and I have received a copy. My agreement or disagreement follows:

I agree with the evaluation



I do not agree with evaluation



Intern’s Signature _________________________________ _______________ Date _____________



If the intern disagrees with the evaluation she/he should state that disagreement in writing and

submit a copy to both the agency supervisor and the faculty supervisor. A meeting between the

student, agency supervisor, and faculty supervisor should then be held to discuss the

In document FIELD EDUCATION MANUAL (Page 160-169)