Evaluation
Evaluation
This form is to be completed by the Field Instructor and discussed with student. It will
automatically be sent to the Faculty Field Liaison once it is completed online.
Student:
Kathleen Wallace
Agency:
Terri Duganne
BSW
BSW WOW
MSW Foundation Year
MSW Advance Year
Please describe any areas of strength or concern in regard to the students performance
and/or the availability of required learning assignments.
Kathleen continues to have a even-keel and a good rapport with the adolescent clients. She is a
good teamplayer. Still working on Kathleen getting crisis call experience and building her
confidence in this area. She can also work with staff on looking at a client's age, developmental
stage and presenting issues and what activities to do with that client.
Instructions for completing the mid-term evaluation: Please evaluate students performance
halfway through the semester by indicating Progress, No Progress, or No Opportunity. Please
reference the students Learning Plan specific practice outcomes to determine the rating.
Performance rating scale based on the (11) competencies:
PROGRESS Student met performance expectation and/or is exhibiting progression to
meet expectations
NO PROGRESS Student did not meet performance expectations
NO OPPORTUNITY There was not an opportunity to meet expectations
COMPETENCY AREAS 1 11
PROGRES
PROGRES
S
PROGRES
S
PROGRES
S
PROGRES
S
PROGRES
S
PROGRES
S
PROGRES
S
PROGRES
PROGRES
S
Analyze the impact of the urban context on a range of client systems, including
practice implications.
PROGRES
S
If there is a Competency Area in which the student has not met minimum performance
expectations to date, a plan of action must be noted below. If there will not be an
opportunity to address a competency area, please state that.
n/a
In the section below, please provide an Overall Rating of Progress or No Progress for the
students performance, as indicated by the rating that is most frequent of the eleven (11)
competencies. All parties are required to sign the midterm evaluation to indicate that they have
discussed the evaluation, even if the student does not agree with the evaluation.
Recommend:
PROGRESS
Comments:
n/a
**Please note: By typing my name below, I certify that I have reviewed the document,
completed my portion and agree with the content.
(Baarck, Jolyne): Jolyne Baarck LMSW Feb 25, 2016 4:28 PM
Field Instructor (agency-based supervisor)
STUDENT SECTION
I...
Comments:
**Please note: By typing my name below, I certify that I have reviewed the document,
completed my portion and agree with the content.
By signing you will submit Midterm FIASC information to the assigned faculty advisor from the
Wayne State University School of Social Work. Once the form is completed you will not be able
to modify your responses.
(Wallace, Kathleen): Kathleen Wallace Feb 24, 2016 4:14 PM
Student