Check one: BSW 402 □ MSW 552 □ MSW 555 □ Please circle the number that represents your rating (1) Not at all or most negative (4) most of the time or better than average (2) Rarely or negative (5) Always or most positive (3) Sometimes or average Field Name: ___________________________________________ Instructor’s The Social work field Instructor Provided an orientation to the agency, and made the expectations for student 1 2 3 4 5 performance clear. Helped me understand the purpose, policies, and procedures including safety 1 2 3 4 5 agency’s plans, sexual harassment, and grievance procedures. Assigned projects, cases and reading materials to assist me with the understanding, 1 2 3 4 5 development and practice of field competencies. Reviewed and commented on two process recordings each semester. 1 2 3 4 5 Reviewed and commented on my mid-term and final evaluations. 1 2 3 4 5 Assisted with the Field Learning Contract and Evaluation document 1 2 3 4 5 Provided individual educational instruction to each student at least once a week and 1 2 3 4 5 provided on-going performance feedback utilizing the INSTRUCTIONAL MEETING AGENDA and the TIME AND ACTIVITIES REPORT. Provided assistance/support when needed and gave me the opportunity to make 1 2 3 4 5 mistakes, recover and learn from them. Participated in meetings with the field liaison to review my progress, as well as review my 1 2 3 4 5 performance during mid-term and final evaluations. Overall, I would rate this social work FIELD INSTRUCTOR 1 2 3 4 5 I would recommend this social work field instructor to other students give written because…. (please comments use back of page if needed) – I would not recommend this social work field instructor to other students give written because…. (please comments use back of page if needed) – Student Evaluation of Field liaison
Check one: BSW 402 □ MSW 552 □ MSW 555 □ Please circle the number that represents your rating (1) Not at all or most negative (4) most of the time or better than average (2) Rarely or negative (5) Always or most positive (3) Sometimes or average Field Instructor’s Name: ___________________________________________ The Social work field Instructor Provided an orientation to the agency, and made the expectations for student performance clear. 1 2 3 4 5 Helped me understand the agency’s purpose, policies, and procedures including safety plans, sexual harassment, and grievance procedures. 1 2 3 4 5 Assigned projects, cases and reading materials to assist me with the understanding, development and practice of field competencies. 1 2 3 4 5 Reviewed and commented on two process recordings each semester. 1 2 3 4 5 Reviewed and commented on my mid-term and final evaluations. 1 2 3 4 5 Assisted with the Field Learning Contract and Evaluation document 1 2 3 4 5 Provided individual educational instruction to each student at least once a week and provided on-going performance feedback utilizing the INSTRUCTIONAL MEETING AGENDA and the TIME AND ACTIVITIES REPORT. 1 2 3 4 5 Provided assistance/support when needed and gave me the opportunity to make mistakes, recover and learn from them. 1 2 3 4 5 Participated in meetings with the field liaison to review my progress, as well as review my performance during mid-term and final evaluations. 1 2 3 4 5 Overall, I would rate this social work FIELD INSTRUCTOR 1 2 3 4 5 I would recommend this social work field instructor to other students because…. (please give written comments – use back of page if needed) I would not recommend this social work field instructor to other students because…. (please give written comments – use back of page if needed) Student Evaluation of Field liaison
Field-Forms-packet-2013-2014.docx