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    Mid Term Evaluation

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    api-297584457
    - The document is a midterm evaluation form for a BSW or MSW intern, assessing their performance based on 10 competencies. - For each competency, the intern's performance on several items is rated on a scale of 1 to 5, with 5 being "excelled" and 1 being "has not met expectations." - In this evaluation, the intern is said to be "functioning above expectations" overall at the midterm point and to demonstrate particular strengths in applying social work ethical principles and engaging in culturally sensitive practice. Areas for further improvement include research-informed practice.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    Mid Term Evaluation

    Uploaded by

    api-297584457
    77 views5 pages
    - The document is a midterm evaluation form for a BSW or MSW intern, assessing their performance based on 10 competencies. - For each competency, the intern's performance on several items is rated on a scale of 1 to 5, with 5 being "excelled" and 1 being "has not met expectations." - In this evaluation, the intern is said to be "functioning above expectations" overall at the midterm point and to demonstrate particular strengths in applying social work ethical principles and engaging in culturally sensitive practice. Areas for further improvement include research-informed practice.

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    mid term evaluation

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    - The document is a midterm evaluation form for a BSW or MSW intern, assessing their performance based on 10 competencies. - For each competency, the intern's performance on several items is rated on a scale of 1 to 5, with 5 being "excelled" and 1 being "has not met expectations." - In this evaluation, the intern is said to be "functioning above expectations" overall at the midterm point and to demonstrate particular strengths in applying social work ethical principles and engaging in culturally sensitive practice. Areas for further improvement include research-informed practice.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    77 views5 pages

    Mid Term Evaluation

    Uploaded by

    api-297584457
    - The document is a midterm evaluation form for a BSW or MSW intern, assessing their performance based on 10 competencies. - For each competency, the intern's performance on several items is rated on a scale of 1 to 5, with 5 being "excelled" and 1 being "has not met expectations." - In this evaluation, the intern is said to be "functioning above expectations" overall at the midterm point and to demonstrate particular strengths in applying social work ethical principles and engaging in culturally sensitive practice. Areas for further improvement include research-informed practice.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 5

    The University of North Carolina at Pembroke

    Department of Social Work

    Midterm Evaluation

    BSW {
    Name

    MSW Foundation

    orrntern Col\,[q,n

    Instructions

    Sl^

    for Rating fnturns on the I0

    tr

    [f l"-.

    MSW Foundation

    II

    tr

    Date l0-tl-15

    Competencies in the First Part of the Evaluation:

    The standard by which an intern is to be compared is that of a foundation level social worker. The l0
    competencies that are 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.
    5

    4
    a

    2
    I

    The intern has excelled in this area


    The intern is functioning above expectations for interns in this area
    The intern has met the expectations for interns in this area
    The intern has not as yet met the expectations in this area, but there is hope that the intern will meet
    the expectations in the near future
    The intern has not met the expectations in this area, and there is not much hope that the intern will
    meet the expectations in this area in the near future

    if desired. Please be sure to indicate those


    in which you think the intern is particularly strong and those areas that need improvement.

    Comments may be made under any competency statement,

    areas

    Comments may be made under any competency statement. Please be sure to indicate those areas in which
    you think the intern is particularly strong and those areas that need improvement. Please give examples
    for any area in which the student received a rating of I or 2.

    Evaluation should be a shared process with an opportunity for the student and agency field instructor to
    discuss similarities and differences in perception. Although the agency field instructor is responsible for
    completing the evaluation, it is the responsibility of the faculty field director to assign a grade. The
    student's overall grade for the course will be determined by the faculty field director and based on the

    overall evaluation of the student's performance in placement in conjunction with the agency field
    instructor's evaluation, classroom participation, and course assignments.
    This evaluation is intended to give the intern feedback about her or his performance.
    NOTE: If you prefer to use another evaluation system in addition to this form to evaluate a student's
    performance,
    discuss this with the facultv field director.
    Competence

    #1:

    Intern identifies as a professional social worker and conducts himself/herself


    accordinplv.

    l.l
    1.2
    1.3

    1.4
    1.5

    1.6

    Advocates well for client access to the services of social work


    Practices personal reflection and self-correction to assure continual
    professional development
    Attends wellto professional roles and boundaries
    Demonstrates professional demeanor n appearance
    Demonstrates professional demeanor n communlcatlon
    Uses supervision and consultation effectively
    Comments:

    n\

    2
    2

    ,,

    4
    4

    a
    J

    4
    4
    4

    4)

    5
    5
    5

    Competence

    #2:

    Intern applies social work ethical principles to guide his or her professional
    ractice.

    2.1

    2.2
    2.5
    2.4

    Recognizes and manages personal values in a way that allows


    Professional values to guide practice (e.g., on such issues as

    Abortion and gay rishts)


    Is knowledgeable of, and abides by, the ethical standards of
    the profession
    Tolerates well ambiguiw in resolvine ethical conflicts
    Is able to apply strategies of ethical reasoning to arrive at principled
    decisions

    /?)

    r7

    .L 3)
    a

    4
    4

    I
    I

    Comments:

    Competence

    #3: Intern applies critical thinking to inform and communicate

    professional

    nts.
    3.1

    3.2
    3.3

    Is skilled at appraising and integrating multiple sources of


    knowledge; including research-based knowledge and practice

    wisdom
    Is skilled atanalyzingmodels of assessment, prevention,
    intervention. and evaluation
    Demonstrates effective oral and written communication in working
    with individuals, families, groups, organizations, communities, and

    ,9

    1r

    colleagues

    Comments: { I

    No w*urJ/\ t"qs t^a*^

    4.1

    we

    ded So ln'*J f' \n4"

    Recognizes the extent to which a culture's structures and values


    may oppress, marginalize, alienate, or create or enhance privilege

    v1t

    t
    J

    ?
    2\

    a
    J

    ?)

    and power

    4.2
    4.3

    4.4

    Has sufficient self-awareness to eliminate the influence of personal


    biases and values in working with diverse qrouDs
    Recognizes and communicates her or his understanding of the
    importance of difference in shapine life experiences
    Views herself or himself as a learner and engages those he or she

    works (clients) with as informants


    Comments:

    l^G..rr'n'

    #5:

    Competence

    Intern advances human rishts and social and economic iustice.

    5.1

    Understands the forms and mechanisms of oppression and

    5.2

    discrimination
    Is skilled at advocating for human rights and social and economic

    5.3

    Is skilled at engaging in practices that advance social and economlc

    iustice

    'rl

    3
    t( ,!
    /a\

    a
    J

    a
    J

    iustice
    Comments:

    Competence
    research.
    6.1

    6.2

    #6:

    Intern engages in research-informed practice and

    Is skilled at using practice experience to inform research


    Is skilled at using research findings to improve practice, policy, and
    social service deliverv

    H
    U

    practice-informed

    J
    a

    4
    4

    5
    5

    Comments:

    Competence
    7.1

    7.2

    #7:

    Intern applies knowledge of human behavior and the social environment.

    Is skilled at utilizing conceptual frameworks (Theories) to guide the


    Drocesses of assessment. intervention- and evaluation
    Is knowledgeable about the range of social systems in which people
    live and can apply it to understand client behaviors and

    2t\

    a
    J

    environments.
    Comments:

    Competence

    #8:

    Intern engages in policy practice to advance social and economic well-being and
    to deliver effective social work services.

    Is skilled at analyzing, formulating, and advocating for policies that


    advance social well-bei
    Is skilled at collaborating with colleagues and clients for effective

    Comments:

    Com

    #92

    Intern

    to contexts that

    Is skilled at continuously discovering, appraising, and attending to


    changing locales, populations, scientific and technological
    developments, and emerging societal trends in order to provide
    relevant services
    Is skilled at providing leadership in promoting sustainable changes
    in service delivery and practice to improve the quality of social
    services

    Comments:

    Competence

    0.l

    t0.2
    10.3
    10.4

    l0.s
    r

    0.6

    10.7
    10.8
    10.9

    0.10
    0.1 I

    0.12
    10.13

    #10: Intern

    engages, assesses, intervenes and evaluates


    tions. and communities.

    Is skilled at preparing for action with individuals, families, groups,


    organizations, and communities.
    Is skilled at using empathy and other intemersonal skills.
    Is skilled at developing a mutually agreed-on focus of work
    Is skilled at collecting, organizins, and intemretine client data.
    Is skilled at assessing client strengths and limitations.
    Is skilled at developing mutually agreed-on intervention goals and
    objectives.
    Is skilled at selecting appropriate intervention stratesies.
    Is skilled at initiating actions to achieve organizational soals.
    Is skilled at implementing prevention interventions that enhance
    client capacities.
    Is skilled at helping clients resolve problems.
    Is sk led at negotiating, mediating, and advocatins for clients
    Is sk led at facilitating transitions and endinss.
    Is skilled at analyzing, monitoring, and evaluating interventions

    criticallv.
    Comments:

    with individuals, families,


    I

    'e)

    I
    I
    I
    I
    I
    I
    I

    J
    J

    4
    4

    2-

    3)

    ?)

    a
    J

    4
    4

    ?/

    4
    4
    4

    5
    5
    5

    ,/2
    a
    J

    I
    I
    I

    a
    J
    a
    J

    J
    J
    a

    4
    4
    4
    4

    5
    5

    5
    5

    Overall Evaluation at MIDTERM:


    Please check one of the followine at the midterm eva luation
    The ntern has excelled

    ,/

    The ntern is functionine above expectations


    The ntern has met exDectations
    The intern has not as yet met expectations, but there is hope that the intern
    the near future

    will meet expectations in

    The intern has not met the expectations and there is not much hope that the intern will meet
    expectations in the near future

    Number of Clock Hours Completed


    Comments/elaboration

    Co*\^l= t\xvt$/rr^c\ \t t*.1 ew&j-)o'^s' 9ne ',5 Uetr'a


    fesyoa,ve to ',^$ nc,\"(.,,^> qr"cl g\"tre: \o r,r^^Ke c.t^ou6"s
    1 ee\ S\^a- \s 3o)\ \c: tto \!aL\ .' o soc,v,,l urcr/ ve'/^ 1-r;;tt^\
    Fu,e neec{ec!

    \-l.S

    Signature of Agency Field Instructor

    b'7

    Agency

    1{

    Thefollowing section should be completed by the intern:

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

    I agree with the evaluation


    I do not agree with evaluation

    Intern's Signature C

    :' Pf _ ,a

    If the intern

    Darc

    1 UoL

    LOLa

    disagrees with the evaluation she/he should state that disagreement in writing and
    submit a copy to both the agency field instructor and the faculty field director. A meeting
    between the student, agency instructor, and faculty field director should then be held to discuss
    the disagreement.

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