Fillable Mid- Term Evaluation (Wichita State University)

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Mid- Term Evaluation (Wichita State University)

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File type: PDF

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Mid-Term Evaluation
402 - Practicum I (BSW) 404 - Practicum II (BSW)
720 - Field Practicum I (MSW - Foundation) 721 - Field Practicum II (MSW - Foundation)
822 - Field Practicum III (MSW - Advanced) 823 - Field Practicum IV (MSW - Advanced)
Student Information
Student Name:
Agency Name:
Field Instructor:
On-Site Supervisor:
Field Liaison:
Phone:
(Seminar Faculty)
Please rate the Student’s Professional Behaviors in Practicum on the following
seven items by making a mark in the appropriate box.
Unacceptable
Needs
Improvement
Outstanding
1. Attendance & Punctuality. Student is consistently on time and attends assigned
practicum activities as requested.
2. Communication: Student maintains regular contact with their field instructor
regarding practicum activities, successes, or concerns that arise.
3. Self-Awareness: Student is aware of their own strengths, weaknesses, likes, and
dislikes and how these may affect their interactions with others.
4. Oral Expressions: Student is able to articulate their thoughts/ideas/ concepts
clearly verbally and non-verbally to co-workers and their field instructor.
5. Written Expression: Student is able to expresses their thoughts/ideas/ concepts
in writing with very few errors according to agency standards.
6. Initiative: Student takes initiative to plan work and complete assignments in a
timely manner.
7. Compliance with NASW Code of Ethics: Student complies with the NASW
Code of Ethics in both thinking and behavior at practicum.
Please check one:
is satisfactorily progressing as per the learning contract.
(student name)
*
is not satisfactorily progressing as per the learning contract.
(student name)
*
If you indicated the student is not satisfactorily progressing
please comment below and contact the student’s assigned field
liaison.
Additional Comments:
______________________________________________________________________________________
Student Signature Date
______________________________________________________________________________________
Field Instructor Signature Date
______________________________________________________________________________________
On-Site Supervisor Signature Date
Accumulated Hours to this date:
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Mid- Term Evaluation (Wichita State University)

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Completed 21 July 2020

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