Midterm Evaluation

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MIDTERM EVALUATION
This form is to be completed by the Field Instructor and discussed with student. It will
automatically be sent to the Faculty Advisor once it is completed online.
Student:

Therease Taylor

Agency:

Bridging Communities, Inc.

Agency Field Instructor(s): Phyllis Edwards

Faculty Advisor:

Brandon Ivory

Please Check One:

BSW
X BSW WOW
MSW Foundation Year
MSW Advance Year
Q3 Please check and complete all that apply.
X Student has received agency orientation and work space has been assigned.
X Student has completed 169.5 hours to date.
X Student is actively engaged in weekly supervision.
X Learning Plan has been completed and submitted to the Field Instructor and Faculty Advisor.
X Process Recordings or PRACSIS have been reviewed by Field Instructor and submitted to the
Faculty Advisor (students should check with assigned Faculty Advisor to find out the number
of Process Recordings or PRACSIS required).
Please describe any areas of strength or concern in regard to the students performance
and/or the availability of required learning assignments.
Student is dedicated and determined to succeed

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Midterm Evaluation

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Instructions for completing the mid-term evaluation: Please evaluate student s performance
halfway through the semester by indicating Progress, No Progress, or No Opportunity. Please
reference the student s Learning Plan specific practice outcomes to determine the rating.
Performance rating scale based on the (

) competencies:

PRO RESS Student met performance expectation and/or is exhibiting progression to meet
expectations
NO PRO RESS Student did not meet performance expectations
NO OPPORTUNIT There was not an opportunity to meet expectations
COMPETENC AREAS
Identify as a professional social worker and conduct oneself accordingly.

PROGRESS

Apply social work ethical principles to guide professional practice.

PROGRESS

Apply critical thinking to inform and communicate professional judgments.

PROGRESS

Engage diversity and difference in practice.

PROGRESS

Advance human rights and social and economic justice.

PROGRESS

Engage in research-informed practice and practice-informed research.

PROGRESS

Apply knowledge of human behavior and the social environment.

PROGRESS

Engage in policy practice to advance social and economic well-being and to

deliver effective social work services.

PROGRESS

Respond to contexts that shape practice.

PROGRESS

Engage, assess, intervene, and evaluate with individuals, families, groups,

organizations, and communities.

PROGRESS

Analyze the impact of the urban context on a range of client systems, including
practice implications.

PROGRESS

If there is a Competency Area in hich the student has not met minimum performance
e pectations to date a plan of action must be noted belo . If there ill not be an
opportunity to address a competency area please state that.
None noted at this time
In the section below, please provide an Overall Rating of Progress or No Progress for the
student s 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.
FIELD INSTRUCTOR SECTION

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5/17/2015

Midterm Evaluation

Recommend:

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PROGRESS

Comments:
Student continues to be an asset to the team and willing to go the extra mile to meet the needs of
the organization and clients
*Please note: By typing my name below, I certify that I have reviewed the document, completed
my portion and agree with the content.
(Edwards, Phyllis): Phyllis Edwards Feb 18, 2015 4:58 PM
Field Instructor (agency-based supervisor)

STUDENT SECTION
I... Agree with the evaluation.
Comments:
Interning at Bridging Communities is giving me the opportunity to examine daily operations in a
social work setting. The Director is accessible for question and concerns. She offers her attention
and help on a regular basis. The atmosphere of the agency is focused, alert and hard working. I
feel my verbal communication skills have improved along with my interaction skills. This is due
to working with other interns and becoming efficient in what I am learning.
*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.
(Taylor, Therease): Taylor, Therease Feb 19, 2015 12:41 PM
Student
(Brandon Ivory): Brandon Ivory Mar 3, 2015 6:52 PM
Faculty Advisor
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IPT Document Management System January 1, 2014
Form: 19935

https://www.alceasoftware.com/web/form.php?formid=19935&print=1

5/17/2015