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MidtermEvaluation

MIDTERMEVALUATION
ThisformistobecompletedbytheFieldInstructoranddiscussedwithstudent.Itwillautomatically
besenttotheFacultyFieldLiaisononceitiscompletedonline.
Student:
Agency:
AgencyFieldInstructor(s):
FacultyFieldLiaison:

CaitlinDemara
ResidentialHospice
LindseySheets
AlohaVancamp

PleaseCheckOne:
X BSW
BSWWOW
MSWFoundationYear
MSWAdvanceYear
Q3Pleasecheckandcompleteallthatapply.
X Studenthasreceivedagencyorientationandworkspacehasbeenassigned.
X Studenthascompleted135hourstodate.
X Studentisactivelyengagedinweeklysupervision.
X LearningPlanhasbeencompletedandsubmittedtotheFieldInstructorandFacultyField
Liaison.
X ProcessRecordingsorPRACSIShavebeenreviewedbyFieldInstructorandsubmittedtothe
FacultyFieldLiaison(studentsshouldcheckwithassignedFacultyFieldLiaisontofindoutthe
numberofProcessRecordingsorPRACSISrequired).
Pleasedescribeanyareasofstrengthorconcerninregardtothestudentsperformanceand/or
theavailabilityofrequiredlearningassignments.
Caitlinisanexcellentintern.Sheisverycommunicativeandprofessional.Caitlinworkswellwith
patientsandfamilies,aswellasotherteammembers.Caitlintakesinitiativewhenitcomestodoing
extrathingsforpatients.

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3/26/2016

MidtermEvaluation

Instructionsforcompletingthemidtermevaluation:Pleaseevaluatestudentsperformancehalfway
throughthesemesterbyindicatingProgress,NoProgress,orNoOpportunity.Pleasereferencethe
studentsLearningPlanspecificpracticeoutcomestodeterminetherating.
Performanceratingscalebasedonthe(11)competencies:
PROGRESSStudentmetperformanceexpectationand/orisexhibitingprogressiontomeet
expectations
NOPROGRESSStudentdidnotmeetperformanceexpectations
NOOPPORTUNITYTherewasnotanopportunitytomeetexpectations
COMPETENCYAREAS111
Identifyasaprofessionalsocialworkerandconductoneselfaccordingly.

PROGRESS

Applysocialworkethicalprinciplestoguideprofessionalpractice.

PROGRESS

Applycriticalthinkingtoinformandcommunicateprofessionaljudgments.

PROGRESS

Engagediversityanddifferenceinpractice.

PROGRESS

Advancehumanrightsandsocialandeconomicjustice.

PROGRESS

Engageinresearchinformedpracticeandpracticeinformedresearch.

PROGRESS

Applyknowledgeofhumanbehaviorandthesocialenvironment.

PROGRESS

Engageinpolicypracticetoadvancesocialandeconomicwellbeingandtodeliver
effectivesocialworkservices.

PROGRESS

Respondtocontextsthatshapepractice.

PROGRESS

Engage,assess,intervene,andevaluatewithindividuals,families,groups,
organizations,andcommunities.

PROGRESS

Analyzetheimpactoftheurbancontextonarangeofclientsystems,including
practiceimplications.

PROGRESS

IfthereisaCompetencyAreainwhichthestudenthasnotmetminimumperformance
expectationstodate,aplanofactionmustbenotedbelow.Iftherewillnotbeanopportunityto
addressacompetencyarea,pleasestatethat.
na
Inthesectionbelow,pleaseprovideanOverallRatingofProgressorNoProgressforthestudents
performance,asindicatedbytheratingthatismostfrequentoftheeleven(11)competencies.All
partiesarerequiredtosignthemidtermevaluationtoindicatethattheyhavediscussedtheevaluation,
evenifthestudentdoesnotagreewiththeevaluation.
FIELDINSTRUCTORSECTION
Recommend:

PROGRESS

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MidtermEvaluation

Comments:
TherearenoareasofconcernwithCaitlinandsheisprogressinginalloftheabovementionedareas.
**Pleasenote:Bytypingmynamebelow,IcertifythatIhavereviewedthedocument,completedmy
portionandagreewiththecontent.
(Sheets,Lindsey):LindseySheetsMar18,201612:43PM
FieldInstructor(agencybasedsupervisor)

STUDENTSECTION
I... Agreewiththeevaluation.
Comments:
IamappreciativeofthisreviewandbelievethatIhavemettherequirementsandstandardsofthis
internshipforthismidtermreview.
**Pleasenote:Bytypingmynamebelow,IcertifythatIhavereviewedthedocument,completedmy
portionandagreewiththecontent.
BysigningyouwillsubmitMidtermFIASCinformationtotheassignedfacultyadvisorfromthe
WayneStateUniversitySchoolofSocialWork.Oncetheformiscompletedyouwillnotbeableto
modifyyourresponses.
(Demara,Caitlin):CaitlinA.DeMaraMar21,20163:29PM
Student
(AlohaVanCamp):AlohaVanCampPhDLMSWMar25,20168:41PM
FacultyFieldLiaison
CLOSE
PRINT
IPTDocumentManagementSystemJanuary1,2014
Form:40076

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