School of Social Work

SOWK 488 BSW FIELD PLACEMENT

FINAL EVALUATION OF STUDENT
Before completing this form, please refer to the SOWK 488 final evaluation instructions.

PROGRAM (check one): Concurrent (two-semester placement) Block (one-semester placement)

Student: Semester / Year:

Agency: On-site Supervisor:

MSW/BSW Field Instructor: Field Liaison:


Final evaluation completed Recommended Grade: Satisfactory Unsatisfactory
Date


Signatures:


MSW/BSW Field Instructor Date On-site Supervisor (if applicable) Date


Student Date Field Liaison Date


I pledge that I have completed the required total hours for my field placement.



Student Date


Adrienne Long Spring 2014
Serve 6.8 Chelsea Green
Lisa LaDue Joni Handran
5/5/14
I
Lisa LaDue, LCSW
Digitally signed by Lisa LaDue, LCSW
DN: cn=Lisa LaDue, LCSW, o=Colorado State University,
ou=School of Social Work, email=lisaladue@gmail.com, c=US
Date: 2014.05.06 05:58:25 -06'00'
Chelsea Green
Digitally signed by Chelsea Green
DN: cn=Chelsea Green, o=SERVE 6.8,
ou, email=cgreen@serve68.org, c=US
Date: 2014.05.05 10:30:41 -06'00'
5/5/2014
Adrienne Long
Digitally signed by Adrienne Long
DN: cn=Adrienne Long, o, ou,
email=aclong@rams.colostate.edu, c=US
Date: 2014.04.28 10:08:08 -06'00'
4/28/14
Adrienne Long
Digitally signed by Adrienne Long
DN: cn=Adrienne Long, o, ou,
email=aclong@rams.colostate.edu, c=US
Date: 2014.04.28 10:08:34 -06'00'
4/28/14
2
Competency 2.1.1 Identify as a professional social worker and conduct oneself accordingly.

Lacking

Inadequate

Competent

Superior

Mastered
Not
Observed
Foundation Level Practice Behaviors 1 2 3 4 5 6 7 8 9 NA
a. Advocates for client access to services.
b. Practices personal reflection and self-correction to assure continual
professional development.

c. Attends to professional roles and boundaries.
d. Demonstrates professional demeanor in behavior, appearance and
communication.

e. Engages in opportunities that set the stage for career-long learning.
f. Engages in supervision and consultation to enhance professional
performance.

1 2 3 4 5 6 7 8 9
Competency 2.1.1 Overall Rating

Please provide one or two examples that support your overall rating of the
student in this competency area:
Student comments:


Competency 2.1.2 Apply social work ethical principles to guide professional practice.

Lacking

Inadequate

Competent

Superior

Mastered
Not
Observed
Foundation Level Practice Behaviors 1 2 3 4 5 6 7 8 9 NA
a. Recognizes and manages personal values in a way that allows
professional values to guide practice.

b. Makes ethical decisions by applying the NASW code of ethics.
Adrienne has a very positive and energetic attitude when working with clients.
However, when we discussed that may not be appreciated by all of the clients,
Adrienne worked to ensure that she was using the correct tone with each client. -
CG
3
c. Applies strategies of ethical reasoning to arrive at principled decisions.
d. Tolerates ambiguity in resolving ethical conflicts.
1 2 3 4 5 6 7 8 9
Competency 2.1.2 Overall Rating

Please provide one or two examples that support your overall rating of the
student in this competency area:
Student comments:

Competency 2.1.3 Apply critical thinking to inform and communicate professional judgments.

Lacking

Inadequate

Competent

Superior

Mastered
Not
Observed
Foundation Level Practice Behaviors 1 2 3 4 5 6 7 8 9 NA
a. Distinguishes, appraises, and integrates multiple sources of knowledge,
including research-based knowledge and practice wisdom.

b. Critically analyzes models of assessment, prevention, intervention, and
evaluation.

c. Demonstrates effective communication in working with individuals,
families, groups, organizations, communities and colleagues:

Written
Oral
Electronic
1 2 3 4 5 6 7 8 9
Foundation 2.1.3 Overall Rating

Please provide one or two examples that support your overall rating of the
student in this competency area:
Student comments:

Adrienne is skilled at not letting her personal values guide the way that she works
with her clients. - CG
Adrienne communicates with her clients very well by informing them and setting
plans with them, while still being open and understanding with them. - CG
4
Competency 2.1.4 Engage diversity and difference in practice.

Lacking

Inadequate

Competent

Superior

Mastered
Not
Observed
Foundation Level Practice Behaviors 1 2 3 4 5 6 7 8 9 NA
a. Recognizes the extent to which a cultures structures and values may
oppress, marginalize, alienate, or create or enhance privilege and power.

b. Demonstrates self-awareness to minimize the influence of personal
biases and values in working with people.

c. Recognizes and communicates understanding of the importance of
differences in shaping life experiences and applies this understanding in
social work practice.

d. Actively learns about culture from multiple sources, including clients,
constituents, communities and organizations to provide culturally
competent services and programs.

1 2 3 4 5 6 7 8 9
Competency 2.1.4 Overall Rating

Please provide one or two examples that support your overall rating of the
student in this competency area:
Student comments:









Adrienne recognizes clients that may be marginalized and works hard to advocate
for them so that they are of a higher priority, when necessary. - CG
5
Competency 2.1.5 Advance human rights and social and economic justice.

Lacking

Inadequate

Competent

Superior

Mastered
Not
Observed
Foundation Level Practice Behaviors 1 2 3 4 5 6 7 8 9 NA
a. Understands the forms and mechanisms of oppression and
discrimination.

b. Advocates for human rights and social and economic justice.
c. Engages in practices that advance social and economic justice.
1 2 3 4 5 6 7 8 9
Competency 2.1.5 Overall Rating

Please provide one or two examples that support your overall rating of the
student in this competency area:
Student comments:


Competency 2.1.6 Engage in research-informed practice and practice-informed research.

Lacking

Inadequate

Competent

Superior

Mastered
Not
Observed
Foundation Level Practice Behaviors 1 2 3 4 5 6 7 8 9 NA
a. Understands how practice experience informs the research process.
b. Uses research evidence to inform practice.
1 2 3 4 5 6 7 8 9
Competency 2.1.6 Overall Rating

Please provide one or two examples that support your overall rating of the
student in this competency area:
Student comments:

Adrienne is very passionate about advocating for human rights, which shows in the
work that she does with her clients. -CG
6

Competency 2.1.7 Apply knowledge of human behavior and the social environment.

Lacking

Inadequate

Competent

Superior

Mastered
Not
Observed
Foundation Level Practice Behaviors 1 2 3 4 5 6 7 8 9 NA
a. Utilizes conceptual frameworks to guide the processes of assessment,
intervention and evaluation.

b. Critiques and applies knowledge to understand person and environment.
1 2 3 4 5 6 7 8 9
Competency 2.1.7 Overall Rating

Please provide one or two examples that support your overall rating of the
student in this competency area:

Student comments:

Competency 2.1.8 Engage in policy practice to advance social and economic well-being and to deliver effective social work services.

Lacking

Inadequate

Competent

Superior

Mastered
Not
Observed
Foundation Level Practice Behaviors 1 2 3 4 5 6 7 8 9 NA
a. Evaluates the impact, intended and unintended, of agency and public
policies and regulations.

b. Collaborates with colleagues and clients for effective policy action.
1 2 3 4 5 6 7 8 9 NA
Competency 2.1.8 Overall Rating

Please provide one or two examples that support your overall rating of the
student in this competency area:
Student comments:

Adrienne questions her knowledge and tries new things that she learns when we
working her clients, so that her clients receive the best care and she grows
professionally. -CG
In terms of agency regulations, Adrienne has asked many questions about the
limits of volunteers working with us and how the liability works behind that. - CG
7
Competency 2.1.9 Respond to contexts that shape practice.

Lacking

Inadequate

Competent

Superior

Mastered
Not
Observed
Foundation Level Practice Behaviors 1 2 3 4 5 6 7 8 9 NA
a. Continuously recognizes, assesses and attends to the social, cultural,
economic and technological changes that impact services.

b. Provides leadership, appropriate to the student role, in promoting
sustainable changes in service delivery and practice to improve the
quality of social services.

1 2 3 4 5 6 7 8 9
Competency 2.1.9 Overall Rating

Please provide one or two examples that support your overall rating of the
student in this competency area:
Student comments:

Competency 2.1.10 Engage, assess, intervene, and evaluate with individuals, families, groups, organizations, and communities.

Lacking

Inadequate

Competent

Superior

Mastered
Not
Observed
Foundation Level Practice Behaviors 1 2 3 4 5 6 7 8 9 NA
a. Engagement 1 2 3 4 5 6 7 8 9 NA
Substantively and affectively prepares for action with individuals,
families, groups, organizations and communities.

Uses empathy and other interpersonal skills appropriately.
Develops a mutually agreed-upon focus of work and desired outcomes.
b. Assessment and Planning 1 2 3 4 5 6 7 8 9 NA
Collects, organizes and interprets complex client data from multiple
system levels.

Assesses client strengths and limitations.
Develops mutually agreed-upon intervention goals and objectives.
Adrienne has provided leadership for our organization by taking a hold of some
volunteer coordination and has learned even more about how to engage volunteers.
- CG
8
Selects appropriate intervention strategies
c. Intervention 1 2 3 4 5 6 7 8 9 NA
Initiates actions to achieve organizational goals.
Implements prevention interventions that enhance client capacities.
Helps clients resolve problems.
Negotiates, mediates, and advocates on behalf of clients.
Facilitates transitions and endings within professional relationships.
d. Evaluation 1 2 3 4 5 6 7 8 9 NA
Critically analyzes, monitors and evaluates interventions.
1 2 3 4 5 6 7 8 9
Competency 2.1.10 Overall Rating


Competency 2.1.10 Engage, assess, intervene, and evaluate with individuals, families, groups, organizations, and communities.
Please provide one or two examples that support your overall rating
of the student in this competency area:
Adrienne uses her empathy skills with her clients appropriately, as well as setting
goals with her clients and working towards them together. Adrienne not only
worked with individuals, but also worked with families, as well as other
organizations to get the right information about resources and to engage more
volunteers in our volunteer opportunities. -CG
Student comments: