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5118/2015

Midterm Evaluation

School of Social Work


Challenging Minds,Leading Change,Transforming
Lives

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

Student:
Tamesha Green
Agency:
Neighborhood Service Organization
Agency Field Instructor(s): Justin Petrusak:
Faculty Advisor:
Althea Grant
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 192 hours to date.
X Student is actively engaged in weekly supervision.
X Leaming 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 student's performance and/or
the availability of required learning assignments.
Tamesha has a positive attitude toward staff and clients. She is approachable and non-judgmental;
clients are comfortable sharing information with her. Tamesha keenly observes client behaviors,
which is essential inher evaluation of clients and will lead to more successful treatment outcomes for
them. An area of growth for Tamesha is continuing to work on her professional role boundaries.
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Midterm Evaluation

Instructionsfor 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 Leaming Plan specific practice outcomes to determine the rating.

Performance nting scale based on the (11) competencies:


PROGRESS- Student met performance expectation and/or is exhibiting progression to meet
expectations
NO PROGRESS- Student did not meet performance expectations
NO OPPORTUNITY - There was not an opportunity to meet expectations

COMPETENCY AREAS 1- 11

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 economicjustice.

PROGRESS

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

NO

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, organiz.ations, and communities.

PROGRESS

Analyze the impact of the urban context on a range of client systems,


including practice implications.

NO

PROGRESS

PROGRESS

Ifthere is a Competency Area inwhich the studeat has not met minimum performaace
expectations to date,a plaa of action must be noted below.Ifthere will not be an

opportunity to address a competency area, please state that.

Next term, Tamesha will progress in the competency areas of "Engage in research-informed
practice and practice-informed research11 (by entering SOAR data into SPSS) and "Analyze the
impact of the urban context on a range of client systems, including practice implications" (by
contributing a paper brief in April).
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 ismost frequent ofthe eleven (11) competencies. All
parties are required to sign the midterm evaluation to indicate that they have discussed the
evaluation, even ifthe student doesnot agree with the evaluation.
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Midterm Evaluation

FIELD INSTRUCTOR SECTION

Recommend: PROGRESS
Comments:
Tamesha's presence with her program has offered her en-vivo learning opportunities that will
prove essential to here practice as a generalist. These experiencesare offered in a clinically
supportive environment where she is free to practice. Our client population has benefitted from
her practice due to our SSI/SSDI Outreach, Access, and Recovery (SOAR) initiative being
more available to our population.

**Please note:By typing my name below, I certify that I have reviewed the document completed
my portion and agree with the content.
(Petrus Justin): Justin Petrusak Feb 23,2015 11:SO AM
Field Instructor (agency-based supervisor)

STUDENT SECTION
I... Agree with the evaluation.

Comments:

I have hadthe opportunity to work under a very task and goal oriented supervisor. Mr.
Petrusak and Mr. Feely have made sure that my competenciesfor this program were
established correctly and met with measurable outcomes.I feel as though I have hadthe
proper guidance, input and supervision to successfully met the competencies for this course.

**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.
(Green, Tamesha): Tamesah Green Feb 24, 2015 2:39 PM
Student
(Grant, Althea): Althea M, Grant LMSW Feb 24, 2015 10:38 PM
Faculty Advisor

I CLOSE I
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