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From:
Sent:
To:
Subject:
Name:
Anticipated Graduation Date:
Number of Hours as an intern
Carin Marshall
12/12/2015
185
Agency Information
Field/Task Supervisor
Agency
Address
Address 2
City/Town
State
Zip
County
Phone Number
Shelley Hosterman
Geisinger Bloomsburg
425 East 1st Street Suite 201
Bloomsburg
PA
17815
Columbia
570-271-8255
Above expectations
Above expectations
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Not applicable
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Above expectations
Competency #1: Identify as a professional social worker and conduct oneself accordingly (EPAS 2.1.1)
NI A
Advocate for client access to social work services.
Practice personal reflection and self correction to assure continual H. hl p fi .
D
.
c
d
t
ig y ro 1c1ent emonstrat1on
pro1ess10na1 eve1opmen .
Attend to professional roles and boundaries
Highly Proficient Demonstration
Demonstrate professional demeanor in behavior, appearance and
Sophisticated Demonstration
communication.
Engage in careerlong learning.
Highly Proficient Demonstration
Demonstrate knowledge of the profession's history
NIA
Student uses supervision and consultation.
Highly Proficient Demonstration
Overall Ranking
Highly Proficient Demonstration
Satisfactory Demonstration
Satisfactory Demonstration
Satisfactory Demonstration
Satisfactory Demonstration
Competency #3: Apply critical thinking to inform and communicate professional judgments (EPAS 2.1.3
Distinguish, appraise, and integrate among multiple sources of
knowledge, including researchbased knowledge, and practice
Satisfactory Demonstration
wisdom.
Analyze models of assessment and prevention intervention, and
Highly Proficient Demonstration
evaluation.
Demonstrate effective oral and written communication skills in
working with individuals, families, groups, organizations,
Highly Proficient Demonstration
communities, and colleagues.
Overall Ranking
Highly Proficient Demonstration
Mid-Term Comments:
k'
h
d'
ig
y
ro
icien
emons
ra ion
iase_
an
va
ues
m
wor
mg
wit
iverse
groups
b
.View themselves as learners and engage those with whom they
Highly Proficient Demonstration
work as informants
Overall Ranking
Highly Proficient Demonstration
Mid-Term Comments:
Competency #5: Advance human rights and social and economic justice (EP AS 2.1.5)
Identify and understands the forms and mechanisms of
Satisfactory Demonstration
discrimination and oppression.
Advocate for human rights and social and economic justice.
NIA
Engage in just practice that advances social and economic
Satisfactory Demonstration
justice.
Overall Ranking
Satisfactory Demonstration
Mid-Term Comments:
Competency #6: Engage in research informed practice and practice informed research (EPAS 2.1 .. 6)
t t.
Use placement/practice experience to formulate research proposal H. hl p fi . t D
Competency #7: Apply knowledge of human behavior and the social environment (EP AS 2.1. 7)
Utilize conceptual frameworks to guide the processes of
Highly Proficient Demonstration
assessment, intervention, and evaluation
Critique and apply knowledge to understand person and
Highly Proficient Demonstration
environment
Demonstrate knowledge about human behavior across the life
Satisfactory Demonstration
course.
Demonstrate knowledge of the range of social systems in which
Satisfactory Demonstration
people live and their impact on achieving health and wellbeing
Overall Ranking
Highly Proficient Demonstration
Mid-Term Comments:
Engage in policy practice to advance social and economic well being and to deliver
Competency #8:
effective social work services (EPAS 2.1.8)
Analyze, formulate , and advocate for policies that advance social NI A
wellbeing
Collaborate with colleagues and clients for effective policy
Satisfactory Demonstration
action
Understand how the policy affects service delivery
Satisfactory.Demonstration
Demonstrate knowledge of history and current structures of social
NIA
policies and services
3
Satisfactory Demonstration
Overall Ranking
Mid-Term Comments:
Competency #9:
: Respond to contexts that shape practice (EPAS 2.1.9)
Continuously discover, appraise, and attend to the influence of
context (locale, population,
and technological
H.ighl y p ro fiicien
t D emonstrat.10n
. scientific
.
.
.
developments, and emergmg societal trends) on service delivery to
provide relevant services
Provide leadership in promoting sustainable changes in service
Highly Proficient Demonstration
delivery and practice to improve the quality of social services
Highly Proficient Demonstration
Overall Ranking
Mid-Term Comments:
Mid-Terin Comments:
I, Carin Marshall have read and had a chance to discuss this evaluation with my task supervisor (if applicable),
my field instructor, my field liaison. I would like to add the following comments/information: (hand wtite
below if printed out or student can comment in comment box below if you complete electronically with student
present)
CowvL~
Cann S'lf
Field Liaison