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Junior Placement Field Experience Evaluation

Field Experience is a credit-no-credit course in the Bethel College Social Work Program that (a) provides beginning experiences for a student in a social service agency and (b) assists the student and faculty of the department in assessing the "goodness of fit" between the student and the professon of social work. Your feedback is important to both the student and faculty in making this assessment. 

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* 1. Student's Name

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* 2. Supervisor's Name

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* 3. Agency and Address

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* 4. What is the current term:

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* 5. What is the current school year?

Please rate the student in the following areas:
NA= Please leave blank if item was not addressed
1=Unacceptable performance
2=Below level of expectation for student beginning study in social work
3=At level of expectation for student beginning study in social work
4=Above level of expectation for student beginning study in social work
5=Exceptional level of ability for student beginning study in social work 

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* 6. Adherence to the values of code of ethics of the profession of social work (confidentiality, client self-determination, belief in the uniqueness of individuals, belief in importance of social justice.) (Competency 1)

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* 7. Demonstration of professionalism: function within norms and regulations of the social service agency; ability to respond appropriately to critique; good attendance, dependability, and responsibility. (Competency 1)

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* 8. Demonstrated ability to work sensitively with issues of difference and diversity in regard to clients, co-workers, and community; no bias or discrimination (Competency 2)

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* 9. Demonstrate understanding of the agency as the context for practice, including beginning level knowledge of agency policy  (Competency 5 & 8)

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* 10. Ability to establish an appropriate helping relationship with clients of the agency, maintaining appropriate boundaries while demonstrating warmth and empathy  (Competency 6).

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* 11. Demonstrated understanding of interviewing skills and assessment appropriate to a beginning social work student  (Competency 7).

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* 12. Ability to understand dynamics and function appropriately as a helper and/or observer in a group situation (therapy, socialization, and/or task group)  (Competency 8)

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* 13. Please comment on the student's strengths as a beginning helper.

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* 14. Please comment on any areas that need to be improved.

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* 15. From your observations, do you believe that this student has the appropriate personal qualities and motivation needed to pursue a career as a professional helper?

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* 16. Signature of Field Instructor/Supervisor (by typing in your name, we will consider this an electronic signature.)

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* 17. Student Signature (by typing in your name, we will consider this an electronic signature.)

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