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Nomination Form

Many of you have commented informally about the excellent experiences you have had working with your field educator. This is an opportunity to acknowledge field educators more formally by nominating them to receive the Outstanding Achievement in Field Education Award. The award is given each year to a Field Educator who has demonstrated a significant contribution to their role and is deserving of special recognition. Recognition is given to all nominated field educators at the end of April/beginning of May at the School of Social Work’s annual Field Educator Reception, and the award is given out.

Submissions are enhanced by reference to CSWE competencies, and the use of specific examples.

DEADLINE TO NOMINATE: APRIL 1

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* 1. Field Educator’s Name:

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* 2. Field Educator’s Agency:

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* 3. Field Educator's Email:

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* 4. Nominator:

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* 5. Nominator Email:

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* 6. Faculty Liaison:

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* 7. Please rate your nominee on the following scale.

  Rate Field Educator’s demonstration of modeling excellent social work values. Rate Field Educator’s demonstration of leadership within his or her agency. Rate Field Educator’s demonstration of leadership in community. Rate Field Educator’s demonstration of commitment to social work profession. Rate Field Educator’s demonstration of exceptional skills at assisting students’ translation of theory into practice. Rate Field Educator’s demonstration of maintenance of professional supervisory relationship with students. What is your overall rating of this Field Educator?
(5 = the highest level to 1 = don’t know)

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* 8. Please support the reasons for your nomination by providing supporting evidence below.

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