Placement hours completed at time of evaluation: ___________
Instructions for Rating Interns on the 12 Competencies of the Final Evaluation: The standard by which an intern is to be compared is that of a beginning-level social worker. The 10 of the 12 core competencies that are specified in this evaluation form are those established by our national accrediting organization (The Council on Social Work Education). Under each competency statement are 43 practice behaviors (PB) that we ask that you rate your student intern according to the following criteria.
Rating Scale for Evaluation of Field Placement Performance 1 = The Student has not met the expectations associated with the practice behavior for this competency as an intern.
2 = The Student has met some of the expectations associated with the practice behavior for this competency at times; but there are some gaps in consistency.
3 = The Student has met the expectations associated with the practice behavior for this competency as an intern.
4 = The Student is functioning above expectations associated with the practice behavior for this competency as an intern
5 = The Student has excelled expectations associated with the practice behavior for this competency as an intern.
Note: Comments may be made under any competency statement, if desired. Please be sure to indicate those areas in which you think the intern is particularly strong and those areas that need improvement.
This evaluation is intended to give the intern feedback about her or his performance
Competence #1: Intern identifies as a professional social worker and conducts himself/herself accordingly.
PB.1
Advocates for clients access to services of social work
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5
PB.2
Practice personal Self-reflection.
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5
PB.3
Attend to professional roles and boundaries
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5
PB.4
Demonstrates professional demeanor in behavior, appearance and communication with clients and staff.
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PB.5
Engages in career-long learning.
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PB.6
Uses supervision and consultation appropriately
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5
Competence #2: Intern applies social work ethical principles to guide his or her professional practice.
PB.7
Recognizes and manages personal values in practice with client system(s)
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PB.8
Makes ethical decisions by applying standards of the NASW Code of ethics and as applicable, the International Federation of Social Workers (IFSW) Statement of Principles.
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PB.9
Tolerates ambiguity in resolving ethical conflicts in practice.
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PB.10
Is able to apply strategies of ethical reasoning to arrive at principled decisions with client system(s)
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Comments:
Competence #3: Intern applies critical thinking to inform and communicate professional judgments.
PB.11
Is able to distinguish, appraise, and integrate multiple sources of knowledge, including research-based knowledge and practice wisdom.
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PB.12
Is able to analyze models of assessment, prevention, intervention, and evaluation of practice with client systems(s).
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PB.13
Demonstrates effective oral and written communication in working with individuals, families, groups, organizations, communities and colleagues.
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Comments:
Competence #4: Intern engages diversity and difference in practice.
PB.14
Recognizes the extent to which a culture’s and structures and values may oppress, marginalize, alienate, or create or enhance privilege and power.
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PB.15
Demonstrates an ability to gain sufficient self-awareness to eliminate personal biases.
Views self as learner and engages those with whom they work with as informants.
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Comments:
Competence #5: Intern advances human rights and social and economic justice.
PB.18
Understands the forms and mechanisms of oppression and discrimination.
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PB.19
Is able to advocate for human rights and social and economic justice of their client system(s).
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PB.20
Engages in practices that advance social and economic justice.
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Comments:
Competence #6: Intern engages in research-informed practice and practice-informed research.
PB.21
Is skilled at using practice experience to inform scientific inquiry.
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PB.22
Is skilled at using research evidence to inform practice
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Comments:
Competence #7: Intern applies knowledge of human behavior and the social environment.
PB.23
Is able to utilize conceptual frameworks to guide the processes of assessment, intervention, and evaluation.
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PB.24
Is able to critique and apply knowledge to understand person and environment
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Comments:
Competence #8: Intern engages in policy practice to advance social and economic well-being and to deliver effective social work services.
PB.25
Is able to analyze, formulate, and advocate for policies that advance social well-being.
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PB.26
Is skilled at Collaborating with colleagues and clients for effective policy action.
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Comments:
Competence #9: Intern responds to contexts that shape practice.
PB.27
Continuously discover, appraise, and attend to changing locales, populations, scientific and technological developments, and emerging societal trends to provide relevant services.
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PB.28
Demonstrates an ability to provide leadership in promoting sustainable changes in service-delivery and practice to improve the quality of social services.
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Comments:
Competence #10: Intern engages, assesses, intervenes and evaluates with individuals, families, groups, organizations, and communities.
PB.29
Is able to substantively and effectively prepare for action with individuals, families, groups, organizations and communities.
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PB.30
Demonstrates an ability to use empathy and other interpersonal skills with client system(s)
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PB.31
Is skilled at developing a mutually-agreed upon focus of
work.
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PB.32
Is skilled at collecting, organizing and interpreting client data.
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PB.33
Is skilled at assessing client strengths and limitations.
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PB.34
Is skilled at developing mutually agreed-on interventions, goals and objectives.
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PB.35
Is skilled at selecting appropriate intervention strategies.
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PB.36
Is skilled at initiating actions to achieve organizational
goals.
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PB.37
Is skilled at implementing prevention interventions that
