Master of social work program agency Field Supervisor Mid-Semester Evaluation of Foundation Year msw student Practicum Performance

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Clark Atlanta University


Agency Field Supervisor Mid-Semester Evaluation of Foundation Year MSW Student Practicum Performance

Foundation Year


Agency Field Supervisor: ___________


Describe the scope of student’s work in relation to each of the following (list): (i.e., beginning, intermediate, advanced, no chance to observe (n/a)

Individuals and Families


Agency issues

Community issues

Policy Issues

Outreach Activities


Please use the following performance scale to evaluate student’s performance at the mid-semester mark.

PC= Pre Competence. The student does not or rarely demonstrate an ability to integrate the values, knowledge and skills associated with this competency; and needs constant supervision, reminders and extra time to complete the task or activity.
EC= Emerging Competence. The student is beginning to demonstrate or integrate the values, knowledge and skill associated with the competency with less reminders or prompts.
C= Competence. The student demonstrates or integrates the values, knowledge and skills associated with this competence with consistency and with independence. He/she uses supervision for consultation appropriately.
NOPC= No Opportunities to Practice Competency: The student has not had an opportunity to practice this competency at our agency.






1). Identify as a professional social worker and conduct oneself accordingly

2). Apply social work ethical principles to guide professional practice

3). Apply critical thinking to inform and communicate professional judgments.

4). Engage diversity and difference in practice.

5). Advance human rights and social and economic justice.

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

7). Apply knowledge of human behavior and the social environment.

8). Engage in policy practice to advance social and economic well-being and to deliver effective social work services.

9). Respond to contexts that shape practice.

10). Engage, assess, intervene, and evaluate with individuals, families, groups, organizations, and communities.

11). Knowledge of the Afrocentric Perspective.

12). Utilization of technology for professional development and practice

If the student received NOPC on any of the core competencies above, what plan of action will be taken to ensure the student has an opportunity to develop the competency (ices)?

What support if any would you need from the field liaison or field seminar instructor to ensure the student has this opportunity?


1. Student use of Supervision:

a. Incorporates constructive feedback.



b. Comes to supervision with a prepared agenda.



c. Works within the required timeframe.



d. Discusses sensitive issues appropriately.




  1. Student Professional Behavior:

a. Copes with day-to-day stresses.



b. Understands the effects of his/her behavior on others.



c. Identifies, seeks, and appropriately uses help for issues that

interfere with academic or professional performance.



d. Does not wait to be assigned tasks. Asks for task assignments.



e. Demonstrates Cultural Competence in Field of Practice:

Yes No


In your professional judgment, is the student’s performance: satisfactory, or unsatisfactory? Please make any other comments that would be helpful for the student in guiding their work to be accomplished during the remainder of this field practicum experience.
Satisfactory: The Student’s skills are applied quite consistently, with some gaps; the student is on task towards developing his/her core competencies as expected for a graduate level social work intern.
Unsatisfactory: The student has had the opportunity, but has not developed any of the core competencies even at the beginning phase of skill development. The student is in jeopardy of receiving a recommended final grade, less than a “B. I would like to meet with the Field Liaison.

Agency Field Instructor




Thanks for you for your cooperation

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