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MIDTERM EVALUATION
This form is to be completed by the Field Instructor and discussed with student. It will
automatically be sent to the Faculty Advisor once it is completed online.
Student:

Judi Brusseau-Potts

Agency:

YMCA of Metro Detroit

Agency Field Instructor(s):

Matthew Cunningham

Faculty Advisor:

Stephanie Loughlin

Please Check One:

X

BSW
BSW WOW
MSW Foundation Year
MSW Advance Year

Q3 Please check and complete all that apply.

X Student has received agency orientation and work space has been assigned.
X Student has completed 112 hours to date.
X Student is actively engaged in weekly supervision.

X Learning Plan has been completed and submitted to the Field Instructor and Faculty
Advisor.
X Process Recordings or PRACSIS have been reviewed by Field Instructor and submitted
to the Faculty Advisor (students should check with assigned Faculty Advisor to find out
the number of Process Recordings or PRACSIS required).

Please describe any areas of strength or concern in regard to the students performance
and/or the availability of required learning assignments.
Judi is diligent in submitting all the work that she is required. When she is asked to do
something, she has it completed within 24 hours. - MDC -

Instructions for completing the mid-term evaluation: Please evaluate students performance
halfway through the semester by indicating Progress, No Progress, or No Opportunity.
Please reference the students Learning Plan specific practice outcomes to determine the
rating.
Performance rating scale based on the (11) competencies:
PROGRESS Student met performance expectation and/or is exhibiting progression
to meet expectations
NO PROGRESS Student did not meet performance expectations
NO OPPORTUNITY There was not an opportunity to meet expectations

COMPETENCY AREAS 1 11

Identify as a professional social worker and conduct oneself

accordingly.

PROGRESS

Apply social work ethical principles to guide professional practice.

PROGRESS

Apply critical thinking to inform and communicate professional

judgments.

PROGRESS

Engage diversity and difference in practice.

PROGRESS

Advance human rights and social and economic justice.

PROGRESS

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

PROGRESS

Apply knowledge of human behavior and the social environment.

PROGRESS

Engage in policy practice to advance social and economic well-being

and to deliver effective social work services.

NO
OPPORTUNITY

Respond to contexts that shape practice.

PROGRESS

Engage, assess, intervene, and evaluate with individuals, families,

groups, organizations, and communities.

PROGRESS

Analyze the impact of the urban context on a range of client systems,

including practice implications.

PROGRESS

If there is a Competency Area in which the student has not met minimum performance
expectations to date, a plan of action must be noted below. If there will not be an
opportunity to address a competency area, please state that.
While we've often talked of our program policies, we haven't really discussed organizational,
local, state and federal policies. - MDC -

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In the section below, please provide an Overall Rating of Progress or No Progress for the
students performance, as indicated by the rating that is most frequent of the eleven (11)
competencies. All parties are required to sign the midterm evaluation to indicate that they
have discussed the evaluation, even if the student does not agree with the evaluation.

FIELD INSTRUCTOR SECTION

Recommend:

PROGRESS

Comments:
Judi is an eager learner and has responded well to the demands of the internship. - MDC **Please note: By typing my name below, I certify that I have reviewed the document,
completed my portion and agree with the content.
(Cunningham, Matthew): Matthew David Cunningham Feb 23, 2015 7:15 PM
Field Instructor (agency-based supervisor)

STUDENT SECTION

I...

Agree with the evaluation.

Comments:
I am very impressed with the YMCA and my field supervisor, Matthew Cunningham. I was
hesitant at first because my internship field placement was geared toward macro work, but I
have been pleased with it because I am also doing micro and mezzo work as well. This
internship has opened up a lot of opportunities for me as I look for my employment as a
social worker.
**Please note: By typing my name below, I certify that I have reviewed the document,
completed my portion and agree with the content.

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By signing you will submit Midterm FIASC information to the assigned faculty advisor from
the Wayne State University School of Social Work. Once the form is completed you will not
be able to modify your responses.
(Potts, Judith): Judi Potts Feb 24, 2015 9:11 AM
Student

(Stephanie Laughlin): Stephanie Laughlin LMSW Feb 26, 2015 9:02 PM

Faculty Advisor

Printable Version
IPT Document Management System January 1, 2014
Form: 19949