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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:
Shannon Schmaus
Agency:
Bethany Christian Service
Agency Field Instructor(s):
Kelila Anstett
Faculty Advisor:
David Castine
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 91 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.
Process Recordings or PRACSIS have been reviewed by Field Instructor and submitted to the
X 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.
Shannon continues to demonstrate she is able to understand and execute task related to child
welfare. She is always willing to assist assigned case managers with needed task. She observes
weekly parenting time and provide detailed case notes while accurately assessing the observed
parent. Additionally, Shannon has started to review policy and understand how it shapes practice
trends.

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
PROGRESS
effective social work services.
Respond to contexts that shape practice.
PROGRESS
Engage, assess, intervene, and evaluate with individuals, families, groups,
PROGRESS
organizations, and communities.
Analyze the impact of the urban context on a range of client systems, including
PROGRESS
practice implications.
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.
N/A
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.

Recommend:

FIELD INSTRUCTOR SECTION


PROGRESS

Comments:
Shannon is efficient, effective and able to adjust to various client-related situations.
**Please note: By typing my name below, I certify that I have reviewed the document,
completed my portion and agree with the content.

(Anstett, Kelila): Kelila Anstett Mar 4, 2015 4:00 PM


Field Instructor (agency-based supervisor)

I...

STUDENT SECTION
Agree with the evaluation.

Comments:
I agree with the evaluation.
**Please note: By typing my name below, I certify that I have reviewed the document,
completed my portion and agree with the content.
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.
(Schmaus, Shannon): Shannon Schmaus Mar 4, 2015 5:52 PM
Student

(David Castine): D Castine Mar 6, 2015 12:04 PM


Faculty Advisor

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