MIDTERM EVALUATION

Student:

Shellisa Mitchell

Agency:

Critical Signal Technologies

Agency Field Instructor(s):

Sherri Gerber-Somers, LMSW

Faculty Field Liaison:

Glenn Whitelaw, LMSW

Please Check One:

BSW
X

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 160 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 Field
Liaison.
X Process Recordings or PRACSIS have been reviewed by Field Instructor and submitted to the
Faculty Field Liaison (students should check with assigned Faculty Field Liaison 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.
Please see below.

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.

PROGRESS

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.
N/A- Please see below.
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:
Ms. Mitchell has been a pleasure to have as an intern. Her time and attendance is great, she is
eager to learn, and has a positive attitude about every learning experience offered to her. We have
had discussions regarding her writing (grammar and spelling) to be professional and effective
and she has made progress in this area. It will continue to be monitored.
**Please note: By typing my name below, I certify that I have reviewed the document,
completed my portion and agree with the content.

(Gerber-Somers, Sherri): Sherri Gerber-Somers, LMSW Feb 16, 2016 12:28 PM

Field Instructor (agency-based supervisor)

STUDENT SECTION

I...

Agree with the evaluation.

Comments:
As an intern, I am so delighted to be a part of Critical Signal Technologies. I have learned a
wealth of information to improve my Social Work Skills. Moreover, I am so excited to continue
my internship at CST. My supervision has been rewarding towards my growth and development.
Sherri Gerber-Somers is an excellent Field Instructor. She helps with any questions or concerns I
may have, and she encourages me for success. Overall, I am grateful and thankful for my
learning experience at CST.
**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.
(Mitchell, Shellisa): Shellisa Mitchell Feb 16, 2016 12:46 PM
Student
(Glenn Whitelaw): Glenn D.C. Whitelaw LMSW Feb 19, 2016 2:17 PM
Faculty Field Liaison

IPT Document Management System January 1, 2014

Form: 40659