FIELD INSTRUCTOR ASSESSMENT OF STUDENT

COMPETENCIES
BACHELOR OF SOCIAL WORK SENIOR YEAR
STUDENT
NAME:
I.D. NUMBER:

Shannon
Schmaus
004111688

FIELD PLACEMENT
SITE:
FIELD INSTRUCTOR:

Bethany Christian
Services
Kelila Anstett

PLEASE ANSWER EACH OF THE FOLLOWING QUESTIONS

1) What is the student's role at the agency? (Include population with which student works)
Shannon assist foster care case mangers achieve permanence for children within the child
welfare system.
2) What are the tasks the student performs at the agency?
Shannon assist with completing interstate paperwork and documenting parenting times. Shannon
also attends court hearings, home visits and family team meetings. She also has help with
developing a parenting time schedule.
3) What are the areas (i.e. tasks, skills) in which the student is excelling at the agency?
Shannon has excelled at observing and documenting crucial interactions between children and
parents. Additionally, Shannon has assisted with organizing and completing required foster care
documents.
4) What are the areas (i.e. tasks, skills) in which the student requires additional knowledge?
N/A

Field Instructor Assessment of Student Competencies

Rating Scale
Ratings are distinct for each semester; they are not cumulative. Under each competency, specific
practice behaviors are listed, along with specific measures for evaluating student performance.

This form may be personalized by adding comments after each section. If any item within a
section has been rated either Exceeds, Does not meet or Marginally meets Expected
Competency, a specific comment must be included regarding that item in the area provided. In
addition, strengths, achievements and initiatives shown by the student in the performance of
his/her assignments and work contacts should be noted in the comment sections or narrative
summary.
The Rating Scale is:
(4) Exceeds Expected Competency: The student demonstrates knowledge and ability above
the criteria set for each practice behavior.
(3) Meets Expected Competency: The student demonstrates both ability and knowledge
which meet the basic expectations as listed in the criteria for each practice behavior.
(2) Marginally Expected Minimum Competency: The student requires intensive
redirection. The student demonstrates effort but has difficulty in achieving required
expectations for each practice behavior.
(1) Does Not Meet Expected Competency: The student is unable to perform even minimal
tasks and does not demonstrate an understanding of the theoretical base of materials.
(0) Not Applicable/No Opportunity: Student has little or no opportunity to engage in task.

I. Core Competency: Identify as a professional social worker and conduct

oneself accordingly
Practice Behavior: Professional Role/Demeanor and Use of supervision
1. Displays appropriate behavior with staff and clients
2. Demonstrates the importance of appearance and appropriateness in dress
3. Is beginning to consistently display effective communication
4. Is beginning to consistently demonstrate effective record - keeping and writing skills
5. Is beginning to consistently demonstrate the need to accept and/or initiate projects beyond
basic academic requirements
6. Is beginning to recognize the expectations of the field instructor
7. Is beginning to prepare for and use supervisory sessions to reflect on practice
Practice Behavior: Client Access to Service
8. Is beginning to consistently familiarize self with client's and/or target population needs
9. Is beginning to consistently recognize client and/or target population concerns related to
receiving services
10.Is beginning to consistently demonstrate ability to access services for clients
11. Is punctual and adheres to agreed upon attendance schedule
Practice Behavior: Personal Values
12. Is beginning to consistently display awareness of personal values and opinions related to

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the client population

13. Is beginning to consistently recognize the need to manage personal values and opinions in
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order to assist clients or client systems
14. Is beginning to consistently acknowledges and accept that all individuals have personal
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values and opinions that need to be recognized and processed in order to practice effectively
Comments: Shannon demonstrates a knowledge of client needs and the importance of utilizing
supervision for expansion of practice knowledge. Additionally, Shannon always presents in a
professional manner when interacting with peers and clients.

II. Core Competency: Apply social work principles to guide professional

practice
Practice Behavior: Ethical Decisions
1. Is beginning to be able to consistently describe the concept of professional codes, such as
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the NASW codes of ethics, in guiding ethical decisions
2. Is beginning to consistently accept and discuss why professional codes, such as the NASW
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code of ethics, are needed
3. Is beginning to acknowledge consistently the ethical obligations of the professional social
worker in fulfilling his/her service roles and responsibilities with clients, other professional, 3
and the community
Practice Behavior: Roles, Boundaries, and Values
4. Is beginning to consistently interact in a professional manner while at the agency
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5. Is becoming aware of and consistently demonstrates the need for professional boundaries
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6. Is beginning to consistently recognize the concept and importance of self reflection, self
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monitoring, and self correction
7. Is beginning to consistently display ability to distinguish differences among self reflection,
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self monitoring, and self correction
8. Is beginning to consistently recognizes times when self reflection, self monitoring, and self
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correction are needed
Practice Behavior: Ethical Reasoning
9. Is beginning to consistently recognize the importance of considering ethical behavior in
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decision making
10. Is beginning to consistently discuss ethical dilemmas with appropriate staff
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Comments: Shannon understands the importance of boundaries, values and ethics as it relates to
social work practice within the child welfare system.

III. Core Competency: Apply critical thinking to inform and communicate

professional judgments
Practice Behavior: Organizing Knowledge
1. Is beginning to consistently display ability to organize information in an appropriate format 4
2. Is beginning to consistently demonstrate an ability to express creative ideas
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Practice Behavior: Assessment and Intervention

3. Is beginning to consistently identify and distinguish different assesment tools

4. Is beginning to consistently identify and distinguish different intervention models
5.Is beginning to consistently recognize the importance of analyzing data
Practice Behavior: Knowledge Integration
6. Is beginning to consistently demonstrate awareness of the importance of using different
sources of information
7. Is beginning to consistently demonstrate familiarity with how research-based knowledge
affects the client or target population
8. Is beginning to consistently demonstrate familiarity with how to evaluate personal
experience when working with the client or target population
Practice Behavior: Oral and Written Communication
9. Is beginning to consistently demonstrate effective oral and writing skills when working
with different populations
10. Is beginning to consistently demonstrate ability to work with groups
11. Is beginning to consistently recognize that practice styles need to change when working
with different populations
12.Is beginning to consistently demonstrate effective writing skills
Comments: Shannon has used her current knowledge to assist with developing plans and
completing important documents. These developments have assisted with providing better
service to clients. She has expressed these plans and ideas in a written and verbal manner.

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IV. Core Competency: Engage diversity and difference in practice

Practice Behavior: Cultural Awareness/Diversity
1. Is beginning to consistently demonstrate awareness of the extent to which mainstream
culture structures and values may oppress others
2. Is beginning to consistently demonstrate awareness of the manner in which the oppressed
recognize and perceive mainstream culture, structures and values
Practice Behavior: Values and Biases
3. Is beginning to consistently demostrate awareness of the importance of knowing personal
biases and values related to different groups
4. Is beginning to consistently recognize why acknowledging personal biases and values is
helpful
5.Is beginning to consistently recognize the importance of fostering a respect for diversity
Practice Behavior: Recognize and Communicate Life Experiences
6. Is beginning to consistently recognize and discuss the impact(s) of different life experiences
with others
7. Is beginning to consistently demonstrate awareness of appropriate life experiences to share
with clients, groups and other individuals
8. Is beginning to consistently acknowledge the importance that life experiences play in
regards to behaviors and opinions
Practice Behavior: Engaged Learner
9. Is beginning to consistently view self as a learner who requires guidance

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10. Is beginning to consistently view and utilize staff as helpful sources of information
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11. Is beginning to consistently recognize that the profession requires all social workers to be
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lifelong learners
Comments: Shannon is an engaged learner. She understands how awareness of values and
biases is important when working with diverse populations.

V. Core Competency: Advance human rights and social and economic justice
Practice Behavior: Oppression and Discrimination
1. Is beginning to consistently recognize and understand different forms of oppression and
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discrimination
2. Is beginning to consistently distinguish the difference between oppression and
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discrimination
3. Is beginning to consistently display comfort in detecting factors related to oppression and
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discrimination
Practice Behavior: Human Rights and Social and Economic Justice
4. Is beginning to consistently recognize the need for advocacy related to human rights and
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social economic justice
5. Is beginning to discuss and understand the terms human rights and social economic justice 3
6. Is beginning to consistently describe how human rights violations and social economic
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injustices have affected others
7. Is beginning to consistently describe the need for supporting activities which advance social
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and economic justice
8. Is beginning to consistently demonstrate how they may do effective work to advance social
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and economic justice
Comments: Shannon has a working knowledge of social and economic justice. She has given
insightful observations after shadowing workers at court hearings. She recognizes the need for
advocacy within the child welfare system.

VI. Core Competency: Engage in research-informed practice and practice

informed research
Practice Behavior: Practice Experience and Scientific Inquiry
1. Is beginning to consistently recognize why research evidence is used
2. Is beginning to consistently acknowledge how research affects the tasks performed at the
agency
Practice Behavior: Research Evidence
3. Is beginning to consistently recognize the need for ongoing and existing or evidence - based
research and evidence related to the field
4. Is beginning to consistently recognize the importance of practice experience
Comments: This internship does not allow for research-informed practice.

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VII. Core Competency: Apply knowledge of human behavior and the social
environment
Practice Behavior: Environment/Assessment
1. Is beginning to consistently demonstrate familiarity with the processes of assessment,
intervention, and evaluation
2. Is beginning to consistently recognize the importance of understanding others in their own
environment
3. Is beginning to consistently demonstrate familiarity with how to gain information about
others in their own environment
Comments: Shannon is able to demonstrate familiarity with assessment, intervention and
evaluation within the client's environment.

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VIII. Core Competency: Engage in policy practice to advance social and

economic well-being and to deliver effective social work services
Practice Behavior: Policies and Societal Well-Being
1. Is beginning to consistently recognize the need to be aware of policies that advance societal
well-being
2. Is beginning to consistently demonstrate familiarity with policies affecting client systems at
the agency
3. Is beginning to consistently display the ability to discuss the impact of collaborations in
order to foster change
4. Is beginning to consistently acknowledge methods to advocate for effective policy change
Comments: Shannon is learning how policy effects child welfare practices.

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IX. Core Competency: Respond to contexts that shape practice

Practice Behaviors: Social Trends and Related Services/Leadership Roles
1. Is beginning to consistently recognize the need to make changes to service delivery to
provide effective services (i.e. different location, different population, etc.)
2. Is beginning to consistently recognize how societal trends affect personal biases towards
certain services
3. Is beginning to consistently acknowledge the importance and effects of societal trends
4. Is beginning to consistently recognize the role of social workers in providing leadership to
support effective changes
5. Is beginning to consistently demonstrate awareness of the profession's history and
commitment to improving the lives of those served or their communities
Comments: Shannon is beginning to understand how social trends impact services provide to
clients within the child welfare system.

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X. Core Competency: Engage, assess, intervene and evaluate with individuals,

families, groups, organizations and communities

Engagement Practice Behavior: Engagement with Systems

1. Is beginning to consistently recognize the need to actively prepare for clients and work with
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systems of change
2. Is beginning to consistently recognize the role he/she plays with
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clients/groups/organizations/communities
3. Is beginning to consistently acknowledge that all participants enter the agency/organization
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at different stages and with different needs
Practice Behavior: Interpersonal Skills
4. Is beginning to consistently recognize and employ the appropriate uses of empathy
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5. Is beginning to consistently recognize and demonstrate other interpersonal skills needed
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when working with clients
Comments: Shannon has demonstrated strong interpersonal skills and she recognizes the
importance of rapport building with clients.
Engagement Practice Behavior: Focus and Outcome with Field Instructor
6. Is beginning to consistently recognize and understand the importance of developing a
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learning plan with the field instructor
7. Is beginning to consistently recognize the importance of supervision and is prepared at
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meetings
8. Is beginning to consistently acknowledge why work goals and desired outcomes are created
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and used during field work
Assessment Practice Behavior: Interpreting Client Data
9. Is beginning to consistently recognize and understand methods for collecting, organizing,
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and interpreting client data
10. Is beginning to consistently recognize the importance of collecting accurate client data
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11. Is beginning to consistently recognize the importance of recording organizinging accurate
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client data
12. Is beginning to consistently acknowledge how other service providers interpret client data
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in order to authorize services
13. Is beginning to consistently demonstrate the ability to access and utilize client data
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Practice Behavior: Assessing Clients
14. Is beginning to consistently recognize and demonstrate methods for assessing client
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strengths and limitations
15. Is beginning to consistently recognize and can interpret why client systems present with
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different strengths and limitations
Assessment Practice Behavior: Intervention Goals and Objectives
16. Is beginning to consistently acknowledge the importance of goals and objectives
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17. Is beginning to consistently demonstrate knowledge of how to create effective goals and
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objectives
Comments: Shannon has utilized effective assessment skills when engaging with clients during
parenting times. Her process recordings have reflected her ability to appropriately assess
individuals.
Assessment Practice Behavior: Selecting Intervention Strategies
18. Is beginning to consistently recognize and employ the different types of intervention
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strategies

19. Is beginning to consistently recognize and know when to use intervention strategies
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Intervention Practice Behavior: Client (Individual, Group, Communities) Capacities
20. Is beginning to consistently recognize and demonstrate intervention strategies that
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promoting best interests of clients
21. Is beginning to consistently acknowledge how to gauge client capacities
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22. Is beginning to consistently recognize and demonstrate how to assist clients in resolving
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problems
23. Is beginning to consistently recognize the reasons for client concerns
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24. Is beginning to consistently recognize when to negotiate, mediate, and advocate for clients 3
25. Is beginning to consistently distinguish the differences among negotiation, mediation, and
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advocation
26. Is beginning to consistently recognize and demonstrate the skills needed to negotiate,
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mediate, and advocate for clients
Practice Behavior: Transition and Endings
27. Is beginning to consistently recognize the importance of transitions and endings
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28. Is beginning to consistently recognize personal feelings related to transitions and endings 3
29. Is beginning to consistently recognize client feelings related to transitions and endings
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Comments: Shannon is learning the importance of transition within the foster care system.
Evaluation Practice Behavior: Evaluation of Work and Services
30. Is beginning to consistently recognize the need to evaluate work and services provided
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31. Is beginning to consistently demonstrate the skills needed to evaluate work and services
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provided
32. Is beginning to consistently recognize personal feelings related to the evaluation of work
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and services provided
33.Is beginning to consistently recognize the need to critically examine interventions
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34. Is beginning to consistently display the skills needed to critically examine interventions
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35. Is beginning to consistently acknowledge why and how intervention processes are created 3
Comments: Shannon is learning the importance of evaluation of work within the child welfare
system.

XI. Core Competency: Analyze the impact of the urban context on a range of
client systems, including practice implications
Practice Behavior: Urban Context and Social Work
1. Is beginning to consistently recognize the challenges within an urban environment and the
impact of these on client systems
2. Is beginning to consistently recognize characteristics of the urban context and the need to
develop effective programs, interventions and services for client systems
Comments: Shannon recognizes how working within an urban environment impacts clients
within the child welfare system.
TOTAL HOURS COMPLETED FOR THE SEMESTER OF
Semester: Fall Year: 2014 Total Hours: 230

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Field Instructor: (Anstett, Kelila): Kelila Anstett Dec 12, 2014 11:02 AM
Student Signature: (Schmaus, Shannon): Shannon Schmaus Dec 12, 2014 1:56 PM
The undersigned is responsible for the assignment of a Satisfactory (S), Marginal (M), or
Unsatisfactory (U) grade.
SEMESTER GRADE: Satisfactory
TOTAL HOURS: 230
Faculty Advisor: (David Castine): David Castine Dec 12, 2014 1:49 PM