University of Nort Carouina : PEMBROKE Department of Social Work [BSW Leaning Contract and Performance Evaluation ‘Student i vy | Semester: ~~] Fa 2078 [Field Supervisor |Fessiza_ Heather Murray (einer tas |BEsSktana ‘Siué. \ Contact (336) 207-746) | Pracicus ~~ |Geniesis Healthcare | Field Superviso™ (aig) $2/- 12 73 Number: | Organization: | Pembroke Censtec__| Contact Number: an ‘Student Er |hnm 003 @ bravemaik | Practicum ~|al0 E Wardell Drive | Fieid Supervisor [Jessica hunt2 | i uncp-edy Orrenis ton [Pembroke MC 2g372. | Emat [@seresshee.com | ea Practicum Sehedule {onda | Tesiay | Wienassay | Tousday Friday [Saturday [Sundar [am=5em Hlam~Spm_Iam-lpm San ~Stm Aam~fpm | of? | oF Superision Day ard Tine ieee a “Instructions for Completion = This Learning Contract and Performance Evaluation fom serves as the guiding document for social work students in te field Students and Fol ‘Supervisors should work together to develop this document and review throughout the semester. Students are responsibie fr scheduling time for this process with ther Field Supervisor. Students are also responsible for composing a draft, making revisions and submiting ties times over the semester. Definitions. ee ‘Competencios- The Council an Socal Wark Educallon has davelopad a Tat af nine compalendies, which desaiiba what students should achieve Hough {helt e2vial work education, Behaviors- Each compotoncy is domonsirated by observable behaviors. Dimensions ef Learning. Studente develop ‘enowedge, values, skils, and cognitve and affective processes (2.9. citcal thinking, judgements, reactions to people or stution), Eacn competency is matched with one or two dimensions vf leaming that are most relevant. For example, when evsiuating your students progress in ‘achieving Competency 1: Demonstrate Eihical and Professional Behavior, please consider the students knowledge of ethical and professional fexpectations and their values in acing on these expectations. When evaluating your student's progress on Competency & Intervene wih Individuals, Families, Groups, Organizations and Communities, please consider their sls in implementing interventions and their se of cognitive and affective processes while doing so. Competence is defined as demonstrating levels of knowledge, valves, skils, and cognitive & affective processes that are ‘appropriate for the degree the student is Seeking. Numbers on the scare donot correspond directly witha later grade Evaluation Scale {= Not Competent wi Inufficient Progress 2= Nol Competent wi Sufficient Progress ‘merging Competence = ‘4= Competent 5= Exceptional Competence ‘a= Not Observed Page tof 8‘Behaviors Related to This Competency Relevant Activities or Tasks | Mid-Term 1.7 Make ethical decisions by applying the fards of the NASW Code of Ethics, relevant ‘and regulations, models for ethical decision- «ing, ethical conduct of research, and additonal codes of ethics as appropriate to context. Understand the WASW Code of Ethics, learning the agencres polities and dress professyoral. + | 1.2 Use reflection and self-regulation to manage personal values and maintain professionalitn in ‘actice situations. Keeping my opinions to myself Know the Community (Observe my Supervisor 1.3 Demonstrate professional demeanor in behavior: appearance; and oral, writen, and electronic communication Follow the dress code * Complete the tasks that have been given ("Td Use technology ethically and appropriately | acitate practice outcomes, Learn how to use the online Gssessments Time management nO 1.5 Use supervision and consultation to guide professional judgment and behavior. Attend meetings Ask guestions Wm Page 2 0f 9| Behaviors Related to This Competency S Relevant Activities or Tasks ] Mid-Term | Final Eval 2:1 Apply and communicate understanding of the inv ‘tarce of diversity and diference in shaping = experienes in practice atthe micro, mezzo, ‘and macro levels, Build and form relationships wi'th the residents Be able to trast ‘Interact with the resident 5 122 Present themselves as learners and engane | C7 nte and constituencies as experts of their own | experiences. | manage the influence of personal biases and | values in working with averse cients and constituencies, 2.3 Apply self-awareness and self-regulation to | Listen to the residents and understand their needs [Understand people Come frum divers® Reslemneas Understand others point of view and the situation the residents are in Relovant Tasks or Activities 3:1 Apply understanding of social, economic, {and environmental justice to advocate for human | fights at the individual and system levels Advocating For clients. ‘3.2 Engage in practices that advance social, ‘economic, and environmental justice. Volunteering te help Others Page 3 0f 8