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University of Gondar

College of Social Sciences

Departments of Social Work

Field Education Office

Students’ Evaluation by the Faculty Liaison

Student ___________________________________________Contact Phone______________

Agency _____________________________________________________________________

Agency Address ______________________________________________________________

Time Span of Placement ______________________ to _________________________

Faculty Liaison Name ________________________________

Use of This Form:

This is the evaluation form to use at the end of the student’s field placement. It is important that

the evaluation of the student be a shared process and that you and the student discuss variations

and similarities in your assessments.

STUDENT’S RESPONSIBILITIES:

Number and types of assignments student has been given: (please write a brief description of

each assignment – working with individual cases, working with groups, special projects, etc.)
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EVALUATION OF LEARNING GOALS (Please refer to Learning Objectives Contract)

A. Those completed:

B. Those not completed (explain):

Evaluation out of 5% _________________________________________

Commendable Satisfactory Needs Unable to Rate

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Improvement

4 2 2 1

Place a check mark in the column that matches the student’s abilities 4 3 2 1

I. KNOWLEDGE OF AGENCY

Demonstrates comprehension of agency history philosophy, and funding

Demonstrates knowledge of agency programs

Demonstrates understanding of client population served

Demonstrates knowledge of organization structure

Actively utilizes policies and procedures

Contributes to agency decision-making processes in staff meetings and

other interactions with staff

Represents agency in professional manner

Evaluation out of 5%

II. PROFESSIONAL SOCIAL WORK ROLES

Shows awareness of Social Work values and ethics

Maintains client confidentiality

Demonstrates accountability to client systems (e.g., by keeping appointments,

following through on plans, etc.)

Identifies self as a Social Work professional

Handles work load, organizes time well, works efficiently

Works effectively with other staff of the agency both individually and as

a team member

Demonstrates leadership in service to others

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Evaluation out of 5%

III. PERSONAL AND PROFESSIONAL ISSUES

Demonstrates understanding of the differences between personal and

professional tasks.

Recognizes personal changes she/he needs to make in order to work

effectively as a social worker

Demonstrates self-awareness in relation to human diversity (e.g., cultural

differences, disadvantaged groups, women’s issues)

Demonstrates understanding of how his/her own values help or interfere

with social work practice

Evaluation out of 5%

IV. COMMUNICATION AND INTERVIEWING SKILLS

Expresses self clearly in verbal communication

Demonstrates ability to establish warm, helping relationships

Demonstrates acceptance of self and others

Expresses differing points of view without depreciating others

Expresses self clearly in written communication

Shows congruence in verbal and non-verbal messages given

Demonstrates ability to listen with empathic understanding

Evaluation out of 5%

V. USE OF SUPERVISION

Seeks feedback and critique regarding own work

Shows ability to use feedback for constructive growth and change

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Is on time for appointments

Shows responsibility for work coverage

Completes assignments on time

Evaluation out of 5%

VI. GENERAL SOCIAL WORK PRACTICE METHOD

A. ENGAGEMENT

1. Shows ability to state nature of concerns/problems that are brought to

his/her attention

2. Is able to identify feelings as expressed verbally or non-verbally by

client systems

3. Shows ability to work with different systems (e.g. clients,

communities, other agencies, staff, etc.)

4. Shows ability to respond in a helpful way to clients from different

cultural, racial, lifestyle and gender traditions

B. ASSESSMENT

1. Shows ability to identify the major systems involved with the

problem(s) being addressed (e.g., family, community, school,

employment, etc.)

2. Demonstrates ability to prioritize problems

3. Shows ability to set goals and contact with client systems

4. Shows ability to work with diverse groups and individuals

C. INTERVENTION

1. Uses knowledge and skill in connecting client systems with needed

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resources: making referrals

2. Exhibits skill in helping others to identify and explore alternative

courses of action and the potential consequences of each

3. Has realistic expectations of self and others in relation to task

performance and time allotment

4. Demonstrates ability to advocate for client systems

5. Shows awareness of self and his/her own feelings in working with

clients

D. EVALUATION

1. Helps clients and others to evaluate movement toward agreed upon

goals

2. Shows ability to use evaluations as a basis for changing goals and/or

course of action

3. Participates in evaluation of own work

E. TERMINATION

1. Demonstrates understanding of the meaning of termination and

reactions to the separation experiences

2. Encourages client system and others to express their feelings (and

express own feelings) about impending termination

3. Plans appropriately and differently for the ending phase with client

systems and others

4. Maintains a healthy balance between concern for client system and the

need to “let go”

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VII. INTEGRATION AND APPLICATIONS OF ACADEMIC KNOWLEDGE AND

THEORYTO ACTUAL SOCIAL WORK SITUATIONS

A. Shows ability to apply basic concepts and principles to client situations

B. Discusses classroom knowledge and theory in relation to client

situations

C. Contributes to the learning of others

Evaluation out of 10%

VIII. ADDITIONAL COMMENTS AND SUGGESTIONS OF FIELDWORK

INSTRUCTOR REGARDING STUDENT (e.g., student’s, areas for growth):

Total Evaluation Result out of 40% _________________________________________

Faculty Liaison Name __________________________________________________

Signature __________________________________________________

Date __________________________________________________