IK_1459212647_3

MIDTERM EVALUATION
This form is to be completed by the Field Instructor and discussed with student. It will automatically be sent to the
Faculty Field Liaison once it is completed online.
Student:

Asia Grier

Agency:

Restoration Towers

Agency Field Instructor(s):

Gladys J.Murphy, LMSW

Faculty Field Liaison:

Angela Olivera

Please Check One:

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 128 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.
Asia is patient and persistent in helping the residents maneuver through the complex channels for Medicaid,
Medicare and Social Security assistance.

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.
There has not been an opportunity for the student to do research in this setting. They do have access to the AARP
Magazine and newsletter to review the different issues that affect seniors. The program that we use for documenting
the Intake, Assessment and ADL Assessment was developed from research.
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:
Asia has made good progress in learning how to use the documentation program (AASConline)we use to document
all interactions with residents.
**Please note: By typing my name below, I certify that I have reviewed the document, completed my portion and
agree with the content.
(Murphy, Gladys): Gladys J. Murphy, LMSW Nov 4, 2015 9:03 AM
Field Instructor (agency-based supervisor)

STUDENT SECTION

I...

Agree with the evaluation.

Comments:
This has been a great learning experience, as far as learning to connect residents to services and the paperwork
required to complete when dealing with clients. Gladys is always a big help and gives good advice. She is organized,
calm, and friendly.
**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.
(Grier, Asia): Asia Grier Nov 5, 2015 7:50 PM
Student

(Angela Olivera): Angela Olivera Nov 6, 2015 10:14 AM

Faculty Field Liaison

IPT Document Management System January 1, 2014