Midterm Evaluation

https://www.alceasoftware.com/web/form.php?ufid=122038

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:

Tracy Hawthorne

Agency:

NOAH Project

Agency Field Instructor(s): Amy Brown

Faculty Field Liaison:

Galen Duncan

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 222 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.
None.
Instructions for completing the mid-term evaluation: Please evaluate students performance halfway
1 of 4

5/12/16, 7:48 PM

Midterm Evaluation

https://www.alceasoftware.com/web/form.php?ufid=122038

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.
None.
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.

2 of 4

5/12/16, 7:48 PM

Midterm Evaluation

https://www.alceasoftware.com/web/form.php?ufid=122038

FIELD INSTRUCTOR SECTION

Recommend:

PROGRESS

Comments:
Tracy continues to make progress each and every week. She continues to ask in depth questions and
desires to learn more about NOAH and more about how to use her social work background in practice
with clients. We are involved in daily communication with Tracy and it has been a pleasure to see her
progress especially in the last month. Moving forward encourage Tracy to continue to ask questions
and we will continue to evaluate on a weekly basis.
**Please note: By typing my name below, I certify that I have reviewed the document, completed my
portion and agree with the content.
(Brown, Amy): Amy Brown Mar 4, 2016 4:20 PM
Field Instructor (agency-based supervisor)

STUDENT SECTION
I... Agree with the evaluation.
Comments:
As a intern, I personally notice how the weeks been very busy on a daily base from the time Noah
Project opens the door and yet the employees find ways to make learning discussions interesting and
meaningful. I would like to express my appreciation to The Noah Project for all their efforts and
patience in teaching me the educationally challenging, yet fun, experience of a case manager. I
understand the Noah Project is a very demanding agency, which I am very proud to be a part of
making the change.

**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.
(Hawthorne, Tracy): Tracy L.Hawthorne Mar 4, 2016 5:21 PM
Student
(Galen Duncan): galen duncan Mar 7, 2016 7:39 AM
Faculty Field Liaison

3 of 4

5/12/16, 7:48 PM

Midterm Evaluation

https://www.alceasoftware.com/web/form.php?ufid=122038

CLOSE

Printable Version
IPT Document Management System January 1, 2014
Form: 40653

4 of 4

5/12/16, 7:48 PM