JOHNSON C.

SMITH UNIVERSITY
BACHELOR OF SOCIAL WORK PLACEMENT
LEARNING CONTRACT AND AGREEMENT DIRECTIONS

The learning contract is a road map for the field instruction experience. The purpose of the learning contract is to:

A. Provide a focus/structure for student learning and supervision over the course of the semester.
B. Provide a basis for evaluation.
C. Provide a measure of accountability.
D. Provide a parallel process experience for students, whom will be developing goals/objectives with clients.

The learning contract is to be developed between the student and the field instructor within the first two weeks of field placement. The
main components of the learning contract is: (1) the learning goals, (2) the learning objectives, (3) activities that you will do to
accomplish learning objectives, (4) projected date of completion of learning goals, and (5) rating of student performance for each
learning goal. (Number 5 is to be completed at the end of the semester).

The following definitions should be utilized when developing the learning contract:

A. Learning Goal – The learning goals are the core competencies and practice behaviors established by the Council on Social
Work Education that are required for all Bachelor of Social Work students to master. Choose three of the practice behaviors
listed under the corresponding core competency to focus on. You can delete the practice behaviors that will not be
incorporated in your final learning contract.
B. Objective – A statement that is specific, performance related, realistic, and observable indicating how you intend to work
toward your learning goal. You should have a mixture of a few objectives that can be met within the first several weeks of the
practicum, and others that will not be completed until the last several weeks.
C. Evaluation – A statement indicating how you plan on evaluating your objectives. You will be required to submit evaluation
documents with the final learning contract at the end of the semester.

Below is a template of how your learning contract should be set up. Please set up your learning contract in this manner.

1
 JOHNSON C. SMITH UNIVERSITY
BACHELOR OF SOCIAL WORK PLACEMENT
LEARNING CONTRACT AND AGREEMENT

Students Name (First, Middle, Last): Name of Agency: Date

Dana D Burch Bruns Academy 1/22/2018

Total Field Hours Required: Address of Agency: Field Supervisor Name and Title:

200 Per Semester 501 S Bruns Ave Courtney Hawkins

Charlotte, NC 28208
Student’s Cell Phone Number: Agency Main Phone Number: Field Supervisor Direct Phone Number:

704-207-7280 704-363-2362 980-343-5495

Student’s Address (while enrolled in Field Supervisor Email Address:

field placement):

P.O. Box 1115 courtneyt.hawkins@cms.k12.nc.us

Pineville, NC 28134

Part One: Policies and Procedures

I. Student/Field Instructor Supervisory Session: The student and field instructor will meet for one hour each week, on
Monday’s from 10am to 11am for student supervision. This supervisory conference will be held in Ms. Hawkins’s office.
The purpose of this conference includes discussion of student’s performance, clients, relationships with other staff
members, and to monitor the student’s learning activities as specified in the learning contract.
II. Field Instruction Schedule: The student will be in field instruction on Monday _ to Friday from _9 a.m. to _2_ p.m.
beginning _January 22, 2018_____ to __April 13, 2018_____. Field instruction days that are missed for any reason must

2
 be made up. The student will notify the field instructor when an absence is necessary by calling the agency and speaking to
or leaving a message for the field instructor. The student will e-mail the field coordinator of their absence.
III. General Agency Rules and Policies: The student will abide by the general rules and policies which govern other staff.
This includes, but is not limited to, appropriate attire, lunch and break limits, parking requirements, etc.

Part Two: Educational Contract

Instructions: Student learning goals have been outlined in the left hand column. Field instructor and interns will select activities that
will help them reach these goals. Describe how learning and performance will be evaluated. At the end of the semester, students will
be evaluated by the field instructor on their learning and performance.

Learning Goals Objective Evaluation Projected Date of

(Tasks & Activities to (How you plan on measuring the objective) Completion
Reach Goals)

Goal One:
Identify as a
professional social
worker and conduct
oneself accordingly
a. Advocate for To identify gaps in service, advocate and Document on log on phone calls made to each Daily
client access to the research possible service for students. organization for any connection
services of social
work.
b. Practice personal .
reflection and self-
correction to assure
continual
professional
development.
c. Attend to
professional roles
and boundaries.
d. Demonstrate I will dress professionally, use appropriate Will be observed by supervisor. Daily
professional language and behavior at all times.

3
demeanor in
behavior,
appearance, and
communication.
e. Engage in career-
long learning.

f. Use supervision To create a log and document important Document in notebook entitled supervision. Notebook Weekly
and consultation. information learned and critiqued during will be revised during supervision
supervision.
Goal Two:
Apply social work
ethical principles to
guide professional
practice
a. Recognize and I will become aware of personal values Document on a weekly/monthly log. Will be discussed Weekly
manage personal students that CMS McKinney Vento serves during weekly supervision.
values in a way that and become knowledge about the NASW
allows professional code of ethics and how it guides practice.
values to guide
practice.
b. Make ethical
decisions by
applying standards
of NASW Code of
Ethics.
c. Tolerate
ambiguity in
resolving ethical
conflicts.
d. Apply strategies To discuss ethical dilemmas during weekly Document on monthly supervision log Weekly
of ethical reasoning supervision and address any dilemmas by
to arrive at NASW code of ethics.
principled
decisions.

4
Learning Goals Objective Evaluation Projected Date of
(Tasks & Activities to Reach Goals) (How you plan on measuring the objective) Completion
Goal Three
Apply critical
thinking to inform
and communicate
professional
judgments
a. Distinguish, To be open minded to reading articles from Document on monthly log, will be discussed during
appraise, and selected scholarly journals to increase supervision.
integrate multiple knowledge. Daily
sources of
knowledge,
including research-
based knowledge,
and practice
wisdom.
b. Analyze models I will conduct an assessment if needed Document on monthly log will be discussed during
of assessment, within my agency. supervision. Daily
prevention,
intervention, and
evaluation.
c. Demonstrate To seek clarity when client is having a Document on monthly log and discussed during
effective oral and problem or issue. weekly supervision.
written
communication in To be open minded to others values, Weekly
working with opinions and concerns.
individuals,
families, groups,
organizations,
communities, and
colleagues.
Goal Four
Engage diversity
and difference in

5
practice
a. Recognize the I will interact with individuals based on age, Document on monthly log and review during Daily
extent to which a color, culture, disability, ethnicity, gender, weekly supervision
culture’s structures religion during internship.
and values may
oppress,
marginalize,
alienate, or create
or enhance
privilege and
power.
b. Gain sufficient I will discuss any existing biases with my Document on monthly log any existing biases that Weekly
self-awareness to field supervisor and how it can be corrected. may develop, during weekly supervision.
eliminate the Also I will develop knowledge about the
influence of diversity within CMS based on the students
personal biases and served within the McKinney Vento
values in working population.
with diverse
groups.
c. Recognize and I will identify the characteristics of the Document on monthly log, will review during Weekly
communicate their clients that I will serve and discuss with my supervision
understanding of field supervisor how it impacted their
the importance of experiences.
difference in
shaping life
experiences.
d. View themselves
as learners and
engage those with
whom they work as
informants.

6
Learning Objective Evaluation Projected Date of
Goals (Tasks & Activities to (How you plan on measuring your objectives) Completion
Reach Goals)
Goal Five
Advance human
rights and social
and economic
justice
a. Understand the Discuss with field supervisor ways client’s Document in supervision log during supervision Weekly
forms and cultural and social dynamics have promoted
mechanisms of oppression and discrimination in clients.
oppression and
discrimination.
b. Advocate for I will advocate and identify needs of the Document on monthly log, communicate with field Weekly
human rights and population and develop strategies to meet supervisor.
social and their needs on the agency level for each client
economic justice. to access needed services.
c. Engage in I will advocate for clients’ needs to advance Document on monthly log. Weekly
practices that their social or economic standing.
advance social
and economic
justice.
Goal Six
Engage in
research-
informed practice
and practice-
informed
research
a.Use practice Research scholarly information to gain Document on monthly log 4/13/18
experiences to knowledge about the situation
inform scientific
inquiry.
b. Use research Identify a research question that will benefit Document on monthly log 4/13/18
evidence to CMS, McKinney Vento students.

7
inform practice.
Goal Seven
Apply knowledge
of human
behavior and the
social
environment
a. Utilize
conceptual
frameworks to
guide the process
of assessment,
intervention, and
evaluation.
b. Critique and
apply knowledge
to understand
person and
environment.
Goal Eight
Engage in policy
practice to
advance social
and economic
well-being and to
deliver effective
social work
services
a. Analyze, To identify and discuss with field supervisor Document on weekly supervision log during 4/13/18
formulate, and policies/laws they can affect our client supervision
advocate for population.
policies that
advance social
well-being.

b. Collaborate To discuss different strategies for addressing Document on monthly log 4/13/18

8
with colleagues policy concerns.
and clients for
effective policy
action.

Learning Objective Evaluation Projected Date of

Goals (Tasks & Activities to (How you plan on measuring your objectives) Completion
Reach Goals)
Goal Nine
Respond to
contexts that
shape practice
a Continuously I will attend a board meeting and become Document on monthly log 4/13/18
discover, knowledgeable on how program budgets are
appraise, and develop. I will become familiar with grant
attend to writing process.
changing
locales,
populations,
scientific and
technological
developments,
and emerging
societal trends
to provide
relevant
services.
b. Provide
leadership in
promoting
sustainable
changes in
service delivery
and practice to
improve the
quality of social

9
services.
Goal Ten
Engage, assess,
intervene, and
evaluate with
individuals,
families,
groups,
organizations
and
communities.
a. Substantively I will organize and facilitate group session for Document on monthly log and collaborate with field 4/13/18
and affectively each student within the McKinney Vento. supervisor.
prepare for
action with
individuals,
families,
groups,
organizations,
and
communities.
b. Use empathy I will use reflective listening, empathy, open Document on monthly log Daily
and other ended questions, and seek feedback and
interpersonal problem solving.
skills.
c. Develop a
mutually
agreed-on focus
of work and
desired
outcomes.
d. Collect,
organize and
interpret client
data.
e. Assess client

10
strengths and
limitations.
f. Develop
mutually
agreed-on
intervention
goals and
objectives.
g. Select Discuss an intervention plan with field Document on supervision log 4/13/18
appropriate supervisor and receive feedback.
intervention
strategies.
h. Initiate
actions to
achieve
organizational
goals.
i. Implement
prevention
interventions
that enhance
client capacities.
j. Help clients
resolve
problems.
k. Negotiate,
mediate, and
advocate for
clients.
l. Facilitate
transitions and
endings.
m. Critically
analyze,
monitor, and
evaluate

11
interventions.

Part Three: Learning Agreement

All parties affixing their signatures to this document have read it thoroughly, understand it, and agree by the terms established therein.
Any changes in this agreement can occur only if all the concerned parties mutually agree that changes are necessary. The Field
Director must be notified of any major changes.

Contract Period: From __January 22, 2018___through April 13, 2018___ (Dates)

Signatures: Student __Dana Burch______________ ______ Date: __2/5/18___

Field Instructor: __________________________________________________Date: _____________________
Field Coordinator: ________________________________________________ Date: _____________________

12