MIDTERM EVALUATION

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

Christopher Allen

Agency:

Warren Woods Health & Rehabilitation Center

Agency Field Instructor(s): Lynda Ferro, LMSW

Faculty Advisor:

Galen Duncan

Please Check One:

X

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 112 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 Advisor.
X Process Recordings or PRACSIS have been reviewed by Field Instructor and
submitted to the Faculty Advisor (students should check with assigned Faculty
Advisor 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.

Chris has jumped in this semester and easily transition into the facility and is
extremely efficient and at easy with residents meeting them at their level. I'm pleased
to have him!

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 wellbeing and to deliver effective social work services.

NO
OPPORTUNITY

Respond to contexts that shape practice.

NO
OPPORTUNITY

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.
This student has served his first semester at another facility and has only been at our
facility since early January, less than 7 weeks. Therefore, there hasn't been the
opportunity to present some of the competencies because of the timeframe. I have no
doubt that the semester will afford the opportunity for Chris to address and succeed in
all competency areas.
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:
LP from first term not available. Chris is highly motivated, easily adjusting to the high
demands of the facility in a very short time. He appropriately uses supervision and
seeks information to be the best intern he can be. I am impressed with Chris' ability to
come to a facility in the middle of his year (having lost his internship at the previous
location) and be able to blend well with other established interns at this facility and
the social services team. His attention to detail and interaction with the residents at all
levels is impressive. We are glad to have him at Warren Woods.
**Please note: By typing my name below, I certify that I have reviewed the document,
completed my portion and agree with the content.
(Ferro, Lynda): Lynda M. Ferro, LMSW Feb 18, 2015 4:31 PM
Field Instructor (agency-based supervisor)

STUDENT SECTION

I...

Agree with the evaluation.

Comments:
I did get a lot of practice but it was only available for a limited time, but I agree that I
didn't have a lot of opportunity for things
**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.
(Allen, Christopher): Christopher Allen Feb 16, 2015 10:14 AM
Student

(Galen Duncan): galen duncan Mar 3, 2015 4:49 PM

Faculty Advisor