Midterm Evaluation

https://www.alceasoftware.com/web/form.php?formid=19933&print=1

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:

Kelly Talbert

Agency:

SOCH Welcome Inn

Agency Field Instructor(s): Danita Echols

Faculty Advisor:

Brandon Ivory

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 173 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.
Kelly demonstrates empathy, curiosity and a orthodox method of working with the guest. She is open to
them and in this field constantly has to battle her deep concern of germs. She has been very good about
not sharing her personal concerns with the guests. She is willing to share her medical knowledge and
information with guest and at times it may not be appreciated.
The only concern I have would be Kelly learning to be more client focused and help the clients lead the

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Midterm Evaluation

https://www.alceasoftware.com/web/form.php?formid=19933&print=1

way.
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.

NO
OPPORTUNITY

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.
After March 13th there will be opportunity for Kelly to review the client systems as we input the
information into the computer system. We will work on helping clients integrate into other housing
systems as Welcome Inn draws to a close.
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

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Midterm Evaluation

https://www.alceasoftware.com/web/form.php?formid=19933&print=1

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:
Kelly will be a great Social Worker and has shown much courage in facing her fears and doubts regarding
the job. She has guests that only respond to her because of her direct and empathetic style.
**Please note: By typing my name below, I certify that I have reviewed the document, completed my
portion and agree with the content.
(Echols, Danita): Danita Echols Feb 23, 2015 12:07 AM
Field Instructor (agency-based supervisor)

STUDENT SECTION
I... Agree with the evaluation.
Comments:
I am truly enjoying all that this internship has to offer. I learn something new everyday. My field
instructor is always willing to explain issues I may not fully understand. She is a very knowledgeable
when it comes to needed resources.
**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.
(Talbert, Kelly): Kelly Talbert Feb 23, 2015 10:06 PM
Student
(Brandon Ivory): Brandon Ivory Mar 3, 2015 6:51 PM
Faculty Advisor

IPT Document Management System January 1, 2014

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Midterm Evaluation

https://www.alceasoftware.com/web/form.php?formid=19933&print=1

Form: 19933

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