WILMINGTON UNIVERSITY AHS PROGRAM GUIDED PRACTICUM/CAPSTONE PROJECT COMPLETION FORM TART: abn winston Fipeceee Whe we — Address: _ _ ci zip: Home Phonet: Cell Phone #: Email: Completion Date: PART B: (To be completed by Site Supervisor) Practicw ‘This isto certify thatthe above-named student has completed _ | 2. 2. total clock hours of Practicum experience under my supervision atthe site identified below. This is accurate as of __K/I 3/1 (Date). Capstone Project Option ‘This is to certify that the above-named student has completed the capstone project and that the work product has been submitted to the agency Name or Ageney: Leake Gnd Wobtes as Address: 1F24 WiWhiembei dhe Rel ciystate: Bron VY zip tor bl Name of Site Supervisor: Deck Toone Phone Number:_(G(4) 375 “794 Site Supervisor Signature: Date ¥/13/) PART C: (To be completed by the Faculty Field Instructor) ‘This is to cenify th | have verified thatthe student successfully completed the following: JD __ Total Clock Hours of Practicum Experience Capstone Project Faculty Field Instructor Signature: Date; (The accuracy of this information has been verified through student contaet, Site Supervisor contact, and an ‘examination of the student's weekly log.) PART D: Capstone Project Requirement (To be completed by student and AHS Program Chair) ‘This is to certify thatthe student's Capstone Project work product has been submitted to the host agency. A copy of the Capstone Project has been submited to the AHS Program Chair for inclusion in the student's permanent academic file Student Signature: Date: AHS Program Chair Signature: Date:WILMINGTON UNIVERSITY AHS PROGRAM. SITE SUPERVISOR EVALUATION OF THE STUDENT Name of Student: Vanes: a Whe Date: Name of Site Superviso lecte and Whaiis Check Practicum/Capstone Project Period: Name of Agency/Sit (September-December) Spring (January-April) (Z Summer (May-August) Directions: Please indicate your rating ofthe student in each of the areas listed below indicating their perfermance using the following scale: 3= performance is consistently above expected level of graduate education and experience 2 performance is consistently at expected level of graduate education and experience 1= performance is consistently below expected level of graduate education and experience N/A= not observed or not applicable Professionalism/Employability 2 3 [Rating! | Dependability (attendance & punctuality) ‘Appropriate dress (for your work environment) 3 Exhibits positive attitude and good work ethic (works as a team member) 2 Responds positively to supervision 5 Is receptive to suggestions/constructive criticism 3 ‘Accepts responsibility for own actions _ 3 Follows agency's policies and procedures — 2 Demonstrates a commitment to self-directedness, self discipline, and lifelong learning as a scholarly practitioner in human services 2 Job/Task Performance : ser 1) ‘Demonstrates willingness to learn the job 3 Generates high quality work products/activities/events 3 2 S x 2 2 2 3 Works efficiently _ Works independently Takes initiative, when appropriate ‘Accepts added responsibility willingl | Tnterpersonal/Communication Skills [Demonstrates advanced written communication skills Demonstrates advanced oral communication skills | Under the direction of the site supervisor, networks with ageney and other service | providers ‘Ethical Compliance if Uses sound ethical decision making and problem solving skills Integrates theories, knowledge, skills and values of human services into the operation of human service organizations, in a manner that demonstrates flexible thinkingWILMINGTON UNIVERSITY AHS PROGRAM if STUDENT WEEKLY LOG weséa Name of Agency/Site Supervisor: Lake Curt lhdls Name of Agency/Site: Name of Student: Check Practicum/Capstone Project Period: ___ Fall (Sept -D Spring (Jan.-April) jummer (May-Aug.) Date Hours Site Supervisor I Week 1 Sf 15 % Week 2 5/20 % Week 3 Spt g Week 4 oe + % 1 a al ‘Week 5 of bpia 5 Week 6 4 - Week 7 £ b)2: Sufi Week 8 yk % ‘ a [ae Week 9 eae x _ Week 10 "hie. Week 11 @ Week 12 Week 13 : Week 14 i ___ (Cheek here if you req 1 extension.) TOTAL HOURS: (Ao SUMMARY: ‘The Guided Practicum requires 120 clock hours for the 14-week period. You must get formal approval if you require an extension to complete your hours. ‘The Capstone Project averages 10 hours per week over the course of the semester. You must get formal approval if you require an extension to complete your project. CHECKLIST: (You must be able to document “yes” to each question) © DoT have the required hours documented above? 0 Has my log been signed weekly by my Site Supervisor? Practicum/Capstone Student Si ure: Site Supervisor Signature: NOTE: This form is to be submitted to your Faculty Field Instructor at the end of the Practicum or Project. sl‘Analyzes, interprets, and evaluates the legal and ethical issues that impact and influence | human services, and demonstrate an understanding of the ethical issues and standards in the field Cultural Awareness Recognizes the extent to which cultural structures and values may oppress, marginalize, and alienate; as well as, create or enhance privilege and power Demonstrates a knowledge and understanding of the structure and dynamics of teams, | organizations and communities in diverse environments in a pluralistic society that reflects respect for our multicultural world [ Specific Skills Demonstrates the ability to design, implement, evaluate, assess and research the needs of human services communities and organizations Demonstrates knowledge of information management and information technology as it relates to human service delivery systems (i.e. computer software applications) Demonstrates knowledge of financial management (ie. budgeting) and grant writing (i.e. fundraising), as it applies to a nonprofit or government human services organization Demonstrates knowledge, ability and skills to manage both professional and volunteer staff members in a human services organization Student's Progress Toward Learning Goals and Objectives Outlined in the Learning Aj ent ‘The following objectives have progressed toa | 100% | 75% | 50% | 25% level of what percentage (%) of completion? ‘No Progress Ve Leacm more abot the Leake Lat Tashtahers | advenamer Program ane How Fey reer b yulsabery of 2. Dmprove Commen, ty ostrerch — | oo Skille ee ee ere J stlek onsher wth Chie arch Co- wor here 4 UbM re prolertion | Suptecingn ad tee oy . J 5. Lecrn how volateers ad / mnhees iepeck one commas:If sufficient progress toward the above objective(s) has not been met, please explain. (Please discuss this with the student during the evaluation meeting.) What areas do you identify as sirengths for the student? Venesse 3 8 very bright ond energetic indeed. She Sdept ot ob lang her with y very : akeepersonel ck ly CMeals aref SHelh Venessa ig very organ She hes yay geod Mersott ohies kily 4) 2, 3 nee, Oop oF every ftustion RIS ber fo be Sed wadees bend D Prokessiong/ te ball reletoyha se Venesse is alsg Bed office ettiquette ‘What areas do you identify as needing more development forthe student? Veregse has progressed nicely clipe hi Lecasho kh whe te. pres hy hy her ial hp here be iwetts One cree ned veld lve desir viness« olvalp ta why Venetia ob 7 Baraboo gerbarnene Poser 2 2 otet eas e5erdins sob b e 1 Evold love bo see Yene “ee Creative in the ess y. eahaley Queratl wees be rr wow to opel ok by ter Job Larcher, Perse smnns Site Supervisor's Signature: Doe Feore MSC pate: S//IS Thave reviewed the final evaluation document with my site supervisor as indicated by my signature below. Student’s Signature: Date:Student Nam /anessa Willie Learning Contract Wilmington College Practicum AHS 8100 Agency Site Supervisor: Jack Toone Agency Name: Leake and Watts Goals Knowledge Learn more about the Institutional Advancement program and how they recruit volunteers. Become aware of the range of community resources available | while working with the Family | Resource Center. Learn how volunteers and interns and impact our agency. Goals strategies Methods of Measurement ‘Shadow and observe the Prepare PowerPoint on my Volunteer Manger. agency. Attend meetings and conferences as possible Discuss what I learned with my site supervisor. Shadow and observe the staff members at the Family Resource Center. Prepare PowerPoint on my agency. Discuss what | learned with my site supervisor. Attend meetings and conferences as possible. | ‘Attend meetings and conferences as possible. Prepare PowerPoint on my agency. ‘Speak one-on-one to volunteers who are currently working with the agen Strategies ‘Skills 7 Improve my community outreach skills. Identify both the strengths and problems of the community. | clients of our agency. Shadow and observe site supervisor and staff members at the family resource center. supervisor. Work one on one with resources in the community to better understand what services they can provide the Put together a family resource list of programs in the community.Develop assessment skills while working with individuals and families. ‘Work one-on-one with individuals and families. Review intake sheet or case records. Recommend community resources for families. Goals Strategies ‘Methods of Measurement Professional Development Establish effective and purposeful relationships with clients and coworkers. Follow the human services. code of ethics. Establish relationship with clients and coworkers. Identify and discuss resolutions if ethical dilemmas arrive Seek professional growth by taking initiative in designing and implementing own learning activities. Follow up with site supervisor on all assigned task. Practice skills and both professional and personal life. Review assignments, Apply integrative processing model, Utilize professional supervision and training. Follow up with site superv onall assigned task. Keep weekly journals and reflect, on the weekly activities. Student /Intern Date site Supervisor Instructor initials