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HUBERT KAIRUKI MEMORIAL UNIVERSITY

DEPARTMENT OF SOCIAL WORK
FIELDWORK PROGRAMME
FIELD WORK PRACTICUM ASSESSMENT FORM
FOR NTA LEVEL 6
[To be filled by Agency Supervisor and Fieldwork
Consultant]

Student’s

Name: …………………………………………

……………………………………….

Program of
Study………………………………………………
………………………………
Name of the
Agency……………………………………………
…………………………….
Duration of the Fieldwork:
From………………………….to…………………
…………
Number of Days Served in the
Agency……………………………………………
……

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PART A: KNOWLEDGE AND SKILLS
PERFORMANCE ASSESSMENT