GEORGE BROWNCOLLEGECOMMUNITYWORKER PROGRAM FIELD PLACEMENT

LEARNINGCONTRACT &PERFORMANCEEVALUATION FORM

The purpose of this learning contract is to set the Community Worker-in-Training’s goals and tasks at the placement
organization and, upon completion of each 200 hours with the organization, evaluate the Community Worker-in-
Training’s performance.
Sivert Das Tuesday, September 27th
(Community Worker-in-Training’s Name) (Date Learning Contract Signed)
Alana Perri (416) 786-1391
(Supervisor) (Tel)
Purple Carrots Drama Studio
(Organization/Agency)

(Faculty Advisor)

(Placement Supervisor’s Signature) (Date Evaluation Submitted)

Overview of Placement (student completes this part)

Please provide a brief overview of the placement setting and the scope of the Community Worker-in-Training’s level of
involvement, learning opportunities, and extent of responsibilities, i.e., this may draw on the placement listing information and
will help establish the context for the Community Worker-in-Training’s performance evaluation.

The placement is at the Purple Carrots Drama Studio and I am an assistant to the main facilitator and teacher. My involvement
includes helping create lesson plans, facilitating group sessions, set up and take down, assisting with the one on one needs of students
and generally helping with the creation and facilitation of the classes. When there is a student who needs help or a facilitator is absent,
I am there to assist. For the Friday afternoon class, I develop lesson plans and colloborate with the main teacher to ensure that all
student needs and accomodations are met. We work to enhance the social skills, confidence and, in the case of Purple Stage, to give
them a platform to express themselves and as Purple Stage pays the performers, a means of employment. I will be assisting with
Purple Stage. I also debrief with my fellow facilitators and assistants before and after the sessions to discuss different ways to engage
the participants. I also help with keeping attendance and communicating with family members of the participants.

Community Worker Program– George Brown College

Field Placement Goal#1 _
To learn how facilitate clients in a group setting
(developed by the Community Worker-in-Training in consultation with the supervisor):

Tasks to be completed to achieve Completion Summarize activities/ tasks you were involved in
this goal date each day

TO LEAD SECTIONS OF THE CLASS

(ART, ACTING ETC.) TO GET A TASTE
OF LEADING GROUP SESSIONS.
CONNECT WITH THE STUDENTS TO
GET AN UNDERSTANDING OF THEIR
NEEDS.
PITCH AN SESSION OR EVENT THAT I
CAN DEVELOP TO LEAD MYSELF

FIND OUT THE ORGANIZATION AND

COMMUNITY'S VALUES AND GOALS
TO KNOW WHAT'S BEST TO LEAD.
BUILD RELATIONSHIPS WITH MY
FELLOW FACILITATORS SO AS TO
GET SUPPORT IF NEEDED.

Supervisor’s evaluation at end of 200 hours: How well did the Community Worker-in-Training achieve
this goal?

Please check one: Comments:

1. Exemplary community work practice: a colleague more
than a student
Please see final pages for extended comments on this
2. Competent practice
3. Beginning to show competence
4. Not yet ready for practice

Community Worker Program– George Brown College

 To learn to develop lesson plans with client needs in mind
Field Placement Goal#2
(developed by the Community Worker-in-Training in consultation with the supervisor):

Tasks to be completed to achieve Completion Your(Community Worker-in-Training) learning

this goal date from the task

CONNECT WITH MY FELLOW

FACILITATORS TO FIGURE WHAT
WE SHOULD DO FOR THE WEEK.
GAIN AN UNDERSTANDING OF THE
OVERALL GOALS OF THE SESSIONS
TO BETTER DEVELOP LESSON PLANS

ENSURE MY LESSON PLANS ARE

WELL ROUNDED TO INCLUDE ALL
SESSION GOALS
CONNECT WITH STUDENTS TO FIND
OUT WHAT THEY WANT FROM
SESSION TO BUILD LESSONS.
SEEK ADVICE FROM LEADERS OF
THE SESSION TO GAIN THEIR
INSIGHTS ON HOW TO IMPROVE.

Supervisor’s evaluation at end of 200 hours: How well did the Community Worker-in-Training achieve
this goal?

Please check one: Comments:

1. Exemplary community work practice: a colleague more
than a student
Our participants feel comfortable around Sivert. I would encourage him to keep
2. Competent practice conversations and interactions during group dynamics as front-footed and
client/participant centred as possible.
3. Beginning to show competence
4. Not yet ready for practice

Community Worker Program– George Brown College

 To Learn to work with clients one on one to achieve their needs
Field Placement Goal#3
(developed by the Community Worker-in-Training in consultation with the supervisor):

Tasks to be completed to achieve Completion Summarize activities/ tasks you were involved in
this goal date each day

CONTINUE GROWING
PROFESSIONAL RELATIONSHIPS
WITH STAFF AND STUDENTS
SEEK OUT MORE OPPERTUNITIES TO
ENGAGE WITH THE STUDENTS TO
UNDERSTAND THEIR NEEDS.
GROW AN UNDERSTADING OF
BOUNDARIES OF ORGANIZATION TO
KNOW THEIR NEEDS
SEEK SUPPORT IN FIGURING OUT
HOW BEST TO WORK ONE ON ONE
WITH STUDENTS.
TAKE INITIATIVE TO GAIN A CLEAR
UNDERSTANDING OF STUDENT
NEEDS.

Supervisor’s evaluation at end of 200 hours: How well did the Community Worker-in-Training achieve
this goal?

Please check one: Comments:

Exemplary community work practice: a colleague more
than a student
Please see final pages for extended comments on this
Competent practice
Beginning to show competence
Not yet ready for practice

Community Worker Program– George Brown College

 Field Placement Goal#4: To function within the placement in a professional manner

Tasks to be completed to achieve this goal Community Worker-in-Training reflection on

professional learning
Give supervisor(s) a copy of the Community Worker
Field Placement Handbook, and duplicate copies of the
registration and insurance forms, Learning Contract,
And completed monthly time sheets
Attend regularly, be punctual, notify organization of
absences, and arrange for makeup time of any
absences

Demonstrate knowledge of placement context

Including organization’s philosophy, policies, practices,
and relationships with communities, groups, families,
and/or individuals involved with the organization
Seek and accept direction from staff and supervisors
when appropriate. Define this using your organization’s
policies and supervisor’s input.

Take initiative when appropriate. Define this using

your organization’s policies and supervisor’s input.

Complete assigned tasks in a timely manner

Supervisor’s evaluation at end of 200 hours: How well did the Community Worker-in-Training
achieve this goal?

Please check one: Comments:

Exemplary community work practice: a colleague more
than a student I would encourage him to be mindful of scheduling and commitments or it will
pose an obstacle in the working world. There have been multiple times that
Competent practice Sivert has not shown up to supervision meetings, has arrived unprepared, or
has not communicated with the full team about absences. Often, deadlines are
Beginning to show competence not met or projects are completed in a rush with very little effort.
Not yet ready for practice

Community Worker Program– George Brown College

Field Placement Goal#5:To maintain effective working relationships.

Tasks to be completed to achieve this goal Community Worker-in-Training reflection on

professional learning
Build relationships with peers working at the
organization, including other placement students and
volunteer workers

Build relationships with staff at the organization

Build relationships with supervisor(s)

Demonstrate respect for diversity in culture and

experience of all co-workers

Participate appropriately in meetings with co-workers.

Define this using your organization’s practices and
supervisor’s input.

Supervisor’s evaluation at end of 200 hours: How well did the Community Worker-in-Training achieve
this goal?

Please check one: Comments:

Exemplary community work practice: a colleague more Please see final pages for extended comments on this
than a student
Competent practice
Beginning to show competence
Not yet ready for practice

Community Worker Program– George Brown College

Field Placement Goal#6: To maintain professional helping relationships which adhere to professional, legal ,and
ethical standards of practice and organizational requirements.

Tasks to be completed to achieve this goal Community Worker-in-Training reflection on

professional learning
Maintain confidentiality and legal rights of families and
individuals

Respect the right of communities, groups, families, and

individuals to self-determination

Demonstrate respect for diversity in culture and

experience of all participants in the activities of the
organization

Assess the needs and resources of communities,

groups, families and/or individuals as appropriate to
the placement context. Define this using your
organization’s practices and supervisor’s input.
Advocate and/or make referrals in order to assist
communities, groups, families, and/or individuals to
achieve their goals and needs as appropriate to the
placement context. Define this using your
organization’s practices and supervisor’s input.

Supervisor’s evaluation at end of 200 hours: How well did the Community Worker-in-Training achieve
this goal?

Please check one: Comments:

Exemplary community work practice: a colleague more
than a student Sivert has built great relationships with the
participants and does his best to be inclusive with his
Competent practice facilitation.
Beginning to show competence
Not yet ready for practice

Community Worker Program– George Brown College

Supervisor’s Overall Evaluation on Completion of each 200 Placement Hours:

What are this Community Worker-in-Training’s specific areas of strength?

Sivert has a great way of making the participants feel comfortable . He’s a great actor which really helps our final
productions and acting portions of the programs. He is great with improvisation, has a wonderful sense of humour, and
coming up with creative ideas for scene work and warm up. He also did a good job of adapting activities to be accessible
for all needs in the group and can continue to prioritize this going forward.

What are this Community Worker-in-Training’s specific areas for improvement in order to become a more effective
community worker?

He can continue to work on taking initiative within his leadership, during sessions - ex. redirecting and verbally prompting or
encouraging participants where needed. We encourage Sivert to have more of an active presence to help uplift the energy in
the group. I’d like to reiterate the importance of following deadlines, communicating with the entire team, following
instructions, and arriving on time. When we see that all aspects of the practicum are being met, then we would be happy to
consider giving more responsibilities and lead facilitation opportunities. We look forward to seeing Sivert continue to grow as
a professional.

Community Worker Program– George Brown College

Supervisor’s comments on the overall experience of working ith the Community Worker-in-Training:

In general, Sivert is a positive addition to the practicum student team. There are important areas for
improvement and I hope that this feedback is received as a way to grow and better himself as a professional.
With more practice he will eventually be ready to work in the field.

How comfortable do you feel in recommending this Community Worker-in-Training for another placement or
employment in the field of community work?

Please check one:

1.Strong recommendation for work in the field
2.Recommended for work in the field

3.Recommended for further field practice opportunities

4.Not yet ready for field practice

Comments:

12/14/22
Supervisor’s Signature on Completion of Evaluation: _

Student’s Signature on Completion of Evaluation: _

Community Worker Program– George Brown College