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:

Mary Glass

Agency:

Michigan Supreme Court

Agency Field Instructor(s):

Jeanette R. Bridges

Faculty Advisor:

Angela Olivera

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 144.5 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.
.

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.

PROGRES
S

Apply social work ethical principles to guide professional practice.

PROGRES
S

Apply critical thinking to inform and communicate professional judgments.

PROGRES
S

Engage diversity and difference in practice.

PROGRES
S

Advance human rights and social and economic justice.

PROGRES
S

Engage in research-informed practice and practice-informed research.

PROGRES
S

Apply knowledge of human behavior and the social environment.

PROGRES
S

Engage in policy practice to advance social and economic well-being and to

deliver effective social work services.

PROGRES
S

Respond to contexts that shape practice.

PROGRES
S

Engage, assess, intervene, and evaluate with individuals, families, groups,

organizations, and communities.

PROGRES
S

Analyze the impact of the urban context on a range of client systems, including
practice implications.

PROGRES
S

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.
Not applicable.

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:
It is a pleasure to have Mary participate in our program. Her active learning, organizational
skills, interest in macro level work, strong work ethic, professionalism, engaging and her passion
to improve services for youth in care have made her a good match for the program.
**Please note: By typing my name below, I certify that I have reviewed the document,
completed my portion and agree with the content.
(Bridges, Jeanette): Jeanette R. Bridges, MSW, LMSW Nov 24, 2014 8:56 PM
Field Instructor (agency-based supervisor)

STUDENT SECTION

I...

Agree with the evaluation.

Comments:
.
**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.

(Glass, Mary): Mary Glass Nov 4, 2014 11:32 AM

Student

(Angela Olivera): Angela Olivera Nov 24, 2014 7:17 PM

Faculty Advisor

IPT Document Management System January 1, 2014

Form: 3148