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SOWK: Generalist Year Evaluation of Student Assessment
Social Work Generalist Evaluation of Student
(SOWK 530)
STUDENT INFORMATION
P ID#
Student Last Name
Student First Name
Beginning Date of Evaluation Period
Beginning Date of Evaluation Period
January
February
March
April
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August
September
October
November
December
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2046
End Date of Evaluation Period
End Date of Evaluation Period
January
February
March
April
May
June
July
August
September
October
November
December
1
2
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5
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Academic Year
Fall 2025
Fall 2026
Fall 2027
Fall 2028
Fall 2029
Spring 2026
Spring 2027
Spring 2028
Spring 2029
Summer 2025
Summer 2026
Summer 2027
Summer 2028
Summer 2029
Level
UNDERGRAD
POST BACC
CERT
Program 1
ART
BIOL
CHEM
ENGL
ERCH
ESCI
LANG
MATH
MDLV
MUSI
PHYS
SPED
SS
TECED
Select Term Evaluation Timeframe
Fall Evaluation
Spring Evaluation
Number of field practicum hours completed to date:
Cooperating Teacher Last Name
Cooperating Teacher First Name
Placement School
Placement District
MU Faculty Liaison/Supervisor
EVALUATION RUBRIC
INSTRUCTIONS:
This evaluation instrument is designed to provide input from the field instructor to the student and faculty liaison about the quality of the student’s performance in the field practicum. The faculty liaison is responsible for assigning the student’s semester grade on the basis of this evaluation and on the student’s participation in the field seminar. The field instructor should review the student’s learning contract before initiating the evaluation. Student performance should be rated on the basis of the established criteria set forth in the Learning Contract.
Evaluation of the student for SWK/SOWK 530 (first semester) should be reflective of the
student’s beginning level of knowledge and skill. Evaluation for SWK/SOWK 531 (second semester) should reflect the student’s advanced knowledge in each performance area. Evaluation should also include an assessment of the display of the four dimensions for each competency, i.e., knowledge, values, skills, and cognitive and affective processes in the comments section. The process may be guided by the narrative that accompanies each competency, where the related knowledge, values, skills, and cognitive and affective processes are stated.
The agency field instructor is required to use the comment section of the evaluation to support and clarify ratings and provide feedback on the display of the four dimensions. Student and agency field instructor are expected to prepare the evaluation together, using this opportunity to identify areas of mastery, as well as strategies for continued professional development.
STUDENTS:
You are responsible for assuring that the evaluation is completed, signed, and submitted to the field liaison. Your signed field evaluation must be submitted to your faculty liaison by the last scheduled meeting of your field seminar each semester. You must keep a copy for your records.
INSTRUCTIONS TO FIELD SUPERVISOR:
Please select only one score for each performance area.
Rating
Outstanding (5)
Above average (4)
Acceptable (3)
Needs Improvement:(2)
Unsatisfactory (1)
NYC
Criteria for Rating
The skill is a fully integrated part of the student’s practice. Advanced skill level observed.
Higher than average skills are applied fairly consistently.
The student demonstrates the skill at the expected level.
The student is beginning to recognize how it might be applied in a practice situation.
The student has not yet developed this skill
Not yet completed
Competency 1: Demonstrate ethical and professional behavior
a. Make ethical decisions by applying the standards of the NASW Code of Ethics, relevant laws and regulations, models for ethical decision-making, ethical conduct of research, and additional codes of ethics as appropriate to context.
Outstanding (5)
Above average (4)
Acceptable (3)
Needs Improvement (2)
Unsatisfactory (1)
NYC = Not yet completed
b. Use reflection and self-regulation to manage personal values and maintain professionalism in practice situations.
Outstanding (5)
Above average (4)
Acceptable (3)
Needs Improvement (2)
Unsatisfactory (1)
NYC = Not yet completed
c. Demonstrate professional demeanor in behavior; appearance; and oral, written, and electronic communication.
Outstanding (5)
Above average (4)
Acceptable (3)
Needs Improvement (2)
Unsatisfactory (1)
NYC = Not yet completed
Overall Evaluation
Final Rating:
Justification:
Provide pertinent points to justify the overall rating. Consider areas of specific strengths and/or areas for growth in relation to the domains and their corresponding components of practice. (Optional: List evidence utilized to support the justification.)
Observations
Portfolio
Reflections
Post-Conferences
EPP-Designed Evaluation Tool
Other
Recommended Action:
I, the Candidate’s Evaluator, having compiled and retained evidence of justification, make the recommendations noted below.
To be completed at the interim evaluation or before:
Continued participation in the Educator Preparation Program
Removal from the Educator Preparation Program at this point
To be completed at the final evaluation:
Approval of the Candidate’s recommendation for PDE certification
Denial of the Candidate’s recommendation for PDE certification at this Final Evaluation
Date of Evaluation Meeting:
Date of Evaluation Meeting:
January
February
March
April
May
June
July
August
September
October
November
December
1
2
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4
5
6
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2000
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2045
2046
Required Signatures:
Evaluator:
Click to Sign...
Evaluator Email
I hereby affirm that the information in this document is correct and true to the best of my knowledge.
Check the box if this form is ready to be sent to the candidate and their email has been entered below.
Candidate:
Click to Sign...
Candidate Email
By signing, the Candidate acknowledges receipt and review of this evaluation (not necessarily agreement).
A copy of this completed/signed document must be provided to the Candidate. Another copy must be submitted to and retained by the Institution of Higher Education according to the record retention policy guidelines. 4
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