MIDTERM EVALUATION

This form is to be completed by the Field Instructor and discussed with student. It will
automatically be sent to the Faculty Field Liaison once it is completed online.
Student:
Amber Thomas
Agency:
YMCA of Metro Detroit
Agency Field Instructor(s):
Matthew Cunningham
Faculty Field Liaison:
Terry Duganne
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 99 hours to date.
X Student is actively engaged in weekly supervision.
Learning Plan has been completed and submitted to the Field Instructor and Faculty Field
X
Liaison.
Process Recordings or PRACSIS have been reviewed by Field Instructor and submitted to the
X Faculty Field Liaison (students should check with assigned Faculty Field Liaison 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.
Of all of the interns we've ever had, Amber is the most eager to learn and implement new ideas. I
love the passion and energy she brings to our events. She has taken a strong interest in the
outreach and recruitment aspects of our programming. She has explained that it really excites her
to talk about the I Rise Program with parents, to answer questions and to accept applications. Her
career will be well-served by the interest in connecting with families as this is often an early fear
of many social workers. - MDC -

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.
PROGRESS
Apply social work ethical principles to guide professional practice.
PROGRESS
Apply critical thinking to inform and communicate professional judgments.
PROGRESS
Engage diversity and difference in practice.
PROGRESS
Advance human rights and social and economic justice.
PROGRESS
Engage in research-informed practice and practice-informed research.
PROGRESS
Apply knowledge of human behavior and the social environment.
PROGRESS
Engage in policy practice to advance social and economic well-being and to deliver
PROGRESS
effective social work services.
Respond to contexts that shape practice.
PROGRESS
Engage, assess, intervene, and evaluate with individuals, families, groups,
PROGRESS
organizations, and communities.
Analyze the impact of the urban context on a range of client systems, including
PROGRESS
practice implications.
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.
We have not had much of an opportunity to engage in policy practice to advance social and
economic well-being. We do discuss the struggles of working families and/or single mother
households (which make up a significant aspect of our program). I'd love to discuss resources
with Terri to incorporate resources into our future conversations. - MDC 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.

Recommend:
Comments:
See above.

FIELD INSTRUCTOR SECTION

PROGRESS

**Please note: By typing my name below, I certify that I have reviewed the document,
completed my portion and agree with the content.
(Cunningham, Matthew): Matthew David Cunningham Oct 30, 2015 4:49 PM
Field Instructor (agency-based supervisor)

I...

STUDENT SECTION
Agree with the evaluation.

Comments:
AET
**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.
(Thomas, Amber): Amber Thomas Oct 31, 2015 9:29 PM
Student

(Terri Duganne): Terri Duganne MSW LMSW ACSW Nov 3, 2015 11:57 AM
Faculty Field Liaison