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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:
Agency:
Agency Field Instructor(s):
Faculty Field Liaison:
Cierra Aguirre
Second Chance Counseling, LLC
Yvette McCoy-Rodgers
Brandon Ivory
PROGRESS
PROGRESS
PROGRESS
PROGRESS
PROGRESS
PROGRESS
PROGRESS
Engage in policy practice to advance social and economic well-being and to deliver
effective social work services.
PROGRESS
PROGRESS
Engage, assess, intervene, and evaluate with individuals, families, groups, organizations,
and communities.
PROGRESS
Analyze the impact of the urban context on a range of client systems, including practice
implications.
PROGRESS
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.
Cierra has progressed in all areas of the competency.
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:
Overall, there has been a lot of progress as Cierra adheres to the NASW Code of Ethics and is
STUDENT SECTION
I... Agree with the evaluation.
Comments:
it is good to see that my hard work and dedication has paid off. I am looking forward to continuing my
education and continuing to grow my experience.
**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.
(Aguirre, Cierra): Cierra Aguirre Feb 27, 2016 5:30 PM
Student
(Brandon Ivory): Brandon Ivory Mar 2, 2016 4:45 PM
Faculty Field Liaison
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Printable Version
IPT Document Management System January 1, 2014
Form: 40062