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I , F O R M T E X T , a g r e e t o d o m y f i e l d p l a c e m e n t a t F O R M T E X T . I a g r e e t o s p e n d a m i n i m u m o f 4 0 0 h o u r s i n t h e a g e n c y o n a s c h e d u l e t o b e n e g o t i a t e d b e t w e e n m y F i e l d I n s t r uctor and me. I understand that the competency based contract which follows describes the goals of my field experience, how those goals will be accomplished and how my competencies will be evaluated. I further understand that I am expected to participate in the evaluation of my per formance and to give feedback to the social work program on my field agency and instructor. Finally, I agree to perform my duties in a manner consistent with the Social Work Code of Ethics and to meet all agency guidelines for a t t e n d a n c e , r e c o r d k e e p i n g a n d p r o d u c t i v i t y .
I , F O R M T E X T , a g r e e t o s u p e r v i s e t h i s s t u d e n t . I a g r e e t o p r o v i d e h i m / h e r w i t h a n o r i e n t a t i o n t o t h e a g e n c y , o u r c l i e n t s , a n d t h e s e r v i c e c o m m u n i t y , t o a s s i g n a p p r o p r i a t e l y c h a l l e n g i n g t a s k s , t o p r o v i d e w e e k l y s u p e r v i s i o n , a n d t o f o r m a l l y e v a l u a t e h i s / h e r p e r f o r m a n c e o n t h e a t t a c h e d f o r m .
I , F O R M T E X T , a g r e e t o m a i n t a i n r e g u l a r c o n t a c t w i t h n a m e d s t u d e n t a n d i n s t r u c t o r t h r o u g h o u t p l a c e m e n t . I a g r e e t o v i s i t t h e a g e n c y , p a r t i c i p a t e i n e v a l uation conferences, award the final grade, and be available to assist in solving problems that may arise.
Student: _________________________________________ Date:_______________
Field Instructor:___________________________________ Date: _______________
Field Coordinator:_________________________________ Date: _______________ The following are the twelve competencies required of graduates of a baccalau reate social work program. Students, upon completion of the field experience, will be able to:
1. Ide n t i f y a s a p r o f e s s i o n a l s o c i a l w o r k e r a n d c o n d u c t o n e s e l f a c c o r d i n g l y .
H o w w i l l t h i s c o m p e t e n c y b e d e m o n s t r a t e d i n f i e l d ? F O R M T E X T
H o w w i l l t h i s c o m p e t e n c y b e e v a l u a t e d ? F O R M T E X T
2 . A p p l y s o c i a l w o r k e t h i c a l p r i n c i p l e s t o g u i d e p r o f e s s i o n a l p r a c t i c e .
H o w w i l l t h i s c o m p e t e n c y b e d e m o n s t r a t e d i n f i e l d ? F O R M T E X T
H o w w i l l t h i s c o m p e t e n c y b e e v a l u a t e d ? F O R M T E X T
3 . A p p l y c r i t i c a l t h i n k i n g t o i n f o r m a n d c o m m u n i c a t e p r o f e s s i o n a l j u d g m e n t s .
H o w w i l l t h i s c o m p e t e n c y b e d e m o n s t r a t e d i n f i e l d ? F O R M T E X T
H o w w i l l t h i s c o m p e t e n c y b e e v a l u a t e d ? F O R M T E X T
4 . E n g a g e d i v e r s i t y a n d d i f f e r e n c e i n p r a c t i c e .
H o w w i l l t h i s c o m p e t e n c y b e d e m o n s t r a t e d i n f i e l d ? F O R M T E X T
H o w w i l l t h i s c o H J " $ & ( N \
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h8x H! a$gd s 2 ; J K r t v լ|լ %j h@/ CJ OJ QJ UaJ hj h 5CJ OJ QJ h h CJ OJ QJ aJ *j h CJ OJ QJ UaJ mH nH u %j` h@/ CJ OJ QJ UaJ j h@/ CJ OJ QJ UaJ h CJ OJ QJ aJ hn( h CJ OJ QJ aJ ) " $ 0 2 < > @ l n J L V$ X$ Z$ ^`gd , . * , . 8 : < > F B D F Z \ ^ h j ܷܫܷܫwܷܫdܷ %j h@/ CJ OJ QJ UaJ %j4 h@/ CJ OJ QJ UaJ %j h@/ CJ OJ QJ UaJ hj h 5CJ OJ QJ h CJ OJ QJ aJ hn( h CJ OJ QJ aJ *j h CJ OJ QJ UaJ mH nH u j h@/ CJ OJ QJ UaJ %jH h@/ CJ OJ QJ UaJ ' F $ ,$ .$ 0$ D$ F$ H$ R$ T$ Z$ $ $ .% 0% 2% F% 㫝㫈uj h 5CJ OJ QJ %j h@/ CJ OJ QJ UaJ U%j h@/ CJ OJ QJ UaJ hj h 5CJ OJ QJ hn( h CJ OJ QJ aJ *j h CJ OJ QJ UaJ mH nH u %j h@/ CJ OJ QJ UaJ h CJ OJ QJ aJ j h@/ CJ OJ QJ UaJ $m p e t e n c y b e e v a l u a t e d ? F O R M T E X T
A d v a n c e h u m a n r i g h t s a n d s o c i a l a n d e c o n o m i c j u s t i c e .
H o w w i l l t h i s c o m p e t e n c y b e d e m o n s t r a t e d i n f i e l d ? F O R M T E X T
H o w w i l l t h i s c o m p e t e n c y b e e v a l u a t e d ? F O R M T E X T
6 . E n g a g e i n r e s e a r c h - i n f o r m e d p r a c t i c e a n d p r a c t i c e - i n f o r m e d r e s e a r c h .
H o w w i l l t h i s c o m p e t e n c y b e d e m o n s t r a t e d i n f i e l d ? F O R M T E X T
H o w w i l l t h i s c o m p e t e n c y b e e v a l u a t e d ? F O R M T E X T
7 . A p p l y k n o w l e d g e o f h u m a n b e h a v i o r a n d t h e s o c i a l e n v i r o n m e n t
H o w w i l l t h i s c o m p e t e n c y b e d e m o n s t r a t e d i n f i e l d ? F O R M T E X T
H o w w i l l t h i s c o m p e t e n c y b e e v a l u a t e d ? F O R M T E X T
8 . E n g a g e i n p o l i c y p r a c t i c e t o a d v a n c e s o c i a l a n d e c o n o m i c w e l l - b e i n g a n d d e l i v e r e f f e c t i v e s o c i a l w o r k s e r v i c e s
H o w w i l l t h i s c o m p e t e n c y b e d e m o n s t r a t e d i n f i e l d ? F O R M T E X T
H o w w i l l t h i s c o m p e t e n c y b e e v a l u a t e d ? F O R M T E X T
9 . R e s p o n d t o c o n t e x t s t h a t s h a p e p r a c t i c e
H o w w i l l t h i s c o m p e t e n c y b e d e m o n s t r a t e d i n f i e l d ? F O R M T E X T
H o w w i l l t h i s c o m p e t e n c y b e e v a l u a t e d ? F O R M T E X T
1 0 . E n g a g e , a s s e s s , i n t e r v e n e , a n d e v a l u a t e w i t h i n d i v i d u a l s , f a m i l i e s , g r o u p s , o r g a n i z a t i o n s , a n d c o m m u n i t i e s
H o w w i l l t h i s c o m p e t e n c y b e d e m o n s t r a t e d i n f i e l d ? F O R M T E X T
H o w w i l l t h i s c o m p e t e n c y b e e v a l u a t e d ? F O R M T E X T
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