Student First Name *

Student Last Name *

Current Academic Year *

Agency Name *

Faculty Practicum Liaison *

Alice Jones
Aneesah Johnson
Crystal Campbell
Darlene Johnson
David Fitzpatrick
Deric Boston
Michelle Guarino
Pam Wheeler
Stephanie Francis
Other (fill in blank)

Agency Supervisor Name *

Competency 1
Demonstrate Ethical and Professional Behavior *

Social workers demonstrate their commitment to professional ethics and their competence as practitioners and also serve as professional exemplars and leaders. Guided by professional ethics, they offer leadership in resolving value conflicts across groups with differing norms, histories, and goals. As representatives of the profession, and of their organizations, they integrate a full range of advanced direct practice, policy, research, and evaluation competencies into change efforts dedicated to advancing human rights and social, economic, and environmental justice. Social workers:

	Superior Competence = 5	Above Average =4	Competent = 3	Needs Improvement = 2	Unsatisfactory = 1
1. provide leadership in resolving value conflicts among diverse constituencies; and
2. apply advanced practice skills that accurately represent their organization and the profession, to implement ethically grounded change efforts with individuals, families, groups, organizations, and communities.

Competency 2
Engage Diversity and Difference in Practice *

Social workers understand the importance of engaging and managing multiple facets of diversity and difference across micro, mezzo, and macro systems. Social workers have the knowledge, skills, and values to apply empowering and culturally appropriate change strategies to promote social justice and behavioral and social change. Social workers also have the capacity to recognize affective content, underlying messages, and themes embedded in client and collegial presentation and behavior. Social Workers:

	Superior Competence = 5	Above Average =4	Competent = 3	Needs Improvement = 2	Unsatisfactory = 1
1. apply effective, empowering, and culturally appropriate strategies in everyday practice to promote social justice and behavioral and social change; and
2. identify affective content, underlying messages, and themes embedded in client and collegial presentation and behavior.

Competency 3
Advance Human Rights and Social, Economic, and Environmental Justice *

Social workers understand power and privilege and use their personal power and networks to ethically advocate for oppressed, marginalized, and vulnerable populations. They are able to recommend the creation of policies and programs that will provide services to address the needs of oppressed populations. Social workers are able to assess program and organizational structures and systems that may hinder socially just application of policies and interventions. Social Workers:

	Superior Competence = 5	Above Average =4	Competent = 3	Needs Improvement = 2	Unsatisfactory = 1
1. use power and authority ethically to advocate for and with marginalized constituents,
2. collaborate to create new, modified, or improved services, resources, and opportunities for marginalized populations; and
3. design agency policies to maximize equal opportunity, access, and treatment.

Competency 4
Engage In Practice-informed Research and Research-informed Practice *

Social workers use their knowledge of research and research evidence to provide constituents with information relevant to social work policy, practice, and intervention. Social workers integrate research evidence with practitioner expertise and client strengths and goals, in order to guide interventions, policies, or programs. Social workers support and encourage others in the use of evidence-informed practice. Social workers:

	Superior Competence = 5	Above Average =4	Competent = 3	Needs Improvement = 2	Unsatisfactory = 1
1. disseminate research findings in forms that diverse constituents can understand and use,
2. demonstrate the integration of research evidence with practitioner expertise and client strengths and goals; and
3. promote use of evidence-informed practice by colleagues within practice settings.

Competency 5
Engage in Policy Practice *

Social workers are able to use personal and professional influence and negotiation skills to challenge oppressive systems at the federal, state, and local levels. Social workers are able to operate within micro, mezzo, and macro systems to effect policy change and protect the human rights and well-being of oppressed or vulnerable populations. Social workers are able to engage communities and specific populations in the change process. Social workers are able to develop and initiate plans for principled advocacy rooted in, and reflective of, the NASW Code of Ethics. Social workers are able to provide leadership in practice and/or administrative roles including coalitions, ad hoc committees, task forces, planning meetings, boards, councils, and commissions. Social workers:

	Superior Competence = 5	Above Average =4	Competent = 3	Needs Improvement = 2	Unsatisfactory = 1
1. build coalitions and collaborative relationships that improve and enhance services;
2. involve constituents in identifying the strengths and barriers inherent in community or policy change; and
3. conduct asset and needs assessments designed to inform policy development and evaluation.

Competency 6
Engage with Individuals, Families, Groups, Organizations, and Communities *

Social workers practice with complex client systems, using culturally appropriate language and strategies to build purposeful relationships and partnerships. Advanced social workers analyze, synthesize, and evaluate theories of human behavior and the social environment, and think critically to apply this knowledge to facilitate engagement with clients and constituencies, including individuals, families, groups, organizations, and communities. At the advanced level, social workers evaluate the impact of their personal experiences and affective reactions on their ability to effectively engage with diverse clients and other professionals. Social workers:

	Superior Competence = 5	Above Average =4	Competent = 3	Needs Improvement = 2	Unsatisfactory = 1
1. apply theories to initiate, engage, and take action with complex client systems; and
2. use clear and understandable language to communicate with individuals, families, social groups, organizations, and communities throughout all phases of social work intervention.

Competency 7
Assess Individuals, Families, Groups, Organizations, and Communities *

Social workers have the knowledge and skills to use multidisciplinary, multidimensional assessment methods to intervene with complex client systems, and they understand the strengths and limitations of extant assessment methods. Social workers select the most appropriate assessment tools and methods and also evaluate, adapt, and modify assessment tools and methods to enhance their validity in working with diverse groups (e.g., gender, race/ethnicity, immigrant status, sexual orientation, and gender expression). Advanced social workers recognize the implications of the larger practice context in the assessment process and value the importance of inter-professional collaboration in this process. Social workers:

	Superior Competence = 5	Above Average =4	Competent = 3	Needs Improvement = 2	Unsatisfactory = 1
1. conduct comprehensive assessment of client systems with complex needs; and
2. administer and interpret assessment and diagnostic tools that are appropriate for use with diverse client systems with complex needs.

Competency 8
Intervene with Individuals, Families, Groups, Organizations, and Communities *

Social workers in all practice settings recognize the importance of selecting and applying appropriate theoretical frameworks and/or models to guide interventions with individuals, families, groups, organizations, and communities. Social workers utilize theoretical frameworks and modes when designing interventions related to loss, change, and transition across the lifespan. Social workers work collaboratively with client systems to develop clear, timely, and appropriate goals and objectives when planning interventions and programs. Social workers use ongoing feedback to respond sensitively to changing situations and complex needs and apply appropriate financial, organization, and administrative processes to service delivery. Social workers:

	Superior Competence = 5	Above Average =4	Competent = 3	Needs Improvement = 2	Unsatisfactory = 1
1. maintain a person-in-environment perspective while using appropriately selected theories and/or models to design and guide programs and/or interventions with complex systems; and
2. monitor and evaluate the impact of interventions and adjust interventions as needed to support client systems in their change processes.

Competency 9
Evaluate Practice with Individuals, Families, Groups, Organizations, and Communities *

Social workers not only recognize the importance of evaluating processes and outcomes, but also are able to apply this knowledge when an organization’s policies and practices do not align well with the needs of its target population. Social workers are able to assess such situations and their impact on complex client systems, and can develop and implement evaluation plans with the goal of adjusting organizational objectives and improving client outcomes. Social workers:

	Superior Competence = 5	Above Average =4	Competent = 3	Needs Improvement = 2	Unsatisfactory = 1
1. articulate any misalignment between the organization’s structure/policy and clients’ needs; and
2. re-evaluate and adjust goals and objectives with complex client systems.

Summary of Student's Progress *

Including strategies to increase performance, student's strengths, limitations, areas identified for additional experience, and any other information you would like to share with us

Learning recommendations for student *

How many hours will the student have completed by the end of the semester? *

All students are required to complete 336 hours per semester

Grade Recommendation *

Please type your full name here. This will constitute your signature. *

Please type your student's name *

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