EVALUATION

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Republic of the Philippines

COTABATO STATE UNIVERSITY


College of Arts and Science
SOCIAL WORK DEPARTMENT

FIELD INSTRUCTION AND PRACTICE I


(WORKING WITH GROUPS)
1st Semester, 2024-2025

Name of Student-Intern: ________________________________ Agency:______________________________


Instruction: using a four-point scale, evaluate the field instruction student using the following equivalent:

1- Minimal knowledge gained, limited skills demonstrated, show interest in improvement and required monthly supervision.
2- Sufficient knowledge gained, enough skills demonstrated, show interest in improvement and required average supervision.
3- Adequate knowledge gained, appropriate skills demonstrated, show interest in improvement and proper working habits with
less; supervision.
4- Very adequate knowledge gained, appropriate skills demonstrated, show interest in improvement and proper attitude
displayed without supervision.
Requirements Ratings

I. QUANTITATIVE
1. Performance of assigned task 4 3 2 1
2. Number of hours earned in field practice 4 3 2 1
3. Number of sessions facilitated 4 3 2 1
4. Preparation of records
4.1 Client group’s record 4 3 2 1
4.2 Student’s process recording 4 3 2 1
5. Preparation and submission of records/reports 4 3 2 1
II. QUALITATIVE
A. Work Habits/Traits
1. Punctuality and regularity in
1.1 work attendance 4 3 2 1
1.2 submitting requirements 4 3 2 1
2. Observance of rules and regulations relating to field instruction
2.1 in the agency 4 3 2 1
2.2 in the field 4 3 2 1
3. Positive Working Relationship with
3.1 clients 4 3 2 1
3.2 agency supervisor 4 3 2 1
3.3 other agency staff 4 3 2 1
3.4 colleagues/peer 4 3 2 1
4. Resourcefulness/Initiative 4 3 2 1
5. Willingness to accept responsibility 4 3 2 1
6. Tactfulness 4 3 2 1
B. Knowledge
1. The agency, its mission, functions, goals and objectives 4 3 2 1
2. SW values, philosophy, goals, methods, skills, techniques and tools 4 3 2 1
3. Principles of the helping relationship 4 3 2 1
C.Skills

1. Ability to use the helping/problem solving process 4 3 2 1


2. Ability to document the necessary process and situation 4 3 2 1
D. Conscious use of self of the SW On-the-Job Trainee
1. Attitude towards self (disciplined use of self, acceptance of one’s 4 3 2 1
2. limitations, and use or role as learner)
3. Attitude towards work and task (organizing, ranking and planning work) 4 3 2 1
4. Recognition of supervisor’s role and authority 4 3 2 1
Grand Total:

Comments:

Evaluator: _______________________________________________ Student: (________) AFS/I (________)


Signature over printed name
Republic of the Philippines
COTABATO STATE UNIVERSITY
College of Arts and Science
SOCIAL WORK DEPARTMENT

FIELD INSTRUCTION AND PRACTICE I


(WORKING WITH INDIVIDUAL AND FAMILIES)
1st Semester, 2024-2025

Name of Student-Intern: ________________________________ Agency:______________________________


Instruction: using a four-point scale, evaluate the field instruction student using the following equivalent:

5- Minimal knowledge gained, limited skills demonstrated, show interest in improvement and required monthly supervision.
6- Sufficient knowledge gained, enough skills demonstrated, show interest in improvement and required average supervision.
7- Adequate knowledge gained, appropriate skills demonstrated, show interest in improvement and proper working habits with
less; supervision.
8- Very adequate knowledge gained, appropriate skills demonstrated, show interest in improvement and proper attitude
displayed without supervision.
Requirements Ratings

I. QUANTITATIVE
1. Performance of assigned task 4 3 2 1
2. Number of hours earned in field practice 4 3 2 1
3. Number of sessions facilitated 4 3 2 1
4. Preparation of records
4.1 Client group’s record 4 3 2 1
4.2 Student’s process recording 4 3 2 1
5. Preparation and submission of records/reports 4 3 2 1
II. QUALITATIVE
A. Work Habits/Traits
1. Punctuality and regularity in
1.1 work attendance 4 3 2 1
1.2 submitting requirements 4 3 2 1
2. Observance of rules and regulations relating to field instruction
2.1 in the agency 4 3 2 1
2.2 in the field 4 3 2 1
3. Positive Working Relationship with
3.1 clients 4 3 2 1
3.2 agency supervisor 4 3 2 1
3.3 other agency staff 4 3 2 1
3.4 colleagues/peer 4 3 2 1
4. Resourcefulness/Initiative 4 3 2 1
5. Willingness to accept responsibility 4 3 2 1
6. Tactfulness 4 3 2 1
B. Knowledge
1. The agency, its mission, functions, goals and objectives 4 3 2 1
2. SW values, philosophy, goals, methods, skills, techniques and tools 4 3 2 1
3. Principles of the helping relationship 4 3 2 1
C.Skills

1. Ability to use the helping/problem solving process 4 3 2 1


2. Ability to document the necessary process and situation 4 3 2 1
D. Conscious use of self of the SW On-the-Job Trainee
1. Attitude towards self (disciplined use of self, acceptance of one’s 4 3 2 1
2. limitations, and use or role as learner)
3. Attitude towards work and task (organizing, ranking and planning work) 4 3 2 1
4. Recognition of supervisor’s role and authority 4 3 2 1
Grand Total:

Comments:

Evaluator: _______________________________________________ Student: (________) AFS/I (________)


Signature over printed name

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