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Instructions: Below is a list of questions. Each question should apply to one or more BYU-Idaho Social Work program objectives listed below it. You are assessing whether the BYU-Idaho social work student has fulfilled the BYU-Idaho social work program objectives as assessed by each question. Next to the objective is a pull down list of the rankings that can be applied to the student’s performance on that question and objective. For reference please use the side panel of this web page for a complete list of BYU-Idaho social work program objectives. For more detailed information on the objectives of the BYU-Idaho Social Work Department please refer to the Field Manual. Please rank each question and objective as appropriate according to the following scale:

1 poor, 2 fair, 3 Good, 4 Very Good, 5 Excellent, N/A Not Applicable.

Date:

Field Instructor:	Last Name:
	First Name:

Agency Name:

Student:	Last Name:
	First Name:

1.	Openness to learning and willingness to accept suggestions
	As applies to Critical Thinking - Social Welfare
	As applies to S.W. Consultation/Supervision

2.	Transfers Learning
	As applies to Critical Thinking - Social Welfare
	As applies to S.W. Consultation/Supervision

3.	Maintains focus
	As applies to Critical Thinking - Social Welfare
	As applies to S.W. Consultation/Supervision

4.	Personal Education Goals: Sees self as an adult learner and sets appropriate educational goals
	As applies to Critical Thinking - Social Welfare
	As applies to S.W. Consultation/Supervision

5.	Agency Structure: Understands purpose and structure, as well as the function
	As applies to Critical Thinking - Social Welfare
	As applies to Human Diversity - Social/Economic Justice
	As applies to Generalist Practice- pg 16 Student Manual
	As applies to Social Policies-Service Delivery
	As applies to Leadership in Working with Organization/ Social Systems/Communities
	As applies to Christian Service- Generallist Social Work Practice
	As applies to Preparation in a Specific Area of Social Work Practice such as Child Welfare or Mental Health

6.	Role in Agency: Has learned role and acts accordingly
	As applies to Critical Thinking - Social Welfare
	As applies to Human Diversity - Social/Economic Justice
	As applies to Generalist Practice- pg 16 Student Manual
	As applies to Social Policies-Service Delivery
	As applies to Leadership in Working with Organization/ Social Systems/Communities
	As applies to Christian Service- Generallist Social Work Practice
	As applies to Preparation in a Specific Area of Social Work Practice such as Child Welfare or Mental Health

7.	Helping Process: Appropriately applies critical thinking and practice skills of exploration, data gathering, assessment, planning, intervention and evaluation
	As applies to Critical Thinking - Social Welfare
	As applies to Values/Ethics
	As applies to Generalist Practice- pg 16 Student Manual
	As applies to Biological/Psychological - Social/Person- In-environment - social System/Human Development
	As applies to Communication Skills
	As applies to Christian Service- Generallist Social Work Practice
	As applies to Preparation in a Specific Area of Social Work Practice such as Child Welfare or Mental Health

8.	Own Self-Awareness: In relation to interaction with clients and colleagues
	As applies to Values/Ethics
	As applies to Human Diversity - Cultural Realities
	Human Diversity -- Social/Economic Justice
	As applies to Generalist Practice- pg 16 Student Manual
	As applies to Conduct and Apply Research
	As applies to Communication Skills
	As applies to Preparation in a Specific Area of Social Work Practice such as Child Welfare or Mental Health

9.	Values and Ethics: Identifies and clarifies own values and the interface with the professions values and ethics
	As applies to Values/Ethics
	Human Diversity -- Social/Economic Justice
	As applies to Generalist Practice- pg 16 Student Manual
	As applies to Biological/Psychological - Social/Person- In-environment - social System/Human Development
	As applies to Communication Skills
	As applies to Christian Service- Generallist Social Work Practice
	As applies to Preparation in a Specific Area of Social Work Practice such as Child Welfare or Mental Health

10.	Diversity: Is sensitive and relates to clients without discrimination regarding poverty, ethnicity, life style, gender, handicap and age
	As applies to Values/Ethics
	As applies to Human Diversity - Cultural Realities
	As applies to Human Diversity - Social/Economic Justice
	As applies to Generalist Practice- pg 16 Student Manual
	As applies to Biological/Psychological - Social/Person- In-environment - Social System/Human Development
	As applies to Communication Skills
	As applies to Christian Service- Generallist Social Work Practice
	As applies to Preparation in a Specific Area of Social Work Practice such as Child Welfare or Mental Health

11.	Dual Relationships: Understands the principles governing dual relationships and the critical need to refrain from them
	As applies to Values/Ethics
	As applies to Generalist Practice- pg 16 Student Manual
	As applies to Communication Skills
	As applies to Christian Service- Generallist Social Work Practice
	As applies to Preparation in a Specific Area of Social Work Practice such as Child Welfare or Mental Health

12.	Confidentiality: Maintains appropriate client confidentiality
	As applies to Values/Ethics
	As applies to Generalist Practice- pg 16 Student Manual
	As applies to Communication Skills
	As applies to Christian Service- Generallist Social Work Practice
	As applies to Preparation in a Specific Area of Social Work Practice such as Child Welfare or Mental Health

13.	Populations at Risk: Demonstrates the ability to effectively formulate interventive plans and the delivery of social work services with women, social/cultural minorities, gays and lesbians, the poor, and other populations at risk
	As applies to Values/Ethics
	As applies to Human Diversity - Cultural Realities
	As applies to Human Diversity - Social/Economic Justice
	As applies to Biological/Psychological - Social/Person- In-environment - Social System/Human Development
	As applies to Communication Skills

14.	Human Behavior: Demonstrates a working knowledge of normal human behavior
	As applies to Human Diversity - Cultural Realities
	As applies to Generalist Practice- pg 16 Student Manual
	As applies to Biological/Psychological - Social/Person- In-environment - Social System/Human Development
	As applies to Social Policies-Service Delivery
	As applies to Christian Service- Generallist Social Work Practice
	As applies to Preparation in a Specific Area of Social Work Practice such as Child Welfare or Mental Health

15.	Person-In-Environment: Translates the concept into practice
	As applies to Human Diversity - Cultural Realities
	As applies to Generalist Practice- pg 16 Student Manual
	As applies to Biological/Psychological - Social/Person- In-environment - Social System/Human Development
	As applies to Social Policies-Service Delivery
	As applies to Communication Skills
	As applies to Leadership in Working with Organization/ Social systems/Communities
	As applies to Christian Service- Generallist Social Work Practice
	As applies to Preparation in a Specific Area of Social Work Practice such as Child Welfare or Mental Health

16.	Problem Solving: Understands process and is skilled in application including formulating/prioritizing problems. Helps client learn process/skills
	As applies to Human Diversity - Cultural Realities
	As applies to Human Diversity - Social/Economic Justice
	As applies to Generalist Practice- pg 16 Student Manual
	As applies to Biological/Psychological - Social/Person- In-environment - Social System/Human Development
	As applies to Communication Skills
	As applies to Christian Service- Generallist Social Work Practice

17.	Client System: Understands that the client may be an individual, couple, family, group, neighborhood or community
	As applies to Human Diversity - Cultural Realities
	As applies to Generalist Practice- pg 16 Student Manua
	As applies to Biological/Psychological - Social/Person- In-environment - Social System/Human Development
	As applies to Communication Skills
	As applies to Leadership in Working with Organization/ Social systems/Communities
	As applies to Preparation in a Specific Area of Social Work Practice such as Child Welfare or Mental Health

18.	Legislation/Policy: Analyzes impact on agency and on clients
	As applies to Human Diversity - Social/Economic Justice
	As applies to Generalist Practice- pg 16 Student Manua
	As applies to Social Policies-Service Delivery
	As applies to Leadership in Working with Organization/ Social systems/Communities
	As applies to Christian Service- Generallist Social Work Practice
	As applies to Preparation in a Specific Area of Social Work Practice such as Child Welfare or Mental Health

19.	Relationship to Staff
	As applies to Human Diversity - Social/Economic Justice
	As applies to Generalist Practice- pg 16 Student Manua
	As applies to Social Policies-Service Delivery
	As applies to Leadership in Working with Organization/ Social systems/Communities
	As applies to Christian Service- Generallist Social Work Practice
	As applies to Preparation in a Specific Area of Social Work Practice such as Child Welfare or Mental Health

20.	Agency Research: Demonstrates awareness and need in regard to administrative operation and service delivery
	As applies to Human Diversity - Social/Economic Justice
	As applies to Generalist Practice- pg 16 Student Manual
	As applies to Social Policies-Service Delivery
	As applies to Conduct and Apply Research
	As applies to Leadership in Working with Organization/ Social systems/Communities
	As applies to Christian Service- Generallist Social Work Practice
	As applies to Preparation in a Specific Area of Social Work Practice such as Child Welfare or Mental Health

21.	Resources: Utilizes effectively in service of client
	As applies to Human Diversity - Social/Economic Justice
	As applies to Generalist Practice- pg 16 Student Manua
	As applies to Biological/Psychological - Social/Person- In-environment - Social System/Human Development
	As applies to Communication Skills
	As applies to Christian Service- Generallist Social Work Practice
	As applies to Preparation in a Specific Area of Social Work Practice such as Child Welfare or Mental Health

22.	Understanding the overall relationship of history to current social work issues and practice
	As applies to Social Work History - Values

23.	Social Histories: Learns agency format for writing histories and record keeping
	As applies to Social Work History - Values
	As applies to Generalist Practice- pg 16 Student Manual
	As applies to Biological/Psychological - Social/Person- In-environment - Social System/Human Development
	As applies to Conduct and Apply Research
	As applies to Communication Skills
	As applies to Christian Service- Generallist Social Work Practice
	As applies to Preparation in a Specific Area of Social Work Practice such as Child Welfare or Mental Health

24.	Generalist: Conceptualizes and learns the role in practice
	As applies to Generalist Practice- pg 16 Student Manual
	As applies to Biological/Psychological - Social/Person- In-environment - Social System/Human Development
	As applies to Communication Skills

25.	Systems: Understands concepts and focuses on the relationship of systems rather than on systems as separate entities
	As applies to Generalist Practice- pg 16 Student Manua
	As applies to Biological/Psychological - Social/Person- In-environment - Social System/Human Development
	As applies to Communication Skills
	As applies to Leadership in Working with Organization/ Social systems/Communities
	As applies to Christian Service- Generallist Social Work Practice
	As applies to Preparation in a Specific Area of Social Work Practice such as Child Welfare or Mental Health

26.	Helping Relationship Principles: Uses appropriately
	As applies to Generalist Practice- pg 16 Student Manual
	As applies to Communication Skills
	As applies to Christian Service- Generallist Social Work Practice
	As applies to Preparation in a Specific Area of Social Work Practice such as Child Welfare or Mental Health

27.	Interviewing/Communication Skills: Demonstrates Beginning effectiveness with clients
	As applies to Generalist Practice- pg 16 Student Manual
	As applies to Communication Skills
	As applies to Christian Service- Generallist Social Work Practice
	As applies to Preparation in a Specific Area of Social Work Practice such as Child Welfare or Mental Health

28.	Client's Resistance: Learns to identify
	As applies to Generalist Practice- pg 16 Student Manual
	As applies to Communication Skills
	As applies to Christian Service- Generallist Social Work Practice
	As applies to Preparation in a Specific Area of Social Work Practice such as Child Welfare or Mental Health

29.	Client's Hostility: Addresses
	As applies to Generalist Practice- pg 16 Student Manual
	As applies to Communication Skills
	As applies to Christian Service- Generallist Social Work Practice
	As applies to Preparation in a Specific Area of Social Work Practice such as Child Welfare or Mental Health

30.	Client's Manipulations: Learns to identify
	As applies to Generalist Practice- pg 16 Student Manual
	As applies to Communication Skills
	As applies to Christian Service- Generallist Social Work Practice
	As applies to Preparation in a Specific Area of Social Work Practice such as Child Welfare or Mental Health

31.	Contracts: Understands client role in the development of interventive contracts
	As applies to Generalist Practice- pg 16 Student Manual
	As applies to Communication Skills
	As applies to Christian Service- Generallist Social Work Practice
	As applies to Preparation in a Specific Area of Social Work Practice such as Child Welfare or Mental Health

32.	Focus: Maintains in client interaction
	As applies to Generalist Practice- pg 16 Student Manual
	As applies to Communication Skills
	As applies to Christian Service- Generallist Social Work Practice
	As applies to Preparation in a Specific Area of Social Work Practice such as Child Welfare or Mental Health

33.	Collaboration and/or Consultation: Learns how to initiate
	As applies to Generalist Practice- pg 16 Student Manual
	As applies to Biological/Psychological - Social/Person- In-environment - Social System/Human Development
	As applies to Communication Skills
	As applies to S.W. Consultation/Supervision
	As applies to Leadership in Working with Organization/ Social systems/Communities
	As applies to Christian Service- Generallist Social Work Practice
	As applies to Preparation in a Specific Area of Social Work Practice such as Child Welfare or Mental Health

34.	Practice Roles: Understands roles of broker, educator, enabler, mediator and advocate
	As applies to Generalist Practice- pg 16 Student Manual
	As applies to Communication Skills
	As applies to Christian Service- Generallist Social Work Practice
	As applies to Preparation in a Specific Area of Social Work Practice such as Child Welfare or Mental Health

35.	Termination: Manages well and understands the principle and process
	As applies to Generalist Practice- pg 16 Student Manual
	As applies to Communication Skills
	As applies to Christian Service- Generallist Social Work Practice
	As applies to Preparation in a Specific Area of Social Work Practice such as Child Welfare or Mental Health

36.	Organization of own workload
	As applies to Generalist Practice- pg 16 Student Manual
	As applies to Social Policies-Service Delivery
	As applies to Leadership in Working with Organization/ Social systems/Communities
	As applies to Preparation in a Specific Area of Social Work Practice such as Child Welfare or Mental Health

37.	Assignments/Recordings: Understands agency requirements and completes tasks
	As applies to Generalist Practice- pg 16 Student Manual
	As applies to Social Policies-Service Delivery
	As applies to Conduct and Apply Research
	As applies to Leadership in Working with Organization/ Social systems/Communities
	As applies to Christian Service- Generallist Social Work Practice
	As applies to Preparation in a Specific Area of Social Work Practice such as Child Welfare or Mental Health

38.	Experience with the agency Personnel
	As applies to Social Policies-Service Delivery

39.	Self-Evaluation: Indicates beginning understanding and ability to evaluate one's own intervention and practice
	As applies to Social Policies-Service Delivery
	As applies to Conduct and Apply Research
	As applies to S.W. Consultation/Supervision

40.	Professional Identity: Shows commitment to the purposes and roles of professional social work
	As applies to Social Policies-Service Delivery
	As applies to S.W. Consultation/Supervision

41.	Social and Economic Justice: Shows commitment to social change, equity and alleviation of human suffering
	As applies to Social Policies-Service Delivery
	As applies to S.W. Consultation/Supervision

42.	Populations-at-risk: Demonstrates appropriate sensitivity to persons and groups who are oppressed and vulnerable
	As applies to Social Policies-Service Delivery
	As applies to S.W. Consultation/Supervision

43.	Personal Appearance
	As applies to Social Policies-Service Delivery
	As applies to S.W. Consultation/Supervision

44.	Dependability
	As applies to Social Policies-Service Delivery
	As applies to S.W. Consultation/Supervision

45.	Self-Expression and Self-Responsibility
	As applies to Social Policies-Service Delivery
	As applies to S.W. Consultation/Supervision

46.	Judgment
	As applies to Social Policies-Service Delivery
	As applies to S.W. Consultation/Supervision

47.	Industry, Health and Vitality
	As applies to Social Policies-Service Delivery
	As applies to S.W. Consultation/Supervision

48.	Adaptability/Flexibility
	As applies to Social Policies-Service Delivery
	As applies to S.W. Consultation/Supervision

49.	Leadership: Potential for leadership
	As applies to Social Policies-Service Delivery
	As applies to S.W. Consultation/Supervision

50.	Success Potential
	As applies to Social Policies-Service Delivery
	As applies to S.W. Consultation/Supervision

51.	Professional Conduct: Demonstrates and understanding of the conduct expected of her/him in agency
	As applies to Social Policies-Service Delivery
	As applies to S.W. Consultation/Supervision
	As applies to Leadership in Working with Organization/ Social systems/Communities
	As applies to Preparation in a Specific Area of Social Work Practice such as Child Welfare or Mental Health

52.	Self-Initiative: Appropriately independent and self-disciplined
	As applies to Social Policies-Service Delivery
	As applies to S.W. Consultation/Supervision

53.	Problem Behavior: Absence of mannerism or behavior that could by construded as deviant or not demonstrative of mental health
	As applies to Social Policies-Service Delivery
	As applies to S.W. Consultation/Supervision

54.	Supervision: Takes initiative in planning for conferences
	As applies to S.W. Consultation/Supervision

55.	Relationship with field instructor
	As applies to S.W. Consultation/Supervision

56.	Professional Identity: Shows commitment to social change, equity and alleviation of human suffering
	As applies to Leadership in Working with Organization/ Social systems/Communities
	As applies to Preparation in a Specific Area of Social Work Practice such as Child Welfare or Mental Health

57.	Maintains the best interest of the client as a primary professional obligation
	As applies to Christian Service- Generallist Social Work Practice

58.	Carries out professional duties and obligations with integrity and objectivity
	As applies to Christian Service- Generallist Social Work Practice

59.	Own Self-Awareness: In relation to Christian values and interaction with clients and colleagues, promotes client self-determination
	As applies to Christian Service- Generallist Social Work Practice

60.	Student exhibits Christian values and service and has completed BYU-Idaho's general education religion requirement
	As applies to Christian Service- Generallist Social Work Practice

61.	Has completed a social work course in child welfare and understands the generalist social work model related to that field of practice
	As applies to Preparation in a Specific Area of Social Work Practice such as Child Welfare or Mental Health

62.	Has completed a social work course in mental health and understands the generalist social work model related to that field of practice
	As applies to Preparation in a Specific Area of Social Work Practice such as Child Welfare or Mental Health

63.	Student develops the knowledge skills and leadership to effectively work with organizations and social systems, and to seek necessary change
	As applies to Preparation in a Specific Area of Social Work Practice such as Child Welfare or Mental Health

64.	Understands mental health and child welfare issues
	As applies to Preparation in a Specific Area of Social Work Practice such as Child Welfare or Mental Health

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