Dear Michelle Hill,

This email confirms your Field Placement Midterm Evaluation was electronically submitted to
the School of Social Work at Wayne State University.

Please click on the link below to review the Field Placement Midterm Evaluation for Michelle
Hill at Regency on the Lake. Once on the page please click on the Adobe icon in the top right-
hand corner to export to a PDF. Please keep a copy of the PDF report for your records. Students
must retain copies of all field evaluations. The School of Social Work does not maintain copies
after graduation.

Your results were automatically forwarded to your faculty advisor, Kim Shephard, who will
submit the report to the Office of Admissions and Student Services. You do not need to sign any
paper copies or turn anything in to the School. The faculty advisor will turn in the final
documents. Please contact the Office of Field Education (313-577-4446,
field_education@wayne.edu) with any questions.

Thank you,

Office of Field Education
School of Social Work
Wayne State University


Recipient Data:
Time Finished: 2014-02-18 07:23:35
IP: 209.142.215.34
ResponseID: R_3F8XfEkNxF3yhO5
Link to View Results: Click Here
URL to View Results:
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NxF3yhO5


Response Summary:

Please Check One:
BSW WOW

Please check and complete all that apply.
Student has received agency orientation and work space has been assigned.
Student has completed _______hours to date (Enter hours below): -- 199.75
Student is actively engaged in weekly supervision.
Learning Plan has been completed and submitted to the Field Instructor and Faculty Advisor.

Please describe any areas of strength or concern in regard to the students performance and/or the
a...
process recording due in a month

This is the Field Placement Midterm Evaluation for . COMPETENCY AREAS 1 11*
Identify as a professional social worker and conduct oneself accordingly.
PROGRESS
Apply social work ethical principles to guide professional practice.
PROGRESS
Apply critical thinking to inform and communicate professional judgments.
PROGRESS
Engage diversity and difference in practice.
PROGRESS
Advance human rights and social and economic justice.
PROGRESS
Engage in research-informed practice and practice-informed research.
NO OPPORTUNITY
Apply knowledge of human behavior and the social environment.
PROGRESS
Engage in policy practice to advance social and economic well-being and to deliver effective
social work services.
NO OPPORTUNITY
Respond to contexts that shape practice.
NO OPPORTUNITY
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.
NO OPPORTUNITY

This is the Field Placement Midterm Evaluation for . FIELD INSTRUCTOR SECTION
Recommend:
PROGRESS

**Please note: By typing my name below, I certify that I have reviewed the document,
completed my portion and agree with the content.
**Field Instructor( agency- based supervisor): James T. King, LMSW, ACSW
Date 2/18/14

If the student is present, please have them complete this section.STUDENT SECTION
I....
Agree

**Please note: By typing my name below, I certify that I have reviewed the document,
completed my po...
**Student: Michelle Hill
Date 2/18/14

Embedded Data
RecipientEmail regencylake_ss@cienafacilities.com
RecipientFirstName James
RecipientLastName King