SECTION 1: DEMOGRAPHIC QUESTIONS - Home | Stockton …



Field Instructor Evaluation of the ProgramStockton University Social Work Program201_-201_Instructions: Your help in assessing the quality of field education for Stockton University Social Work Program Students (Juniors and Seniors) would be appreciated. We sincerely appreciate your commitment and partnership in the best interest of social work education. Please return completed form by _________SECTION 1: DEMOGRAPHIC QUESTIONSHow many students did you provide field instruction to during this past academic year?______________How many years have you been a field instructor for Stockton University?______________How many Stockton University field instructor trainings have you attended?______________Are you SIFI (Seminar in Field Instruction) certified through Stockton or another Social Work Program? Yes _____ No _____How many times did the field liaison (either Douglas Deane, Hilda Rivera or Christine Lill) visit your site? ________How many times did the field liaison telephone or e-mail you to discuss the student’s performance? _____________ FORMCHECKBOX BSW FORMCHECKBOX MSW FORMCHECKBOX PhD FORMCHECKBOX Other: ____________________ FORMCHECKBOX CSW FORMCHECKBOX LSW FORMCHECKBOX LCSW FORMCHECKBOX Other: ____________________Please indicate all the degrees 8) Please indicate all of the certifications that you have been awarded that you have been awarded Instructions: Select only one numbered response for each statement.Strongly DisagreeDisagreeNeutralAgreeStrongly AgreeSECTION 2: ASSESSMENT QUESTIONS123459I am interested in obtaining a SIFI certificate FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX 10I am interested in attending our field instructor orientation and training? (18 Free CEUs offered every summer) FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX 11The student intern was adequately prepared to begin the field experience FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX 12The student intern received an orientation to the agency FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX 13The student intern was provided with regular and consistent supervision FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX 14The student’s performance, attendance, attitude toward the field experience was at the level expected of an intern FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX 15I was provided with sufficient material to understand the goals and objectives of the Social Work program FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX 16I was prepared to understand the social work program’s practice behaviors and competency areas FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX 17I understand how the field curriculum relates to the practice behaviors and competency areas FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX 18I was able to assist the student in connecting actual agency activities and experiences with the behaviors and competencies? FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX 19The contacts I had with the field liaison were helpful. FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX 20The field manual was a helpful resource. FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX 21I am willing to continue as a field instructor for the social work program FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX SECTION 3: COMMENTS22) What were some of the things you liked the most about the field experience? ___________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________23) What suggestions do you have to strengthen the field experience? ____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________23) Is there anything our field liaison could do to help you make the field experience more successful?__________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ Instructions: This section of the evaluation form is focused on investigating the effectiveness of the junior field placement experience, and how well it prepares students for the senior field placement experience. Under the old model, students were expected to intern at a field agency for 90 hours. Under the new model, students complete more coursework that exposes them to the expectations of field, with fewer hours spent in the field. Please respond to the following items concerning your perceptions of these two different field modelsStrongly DisagreeDisagreeNeutralAgreeStrongly AgreeSECTION 4: THE JUNIOR FIELD PLACEMENT1234524I am satisfied with the old junior field model, where students were expected to work at a field agency for 90 hours FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX 25I believe the old junior field model adequately prepared students for their senior field placement FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX 26I am satisfied with the newer field model, where students complete more coursework that exposes them to the expectations of field, with fewer hours spent in the field FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX 27I believe the newer junior field model adequately prepared students for their senior field placement FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX 28If you prefer the old model, would you be able to accommodate a 90-hour junior field placement? FORMCHECKBOX Yes FORMCHECKBOX NoYou can email the completed form back to Douglas.Deane@Stockton.edu or mail to or submit on TK20 per instructions and link provided:Stockton UniversitySOBL-Douglas Deane101 Vera King Farris DriveGalloway, NJ 08205 ................
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