Social Work Field Practicum Handbook  This handbook is required reading for all social work field practicum students and explains the social work field practicum portion of the B.S.W. degree program.

Agency Forms and Descriptions 

Agency Field Practicum Application  This form provides a brief description of the agency setting, services, and learning opportunities.  This form is completed by an agency representative and submitted to the Social Work Field Education Director as part of the application for becoming a social work field practicum site. 

Field Instructor Data Sheet  This form provides a brief summary of background information on the designated Field Instructor including education, employment, licensing history, and so forth.  This form is completed by individuals within the agency who are interested in becoming Field Instructors. 

Agency Interview Response Form  This form provides feedback from the agency regarding the prospective social work field practicum students’ initial interviews.  This form is completed by the Field Instructor and/or agency administrator who conducted the initial interview and submitted to the Social Work Field Education Director following the interview. 

Field Practicum Student Evaluation  This form provides the Field Instructor’s mid-term and final evaluation of the social work field practicum student.  This form is completed by the Field Instructor, discussed with the student and submitted to the Social Work Field Education Director. 

Field Instructor’s Evaluation of Program  This form provides the UAM Department of Social Work with feedback and input regarding the Social Work Field Education Program.  This form is completed by the Field Instructor and submitted to the Social Work Field Education Director at the end of each student’s field practicum experience. 

Field Education Director’s Evaluation of Field Agency This form provides feedback and input to the agency regarding placement.  This form is completed by the Social Work Field Education Director and submitted to the agency at the end of each student’s field practicum experience. 

Student Forms and Descriptions 

Student Field Practicum Application  This form provides background information on prospective social work field practicum students including biographical information, education and work history, areas of interest regarding preferred practice setting, and so forth.  This form is completed by the student and submitted to the Social Work Field Education Director. 

Student Interview Response Form  This form provides feedback from the student regarding their initial interview with their prospective social work field practicum placement site.  This form is completed by the student and submitted to the Social Work Field Education Director following the interview. 

Field Practicum Learning Plan  This form provides the required learning competencies, goals, and objectives students will be expected to meet during the social work field practicum.  This form is completed by the student with assistance from the Field Instructor and submitted to the Social Work Field Education Director during the second week of each field practicum course. 

Field Practicum Time Sheet and Analysis  This form provides an account of social work field practicum hours worked as well as how those hours were spent.  This form is completed by the student, reviewed and signed by the Field Instructor, and submitted to the Social Work Field Education Director on a weekly basis. 

Student Evaluation of Practicum Placement  This form provides the UAM Department of Social Work with feedback and input regarding the student’s experience in the social work field practicum site.  This form is completed by the student and submitted to the Social Work Field Education Director at the end of each student’s field practicum experience.