Please fill out the comment section after each scoring it is feedback about the marks given for this evaluation to a student.

1. Understanding of Placement Setting:	4	3	2	1	N/O	N/A
Recognizes & understands placement setting mandate, values, goals, services	x
Knowledgeable of placement setting structure, organizational chart & decision-making process	x
Understands and adheres to setting policies and procedures	x
Identifies the presenting needs of populations served	x
Identifies key community partnerships and community resources		x
Knowledge of ethical guidelines applicable to setting and populations served	x

Comments:

2. Effective Work Related Interpersonal Skills:	4	3	2	1	N/O	N/A
Arrives on time consistently & maintains attendance	x
Plans ahead, sets priorities and organizes workload effectively	x
Demonstrates initiative and reliably completes assigned tasks	x
Is responsive to placement setting norms about clothing, appearance, language etc.	x
Develops effective working relationships with staff	x
Actively seeks feedback on performance and is receptive to feedback from supervisor and/or staff	x
Demonstrates ability to collaborate, consult and problem-solve as an effective member of a team		x

Comments:

3. Ability to develop helping relationship with service users:	4	3	2	1	N/O	N/A
Establishes working relationships that reflect professional code of ethics, standards of practice and setting guidelines	x
Maintains clear and appropriate boundaries between professional and personal relationships	x
Able to develop rapport with service users		x
Demonstrates ability to be respectful, non-judgmental and empathetic	x
Use of active and reflective listening skills		x
	4	3	2	1	N/O	N/A
Use of clarifying, paraphrasing and summarizing skills		x
Appears comfortable interacting with service users	x
Initiates interactions with service users	x
Displays sensitivity and responsiveness to issues of diversity	x
Respects service user right to self-determination	x

Comments:

4. Knowledge and application of effective intake and assessment skills:	4	3	2	1	N/O	N/A
Identifies and understands presenting concerns of service users	x
Able to collect and summarize best practice knowledge about service users (reviews videos, articles, books to enhance understanding)		x
Able to assess needs and strengths of service user or situation utilizing the placement setting guidelines and/or social service approach	x
Identifies and assesses the available placement setting& community resources	x
Demonstrates ability to apply a person-centred or strengths-based assessment approach	x
Effectively sets up a mutual, working agreement with service user or persons served	x
Able to set mutually agreed upon goals with service user	x
Understands and applies eligibility and intake criteria		x
In collaboration with service user advocates, links and refers appropriately		x

Comments:

5. Knowledge and application of effective intervention model(s) and skills:	4	3	2	1	N/O	N/A
Understands the concepts, theories, and information about intervention models/methods pertinent to the placement setting		x
Creates and applies helpful intervention strategies	x
	4	3	2	1	N/O	N/A
Prepares, plans and implements effective plans of action to address service user need within the guidelines of the placement setting	X
Actively seeks consultation, supervision and debriefing regarding work with service users	X
Demonstrates ability to intervene in a manner that promotes service user dignity, right to self-determination, empowerment and capacity building	X
Adheres to the SSW scope of practice	X
Effectively utilizes various informal and formal supports in intervention plans	x

Comments:

6. Able to use an anti-oppressive/anti-racist approach to practice with diverse groups:	4	3	2	1	N/O	N/A
Demonstrates acceptance and respect of diversity and differences	x
Identifies personal, interpersonal and societal barriers that "oppress" or "discriminate" against diverse groups and actively engages in integrating this awareness into practice	x
Demonstrates working knowledge of own social location; the social location of others; the privilege and power that exists as a result of differing social locations and the impact on working relationships with service users; colleagues and community	x
Respects and adheres to Human Rights Legislation and the relevant policies and procedures	x
Demonstrates self awareness of values and/or biases that may impact anti oppressive/anti-racist practices and works to address these	x
Able to implement assessment and intervention plans that respect diversity and incorporate relevant anti oppressive/ anti-racist competent practice		x
Develops effective helping and collegial relationships regardless of ethnicity, race, gender, social & economic level, age, or sexual orientation etc.	x

Comments: ____________________________________________________________

7. Understanding of social issues, social policies and legislation relevant to the setting/placement:	4	3	2	1	N/O	N/A
Identifies and describes the relevant legislation, mandated policies and regulations which may affect service and service users		x
Identifies and describes the presenting problems of individuals, families and communities in the context of the larger structural issues (structural analysis)	x
Describes relevant social problems with a micro, mezzo and macro level of understanding	x
Appropriately contributes to and/or advocates for social change and/or service user rights in collaboration with the service user with a focus on capacity building	x

Comments:

8. Enactment of professional values, ethics and attitudes:	4	3	2	1	N/O	N/A
Personal and professional behaviour is consistent with SSW ethical guidelines & expectations		x
Demonstrates self awareness & commitment to professional development	x
Consistently applies and respects the SSW Code of Ethics & Standards of Practice	x
Regards the welfare of the "service user" as a primary obligation	x
Respects and maintains the confidentiality of service user	x

Comments:

9. Communicate clearly, concisely and professionally using a variety of methods:	4	3	2	1	N/O	N/A
Written reports are accurate and presented in a professional manner		x
Keeps written work/documentation up to date or completes work to meet timelines	x

9. (Cont'd)	4	3	2	1	N/O	N/A
Clearly writes and logically organizes records, reports and correspondence as required		x
Verbal communication skills are clear, respectful and accurate	x
Able to communicate effectively for various audiences and purposes	x

Comments: