MSW Advanced Clinical Concentration -Student Learning Agreement Walden University -- Barbara Solomon School of Social Work and Human Services --Social Work Program Used with SOCW 6520 and SOCW 6530 Agency Name: Mercy Ardmore Senior Behavioral Health Unit Agency Address: 1011 14th Avenue NW, Ardmore, OK 73401 Student Information Name: Bonita McMorris Walden Email: bonita.mcmorris@waldenu.edu Phone: (443) 250-9950 Academic Term Summer 2019 and Fall 2019 Instructor/Supervisor Information Name: Esperanza Ballenilla, LMSW Email: eballenilla@brightfuturesahead.com Phone: (410) 744-1340 Faculty Liaison Information Agency Info Name: Dr. Nicole Cavanagh Description: Mental Email: Health Agency nicole.cavanagh@mail.waldenu.edu Phone: (803) 604-0121 Course Number SOCW 6520-9 Population Served: Youth, Adolescents (5 y ears to 17 years) and Adults (18 years and older) Proposed Schedule: Mon-Thurs - 8 am to 2 pm (weekends when applicable) Describe what your regular tasks will be at the agency: Behavioral observations, treatment planning, and discharge planning, group work, family consultation, residential resourcing and placements, coordinating continuum of care, psychosocial assessments. Importance of the Learning Agreement Purpose of the Learning Agreement: The learning agreement is designed to ensure students are mindful about the learning expectations in their field placement. It was developed to help students and supervisors/instructors plan a well-rounded experience that will help students meet the learning objectives. Learning Objectives: The Council on Social Work Education (CSWE) requires students gain competency in nine areas of social work practice. These areas of practice are defined as core competencies of the profession. Each core competency requires particular behaviors students should be able to engage and gain competency in. Students should provide examples of activities in the agency they can participate in to help them meet the learning objectives. Some examples of activities are provided. This is not an exhaustive list, so others can be added. Students must have an opportunity to complete tasks in all nine areas of competency. Connection to the Student Evaluation: Not only is the learning agreement a helpful tool to plan the learning goals for the term, but it connects directly to the evaluation points in the student evaluation. Field Instructors/supervisors will be asked to complete student evaluations. Each student is evaluated on the nine core competencies of social work. Having a solid learning agreement aligns the learning goals with the student’s evaluation, so no areas are missed. Instructions Negotiating the Agreement: The learning agreement should be completed by week 3 at the agency. This is a collaborative process, where the field instructor/supervisor and student meet to establish goals for the term. The student will then submit the agreement to the faculty liaison for feedback and comments. Once everyone is happy with the agreement, all parties sign the agreement. During the evaluation session, toward the end of the quarter, the student and instructor/supervisor should meet to discuss progress and challenges with the plan and develop ways to adjust the learning for the remainder of the placement and the next quarter. Form Layout: Each page/grid is devoted to one of the nine Social Work Core Competencies. Students must have experience in all nine competencies. Section Descriptions: Expected Behaviors – the expected behaviors are those that are identified based on the concentration area. These behaviors should be demonstrated by students during the term of the field placement/internship. Agency Activities-These are examples of particular activities that students can do at the agency to demonstrate the expected behaviors. Most of these are general to all settings. However, if they don’t quite match, feel free to add/change these to fit with the context of your agency. Check all activities that apply. Field Course Assignments-These are a few examples of field course assignments that help reinforce the Social Work Core Competencies. Students will be required to complete all field course assignments. How to Complete the Form: a- By week 2, students should complete all student designated sections on the learning agreement and discuss it with their supervisor/instructor. b- By week 3, students should upload the learning agreement to Blackboard for the faculty liaison to review. (Only upload agreements that have been approved by your supervisor/instructor). c- After the faculty liaison reviews and signs the agreement, the student and instructor should sign it. d- After the agreement has been signed, the student will upload it to Meditrek. Learning Agreement Social Work Core Competency 1 – Demonstrate Ethical and Professional Behavior Expected Behaviors – You will be evaluated on these at the end of the quarter Agency Activities to help you achieve the Field Course Assignments – Complete expected behaviors- Check ALL that these in the course when assigned. apply AND add other activities specific to your agency. a- Makes clinically appropriate decisions based on the NASW Code of Ethics, and other local, state, and federal legal statutes and regulations. Adhere to ethical standards outlined by the NASW and other social work organizations b- Identifies and manages personal values to provide clinical service delivery, according to professional values and standards. SOCW 6520 (Field III) Assignments: Self-Assessment Assignment (Week1) Discuss personal values in supervision when they conflict with the values of the profession and adjust practice as needed. Blog post on confidentiality (Week 2) Blog Post safety in field (Week 3) c-Incorporates professional behavior when engaging clients, families, colleagues, and other professionals. Recognize personal triggers that could impede effectiveness with clients. Discuss those triggers with your supervisor. d- Evaluate the ethical and appropriate use technology to facilitate delivery of clinical social work services Discuss case scenarios with my supervisor and faculty liaison that require ethical reasoning. Seek guidance when you experience and ethical dilemma. Blog Post on Supervision (Week 4) Blog on Ethics (Week 5) Use of Self Blog (Week 8) e-Integrates principles of supervision and consultation to guide professional judgment and behavior. f-Demonstrates professional development by identifying the specialized skills and knowledge needed to practice clinical social work. Maintain professional boundaries with clients and others and discuss and potential boundary challenges in supervision. Use professional communication and interaction with clients, colleagues, and others. Recognize your professional responsibility to the client, the profession, and the agency. Adhere to agency polices about technology and record keeping. Discuss with your supervisor any potential ethical challenges that may arise because of the use of technology. Add other activities here: For Student: After reviewing the Agency Activities and Field Course Assignments, describe how these expectations and activities will help you increase competence in ethical and professional behavior. For example, how will you use your strengths, improve knowledge, develop skills, and address any areas you need to improve as a professional (be specific)? After reviewing the Agency activities and field course assignments, I believe that this format will allow for my professional development to not only advocate for my clients but ensure a strong foundation to facilitate sessions following the guidelines of the NASW. Currently, the area I need improvement is on boundaries. This is because it is so hard to feel sorry for what a person Is going through and not try to help as much as you can. For Student: Write two goals that you want to achieve to help you develop as a professional social worker (these goals should address areas of growth and professional development). 1. To use research for my client intervention 2. To promote the dignity of my clients self-worth at all times For Student: Write down any questions you have for your instructor/supervisor or faculty liaison: Question for Instructor: 1. What is the agency position on the therapeutic relationship between the intern and the client? 2. How do you assign caseloads to your interns? Instructor/Supervisor’s Feedback for Evaluation: (To be completed during evaluation). At BFA we believe that our interns should have the opportunity to learn in a hands on person-centered environment for our clients. We typically give a case load of 10 clients for our interns to follow through their internship. We assign caseloads based on the needs of the clients and based on each therapists strengths. Social Work Core Competency 2 – Engage Diversity and Difference in Practice Expected Behaviors – You will be evaluated on these at the end of the quarter Agency Activities to help you achieve the Field Course Assignments – Complete expected behaviors- Check ALL that these in the course when assigned. apply AND add other activities specific to your agency. a-Demonstrates cultural awareness by recognizing and integrating diverse populations’ varying values, culture, norms, and beliefs throughout the therapeutic process. Practice with those who are different from you based on age, SES, color, culture, disability, ethnicity, gender, religion, sexual orientation, etc. b-Demonstrates cultural humility by managing personal biases when partnering with clients. c- Communicates in a culturally responsive way recognizing various community structures, norms, and values. Discuss in supervision and in class the strengths of engaging diversity and the challenges you have when engaging difference. SOCW 6520 (Field III) Assignments: Agency Assignment – describe the population (Week 4) Diversity Blog (Week 7) Engage in self-refection about personal biases related to client population and discuss with supervisor and be able to demonstrate that you can have a personal view and a professional view in practice. Develop a diversity/cultural competency plan that allows you to learn about the cultural needs of client groups and be culturally responsive when communicating with clients. Add other activities here: For Student: After reviewing the Agency Activities and Field Course Assignments, describe how these will help you engage diversity and difference in practice. For example, how will you use your strengths, improve knowledge, develop skills, and address any areas you need to improve as a professional (be specific)? These Agency Activities will help me develop professionally by allowing me to engage with diverse clients and meeting them where they are. This will be accomplished by taking my ego and biases out of the situation and allowing the client to be heard. For Student: Write two goals that you want to achieve to engage diversity and difference in practice (these goals should address areas of growth and professional development). 1. I would like to learn how to write a cultural competency plan. 2. I would like to learn about the role of statistics and how they apply to program development. For Student: Write down any questions you have for your instructor/supervisor or faculty liaison: 1. Will I be able to learn about Corporate Compliance and how it impacts the agency? Instructor/Supervisor’s Feedback for Evaluation: (To be completed during the evaluation). The student will be able to learn each aspect of the agency corporate structure to promote professional development. The student will be able to work with each member of the corporate staff to see how each entity operates. Social Work Core Competency 3- Advance Human Rights and Social, Economic, and Environmental Justice Expected Behaviors – You will be evaluated on these at the end of the quarter Agency Activities to help you achieve the Field Course Assignments – Complete expected behaviors- Check ALL that these in the course when assigned. apply AND add other activities specific to your agency. a-Examines the effects of oppression, discrimination, structural social inequality, and historical trauma on clients/constituents and their systems to guide intervention planning. Identify barriers clients face when accessing services at my agency or at other agencies and discuss during supervision. b- Chooses social work clinical practices that promote human rights and social, economic, and environmental justice. Develop a plan to learn about the effects of oppression, discrimination, inequality, and trauma on clients. Use evidence-based practices that consider the unique challenges clients have when faced with oppression, discrimination, social inequality, and historical trauma. Discuss with supervisor about how social, economic, and environmental factors affect client outcomes. Work with instructor/supervisor to engage advocacy for needs and services for clients. Collaborate with a local or national organization that advocates for your population. Add other activities here: For Student: After reviewing the Agency Activities and Field Course Assignments, describe how these will help you advance human rights and social, economic, and environmental justice. For example, how will you use your strengths, improve knowledge, develop skills, and address any areas you need to improve as a professional (be specific)? I would use the activities and learning from my field placement to assist my clarity in seeing what privilege, racism, and economical factors impact society. I believe this will aid in my development when working with individuals and communities. For Student: Write two goals that you want to achieve to help you advance human rights and justice (these goals should address areas of growth and professional development) 1. I would like to engage with a politician to advocate for clients to promote some type of social change. 2. I would like to learn to write grants for a new program for the agency For Student: Write down any questions you have for your instructor/supervisor or faculty liaison: Instructor: 1. How does your agency partner with other organizations to promote social change? 2. Do you support training of your staff for professional development related to the core competency? Instructor/Supervisor’s Feedback for Evaluation: (To be completed during the evaluation) BFA partners with various community partners to provide a continuum of care for our population. By building these relationships we are able to meet the clients where they are to provide quality services. We provide staff development trainings on-site and off-site for our clinicians for the use of evidenced-based practices for our client to remain current on treatment. Social Work Core Competency 4 – Engage in Practice-Informed Research and Research-Informed Practice Expected Behaviors – You will be evaluated on these at the end of the quarter Agency Activities to help you achieve the Field Course Assignments – Complete expected behaviors- Check ALL that these in the course when assigned. apply AND add other activities specific to your agency. a-. Critically evaluates evidence based and “best Research the evidence-based treatment interventions associated with the context of your agency. SOCW 6520 (Field III) Assignment: Use critical thinking to evaluate the benefits and challenges of the evidence-based interventions used with clients. Discuss your ideas with your supervisor. SOCW6530 (Field IV) Assignment: practice” treatment interventions b- Develops clinical intervention plans based on the best available research and “best practices”. Intervention Treatment Plan Assignment Intervention Treatment Plan Assignment part II Develop treatment plans for clients that are evidence-based. Add other activities here: For Student: After reviewing the Agency Activities and Field Course Assignments, describe how these will help you engage in practice-informed research and research-informed practice. For example, how will you use your strengths, improve knowledge, develop skills, and address any areas you need to improve as a professional (be specific)? After the review of this section of the core competencies I will use my strength in research to explore evidenced based intervention to use for clients progress. This will aid in gaining more knowledge on the best practices available for clients diagnosis. I hope to develop stronger writing skills to write treatment plans for clients to help them promote change. For Student: Write two goals that you want to achieve to help you improve use research in your practice justice (these goals should address areas of growth and professional development). 1. I would like to write a treatment plan based on clients diagnosis. 2. I would like implement treatment plans based on clients needs, strengths and weaknesses. For Student: Write down any questions you have for your instructor/supervisor or faculty liaison: 1. Do you use a treatment planner like Wiley practice planner or the DSM-5 to drive your treatment plans? Instructor/Supervisor’s Feedback for Evaluation: (To be completed during evaluation). Social Work Core Competency- 5- Engage in Policy Practice Expected Behaviors – You will be evaluated on these at the end of the quarter Agency Activities to help you achieve the Field Course Assignments – Complete expected behaviors- Check ALL that these in the course when assigned. apply AND add other activities specific to your agency. a- Critically evaluates and creates awareness SOCW 6520 (Field III) Assignment: about agency and/or government policies and regulations that impact the well-being of clients. Consider policies that affect the lives of your clients and discuss those challenges with your supervisor. b- Applies critical thinking to analyze, formulate, and advocate for policies that support the needs of clients who present for clinical services Use critical thinking to examine the negative impact of policies on clients and advocate when needed. Social Problem/Policy Assignment Explore how social problems are connected to social policy. Agency Funding and Policy Implication Assignment Week 10 focuses on Organizational Policy SOCW6530 (Field IV) Assignment: Explore how agency funding is connected to policy. Add other activities here: For Student: After reviewing the Agency Activities and Field Course Assignments, describe how these will help you engage in policy practice. For example, how will you use your strengths, improve knowledge, develop skills, and address any areas you need to improve as a professional (be specific)? This overview will help me engage in the agency’s policy practice by being on-boarded with the pre-employment process like any other employee although I am an intern who doesn’t receive financial contributions. I had to complete the same agency policy and procedures health and safety, background check, safety plans, etc before I was accepted into the organization. For Student: Write two goals that you want to achieve to engage in policy practice (these goals should address areas of growth and professional development). 1. I would like how to write policy and procedures. 2. I would like to find how various socioeconomic classes navigate mental health due to insurance. For Student: Write down any questions you have for your instructor/supervisor or faculty liaison: N/A Instructor/Supervisor’s Feedback for Evaluation: (To be completed during evaluation) Social Work Core Competency 6- Engage with Individuals, Families, Groups, Organizations, and Communities Expected Behaviors – You will be evaluated on these at the end of the quarter Individuals Uses empathy, reflection, and interpersonal skills to engage diverse clients in the therapeutic process. Families Uses empathy, reflection, interpersonal skills, and knowledge of human behavior and the social environment and family systems to engage with families. Groups a-Uses empathy, reflection, interpersonal skills, and knowledge of group dynamics to engage group members in the group process. b- Engages with inter-professional teams and stakeholders associated with clients' care. Organizations Engages with organizations that provide services, support, advocacy, and resources to support to clients. Agency Activities to help you achieve the Field Course Assignments – Complete expected behaviors – Check ALL that these in the course when assigned. apply AND add other activities specific to your agency. SOCW 6520 (Field III) –First 11 weeks Show care, empathy, and genuineness with clients to initiate therapeutic relationships. Use a strengths-based approach when engaging with individuals, groups, and families. Use active listening and other engagement skills. Consult with organizations to assist with client needs. ☒Engage in professional communication in interprofessional team meetings from the social work perspective. Connect and work with community organizations that provide services related to the clients you serve. Add other engagement activities: Process Recording (Week 5) Process Recording (Week 7) Week 9 focuses on Individual, Family, and Group contexts SOCW6530 (Field IV)- Second 11 weeks Week 1 & Week 2 Focus on Engagement Blog on Engagement (Week 2) Process Recording (Week 3) Communities Identifies and actively participates in opportunities to communicate with community leaders and members about community service gaps for clients. For Student: After reviewing the Agency Activities and Field Course Assignments, describe how you will engage with the following target systems in the context of your agency: Individuals: By using my core social work skills, to include communication, empathy, and interpersonal skills. Families: By using social work skills to promote cohesion in the family to assist as a unit for clients mental health success. Groups: I will engage by meeting the clients where they are and using my core social work skills. I will develop groups with my supervisors guidance. Communities: I would engage by attending, community meeting, attending parent teacher conferences or government round table meetings. Organizations: I would engage by trying to learn the structure of the organization and its impact on clients and community. For Student: Write two goals that you want to achieve to help you develop your engagement skills (these goals should address areas of growth and professional development). 1. Listening effectively 2. Building trust with my clients For Student: Write down any questions you have for your instructor/supervisor or faculty liaison: N/A Instructor/Supervisor’s Feedback for Evaluation: (To be completed during the evaluation) Social Work Core Competency 7-Assess Individuals, Families, Groups, Organizations, and Communities Expected Behaviors – You will be evaluated on these at the end of the quarter Agency Activities to help you achieve the Field Course Assignments – Complete expected behaviors- Check ALL that these in the course when assigned. apply AND add other activities specific to your agency. Individuals a-Conducts clinical assessments that provide information about the biopsychosocial-spiritual needs of clients. b- Uses critical thinking to apply the strengths perspective and theories of human behavior and the social environment when analyzing and interpreting assessment information in a clinical setting. c- Develops mutually agreed-upon evidencebased therapeutic interventions that consider culture, values, and safety. Utilize agency appropriate forms, tools, and processes to complete clinical assessments. Families a- Conducts family assessments to understand family roles, functioning, relationships, resources, and support needs. b- Uses critical thinking to apply theories of family systems when analyzing and interpreting family functioning, support, and dynamics. Groups a-Identifies the professional social work role in inter-professional and supervision group meetings and assesses how that role contributes to the group's purpose. b- Assesses the functioning and needs of professional and/or patient focused groups, and considers the best intervention strategies, based on professional knowledge and ethics. Organizations a-Assesses how the agency’s mission, structure, vision, connect to client outcomes. b- Uses critical thinking to consider the strengths and limitations of therapeutic services provided to clients. Communities SOCW6520 (Field III) – First 11 weeks Process Recording (Week 5) Utilize developmentally, and strengths-based approaches to assessment. Assist clients in developing mutually agreed upon goals and interventions to enhance wellbeing. Assess family functioning, relationships and support needs in the context of the agency’s practice. Work with groups to assess needs and to inform group intervention goals and treatment strategies. Assess ways you can participate in interprofessional and supervision meetings from the social work perspective. Assess how other organizations assist with client needs and where there may be gaps in services. Assess the role the community plays in providing services for your clients (financial, legislative, representative, etc.) Discuss your findings with your supervisor. Add other assessment activities: Week 9 Focus on Individuals, Families, and Groups SOCW 6510 (Field II)- Second 11 weeks SOCW 6530 (Field IV)- Second 11 weeks Week 3 and 4 devoted to the assessment process, with assignments of blogs and process recordings. a-Develops knowledge about community resources, resources, governance, political climate, and initiatives to support mental health b- Uses critical thinking to consider the strengths and limitations of the community and how those impact the functioning of clients For Student: After reviewing the Agency Activities and Field Course Assignments, describe how you will assess the following target systems in the context of your agency: Individuals: I would assess individually unless there is an authorized historian available Families: I would use a genogram during assessment Groups: I would make sure to assess the induvial and let the group be a support for change Organizations: I would use a SWOT analysis to assess their strengths, weaknesses, opportunities and threats Communities: I would use a community needs assessment based on the strengths, needs and culture of the community. For Student: Write two goals that you want to achieve to help you develop your assessment skills (these goals should address areas of growth and professional development). 1. I would like to conduct family session 2. I would like to work with restorative practices with clients For Student: Write down any questions you have for your instructor/supervisor or faculty liaison: 1. Are all psychosocial forms standardized or are they agency specific? Instructor/Supervisor’s Feedback for Evaluation: (To be completed during supervision) Social Work Core Competency 8-Intervene with Individuals, Families, Groups, Communities, and Organizations Expected Behaviors – You will be evaluated on these at the end of the quarter Agency Activities to help you achieve the Field Course Assignments – Complete expected behaviors- Check ALL that these in the course when assigned. apply AND add other activities specific to your agency. SOCW 6520 (Field III) First 11 weeks Individuals a-Implements therapeutic interventions based on the strengths perspective, biopsychosocial needs, and current theories appropriate for the setting and client needs. b- Utilizes appropriate resources and services for clients. c- Promotes effective transitions and endings that incorporate mutually agreed-upon goals. Families a-Implements family interventions based on the strengths perspective, family culture, family systems theory, and evidence-based practice. b- Utilizes appropriate resources, services, and interventions for families. Use agency-appropriate and developmentallyappropriate intervention strategies and techniques. Use relevant prevention strategies with individuals, families, and groups. Explore various evidence-based interventions and discuss those with your supervisor. Intervene with families using appropriate family theories. Explore and utilizes resources to provide holistic care. Talk with supervisor about planning for termination or transitions with clients. Groups Consults with supervisor about ways to be involved in service delivery improvement at the agency. Uses professional ethics, knowledge, and evidence-based interventions in groups. ☒Consults with supervisor about opportunities to be involved in advocacy. Organizations Add other activities here: Participates in opportunities to improve agency/organization service delivery that will support the needs of clients. Communities Week 9 focuses on Individuals, Families, and Groups Discuss with supervisor evidence-based practices used in agency setting SOCW 6530 (Field IV) Second 11 weeks Weeks 5 and 6 focus on intervention with assignments of blogs and process recordings. Week 9 focuses on Termination with clients Explores and actively participates in opportunities to advocate for community services and support mental health services. For Student: After reviewing the Agency Activities and Field Course Assignments, describe how you will intervene with all of the following target systems in the context of your agency: Individuals: Engage with clients on a weekly basis to work on therapeutic goals. Families: I will engage with families on a monthly basis to facilitate family sessions. Groups: I will engage with in a co-facilitation model per agency guidelines. Organizations: I will attend community meeting s which reinforce agency goals. Communities: I will engage by attending community events or assisting with scheduling community activities for clients For Student: Write two goals that you want to achieve to help you apply appropriate intervention strategies (these goals should address areas of growth and professional development). 1. I would like to have more training on the DSM-V with diagnosing and interventions. 2. I would like to have a n open line of communication with my supervisor. For Student: Write down any questions you have for your instructor/supervisor or faculty liaison: Instructor: 1. Do you provide DSM-V training? Instructor/Supervisor’s Feedback for Evaluation: (To be completed during evaluation) Social Work Core Competency 9- Evaluate Practice with Individuals, Families, Groups, Organizations, and Communities Expected Behaviors – You will be evaluated on these at the end of the quarter Agency Activities to help you achieve the Field Course Assignments – Complete expected behaviors- Check ALL that these in the course when assigned. apply AND add other activities specific to your agency. Individuals Evaluates the effectiveness of therapeutic intervention strategies for with individuals Considers the effectiveness of therapeutic interventions and makes changes to treatment plans as needed. Utilizes evaluation data to inform new intervention strategies. Consults with supervisor about treatment plan outcomes to consider potential alternatives. Families Evaluates the effectiveness of intervention strategies used to improve family functioning and support. Utilizes evaluation data to inform new intervention strategies and resources. Groups Evaluates the effectiveness of group related processes. Utilizes evaluation data to inform future group processes. Evaluate the effectiveness of social services provided organizations and communities and advocate where needed. Meet with clients to assess the progress of their goals and make changes in treatment plans as necessary. SOCW 6520 (Field III) First 11 weeks Week 9 focuses on Individuals, Families, and Groups SOCW 6530 (Field IV) Second 11 weeks Weeks 7 and 8 focus on evaluation of client success with assignments of blog posts and process recordings. Participate in data collection, needs assessments, and other research efforts to inform advocacy or awareness initiatives. Add other activities here: Organizations Evaluates the effectiveness of social services and intervention strategies provided by agencies to support clients. Utilizes evaluation data to inform advocacy initiatives to improve services. Communities Evaluates the effectiveness of community services and resources for clients and their families. Utilizes evaluation data to inform advocacy initiatives For Student: After reviewing the Agency Activities and Field Course Assignments, describe how you will evaluate with all of the following target systems in the context of your agency: Individuals: Evaluate the progress of the goals and improved functioning of clients. Families: Evaluate with monthly encounters with family to insure implementation of goals Groups: Evaluate with surveys to track outcomes. Organizations: Evaluate using performance measurements per agency guidelines. Communities: I would use quantitative data collection with closed ended questions like a questionnaire. For Students: Write two goals that you want to achieve to help you understand how to evaluate clients and other systems (these goals should address areas of growth and professional development). 1. I would like to be able to use an assessment to track progress. 2. I would like to participate in the development of psychosocial and treatment plan process. For Students: Write down any questions you have for your instructor/supervisor or faculty liaison: N/A Instructor/Supervisor’s Feedback for Evaluation: (To be completed during evaluation) Signature Page bonita.mcmorris@waldenu.edu Intern _________________________ Faculty Liaison’s Signature Bonita McMorris Printed Name 6/10/2019 Date _______________________________________________ Printed Name Date eballenilla@brightfuturesahead.com Esperanza Ballenilla, LMSW 06/17/19_____ Field Instructor’s Signature Date Printed Name The Field Office accepts e-signatures, so feel free to type in your full name and email as your official signature.
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