ࡱ> /1.U bjbjnn *aaja 8H Tppppp___$: 9_____9ppNCCC_RppC_CCp>=NMd0 3  D__C_____99C_______ _________ > :  Student:___________________________________ Field Instructor:_____________________________ Faculty Liaison:____________________________ Agency: ____________________________________ Type of visit:___Site Visit ___Phone contact ___Office Mtg. Date:________________________ Please use the following check-off list to document issues/areas discussed: __Appropriate Supervision (2hours per week) __Work with issues re: diversity __Work with oppressed/disenfranchised populations __Work re: social/economic justice __Macro systems activities __Micro systems activities __Work involving generalist perspective __Appropriateness of workload __Research project (MSW II) __Organizing Project (MSW I) __Ethical Issues in Field __Social Action Group Work (BSW) Please document answers to the following questions: Are there any problems with the student/field instructor supervisory relationship? __Yes* (if so, explain below) __No Are there any problems with the agency and its ability to meet student needs and/or curriculum requirements? __Yes* (if so, explain below) __No Do you have any concerns about safety protocols in this placement? __Yes* (if so, explain below) __No Do you have any reservations about this students continuation in this placement? __Yes* (if so, explain below) __No ______________________________________________________________________________ ____________________________________________________________________________________________________________________________________________________________ A Problem in Field report should be completed when significant problems exist concerning the students learning needs, the agency, or the field supervisor/student relationship. If you have concerns or reservations regarding this placement and/or field instructor please convey them to the Director of Field Education. Revised 3/2018     18JAV School of Social Work Faculty Field Liaison Site Visit Report \I ) * + +YZ[ijkmnpqstv~h Yh Y5CJOJQJh YCJOJQJh>yjh>yUh#Sh#SCJaJh#SCJaJhs h`#h`#5>*CJOJQJh`#5OJQJh Y5CJOJQJh5CJOJQJh`#CJOJQJh`#5CJOJQJ\]  a b   A B   <  & Fgd`#gd`#gd`#$a$gd`# # $ I J   * + z Z[jlmoprgd Y & Fgdgdgd`# & Fgd`#rsuvgd`#$a$gd Ygd Ygd Y(/ =!"#$%  s666666666vvvvvvvvv666666>6666666666666666666666666666666666666666666666666hH66666666666666666666666666666666666666666666666666666666666666666p62&6FVfv2(&6FVfv&6FVfv&6FVfv&6FVfv&6FVfv&6FVfv8XV~ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ OJPJQJ_HmH nH sH tH H`H `#Normal CJOJPJQJ_HmH sH tH 8@8 `# Heading 1$@&5^^  Y Heading 2$$(@&!B*CJOJPJQJ^JaJph.tDA D Default Paragraph FontRiR 0 Table Normal4 l4a (k ( 0No List P/P `#Heading 1 Char5CJOJPJQJ^JaJ.>@. `#Titlea$5H/H `# Title Char5CJOJPJQJ^JaJV/!V  YHeading 2 Char!B*CJOJPJQJ^JaJph.t4@24  Y0Header H$F/AF  Y0 Header CharCJOJPJQJ^JaJ4 R4  Y0Footer H$F/aF  Y0 Footer CharCJOJPJQJ^JaJHrH  Y0 Balloon TextCJOJQJ^JaJR/R  Y0Balloon Text CharCJOJPJQJ^JaJPK![Content_Types].xmlN0EH-J@%ǎǢ|ș$زULTB l,3;rØJB+$G]7O٭VvnB`2ǃ,!"E3p#9GQd; H xuv 0F[,F᚜K sO'3w #vfSVbsؠyX p5veuw 1z@ l,i!b I jZ2|9L$Z15xl.(zm${d:\@'23œln$^-@^i?D&|#td!6lġB"&63yy@t!HjpU*yeXry3~{s:FXI O5Y[Y!}S˪.7bd|n]671. tn/w/+[t6}PsںsL. J;̊iN $AI)t2 Lmx:(}\-i*xQCJuWl'QyI@ھ m2DBAR4 w¢naQ`ԲɁ W=0#xBdT/.3-F>bYL%׭˓KK 6HhfPQ=h)GBms]_Ԡ'CZѨys v@c])h7Jهic?FS.NP$ e&\Ӏ+I "'%QÕ@c![paAV.9Hd<ӮHVX*%A{Yr Aբ pxSL9":3U5U NC(p%u@;[d`4)]t#9M4W=P5*f̰lk<_X-C wT%Ժ}B% Y,] A̠&oʰŨ; \lc`|,bUvPK! ѐ'theme/theme/_rels/themeManager.xml.relsM 0wooӺ&݈Э5 6?$Q ,.aic21h:qm@RN;d`o7gK(M&$R(.1r'JЊT8V"AȻHu}|$b{P8g/]QAsم(#L[PK-![Content_Types].xmlPK-!֧6 0_rels/.relsPK-!kytheme/theme/themeManager.xmlPK-!R%theme/theme/theme1.xmlPK-! ѐ' theme/theme/_rels/themeManager.xml.relsPK]  `````c r L# @0(  B S  ?jlmoprsuv en"jlmoprsuv33333ZJPs h^h`.JPs s IkJ#S Y>y/O:`#jl@iiii@UnknownG*Ax Times New Roman5Symbol3. *Cx ArialA.Arial Narrow7.@CalibriC.,{ @Calibri Light9& ")Segoe UIACambria Math"qh;cg;cgagO O !20ggKHP  $P`#2!xxqwd" Riccio-Pavelko, Jacqueline A.Riccio-Pavelko, Jacqueline A. Oh+'0 0< \ h t  Riccio-Pavelko, Jacqueline A.Normal Riccio-Pavelko, Jacqueline A.5Microsoft Office Word@ @[@F8L@2MO՜.+,0 hp|   g  Title  !"#$%'()*+,-0Root Entry F UENM21Table WordDocument*SummaryInformation(DocumentSummaryInformation8&CompObjr  F Microsoft Word 97-2003 Document MSWordDocWord.Document.89q