The University of Chicago School of Social Service Administration
The University of Chicago School of Social Service Administration
The University of Chicago School of Social Service Administration
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Name <strong>of</strong> Agency _______________________________________ Date __________________________Field Instructor _________________________________________Field Consultant _______________________ _______________________Student _________________________________________________________Field Instructor's Evaluation <strong>of</strong> Field Consultant1. Orientation for the field work instructor regarding Field Consultant’s role and function was clear.1 2 3 4 5Not ClearClear2. Field Consultant served as a bridge between the student, the school and the agency: Interpreted schoolpolicies, procedures, and expectations to the agency; assessed the fit between school curriculum andeducational experiences provided by the agency.1 2 3 4 5NoYes3. Field Consultant was available to the field work instructor for discussion <strong>of</strong> concerns or problems as well asthe improvement and enrichment <strong>of</strong> the placement.1 2 3 4 5Not AvailableAvailable4. Field Consultant contacted me each quarter to discuss student/field issues.[ ] Yes [ ] No5. Field Consultant contacts consisted <strong>of</strong>: [ ] Site Visit (s) [ ] Meeting(s)[ ] E-mail (s) [ ] Phone Contact(s)6. Where problems existed, between the student and field instructor, the Field Consultant was helpful.1 2 3 4 5Not HelpfulVery Helpful________________________________________________________________________Comments: ______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________Field Instructor's Signature