University of Alaska Anchorage

Master of Social Work Field Education Program

Mid-Semester Report

This report will be due mid-semester during both the Fall and Spring semesters. The goals of this report are for the student to assess progress toward the Learning Contract objectives, ensure that the student is meeting requirements for hours, and provide an opportunity for discussion about other important aspects of the practicum. This report must be signed by the student, Field Instructor, and, if applicable, by the Agency Supervisor or Representative and submitted by the date outlined in the MSW practicum course syllabus. Please use the following format to complete the Mid-Semester Report.

Student Name:

Field Placement Agency:

Field Instructor:

Agency Supervisor, if applicable:

Date of Report:

Section I

Please review each of your Learning Contract objectives and briefly describe what has been accomplished to date. If it appears that you will be unable to complete aspects of the Learning Contract by the end of the semester, please explain the barriers to attainment. In addition, please suggest specific modifications to the learning contract. such as alternative objectives, tasks or measures, that meet the intent of the one you are unable to accomplish. These substitutions will need to be approved by your field instructor, agency supervisor, if applicable, and faculty liaison. You may copy and paste your Learning Contract into this section of the Mid-Semester Report in order to address each of your objectives and related tasks.

Section II

Please discuss:

1)  A key success or positive experience directly related to your practicum this semester

2)  A key challenge you have experienced this semester

3)  How these experiences have affected your learning, interactions, confidence, or any other aspect of your field placement

4)  Implications of these experiences for your professional social work development

Section III

Please note your cumulative hours for the semester. If you are behind in hours expected by this date, please outline your plan to ensure completion of hours by the end of the semester. It is acceptable to exceed the total number of required practicum hours each semester, however, if you are greatly exceeding required hours (40+) at the mid-term, please discuss your purpose in doing so, how this fits with your Learning Contract objectives and the schedule of field hours agreed upon in the Learning Contract, and your plan for maintaining continuity of service and hours across the semester.

Student Signature & Date

Field Instructor Signature & Date

Agency Representative/Supervisor Signature (if applicable) & Date

2016-2017 Academic Year Mid-Semester Report

A 20 Mid-Semester Report Page 1 of 1 Appendix A: Forms #20