<p> University of Wisconsin-Milwaukee The Helen Bader School of Social Welfare Social Work Field Education Program</p><p>MSW PERFORMANCE-BASED LEARNING PLAN </p><p>Field Course (please check): 721 722 821 822 921 </p><p>Student Name: Student ID </p><p>Agency </p><p>Agency Address Agency Department/Room Number </p><p>Agency Phone Agency Fax </p><p>Agency Field Instructor Field Instructor Email University Field Liaison (select) Barkei, Johanna</p><p>Semester Fall Spring Summer</p><p>Weekly Schedule @ Agency: </p><p>Monday Tuesday Wednesday Thursday Friday Saturday Sunday</p><p>Field Semester at this Agency: 1st 2nd 3rd 4th </p><p>Student will begin this semester on and end this semester on (date) (date) (*Please consult with assigned Field Liaison if dates vary from those designated on UWM Semester Calendar)</p><p>Weekly supervision day and time: (The school requires scheduling a minimum of one-hour of individual supervision per week.) Page 2 of 3 –MSW Performance-Based Learning Plan</p><p>Group supervision time (if applicable): </p><p>Mid-Term Evaluation Due Date 721/722 at 130 completed hours; 821/822 at 160 completed hours) (fill in date due)</p><p>Final Evaluation Due Date 721/722 at 260 completed hours; 821/822 at 320 completed hours) (fill in date due)</p><p>INSTRUCTIONS</p><p>The Learning Plan identifies the learning objectives mutually agreed upon between the student and Field Instructor at the beginning of each semester. This plan should serve as a map for the student’s learning experiences and expected performance for the semester. You should be as specific as possible when developing the learning plan, and amend the plan as necessary throughout the semester. The plan should be developed in conjunction with the field education course objectives located on the field website. http://uwm.edu/socialwelfare/mswpost-msw-field-program/ </p><p>The following table identifies the primary learning objective categories for the field education course. More detailed information related to each objective is located on the Field Department website located at the above-referenced weblink. On the table below identify your learning activities for the semester. The evaluation criteria utilized for the evaluation of student performance at mid-term and end of the semester are consistent with the social work objectives for this course.</p><p>Learning Objective Categories Agency responsibilities, duties and Written Assignments (assignments expectations that address the totaling 5 points submitted to Field Learning Objectives Instructor for discussion in supervision and submitted to the Field Liaison; ½ of field assignments due to Field Liaison by mid-term) Select from the Assignment List http://uwm.edu/socialwelfare/field-assignments/ Students do not have to have assignments listed for every objective category. 1) Professional Identity 2) Ethical Practice 3) Diversity in Practice 4) Human Rights and Justice 5) Research-Based Practice Page 3 of 3 –MSW Performance-Based Learning Plan</p><p>Learning Objective Categories Agency responsibilities, duties and Written Assignments (assignments expectations that address the totaling 5 points submitted to Field Learning Objectives Instructor for discussion in supervision and submitted to the Field Liaison; ½ of field assignments due to Field Liaison by mid-term) 6) Policy Practice 7) Practice Contexts 8) Social Work Practice </p><p>Date:</p><p>Student’s Signature:</p><p>Field Instructor’s Signature:</p><p>Field Liaison Signature (for major assignment):</p>