1. Inadequate-No Competence: Does not demonstrate knowledge of social justice issues impacting community systems

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1 Students: PLCO Personal Assessment Questionnaire Student: The Personal Assessment Questionnaire is a tool to help students become aware of the core social work competencies identify strengths areas for professional growth in relationship to these competencies. The attainment of these competencies is evaluated by the demonstration of specific practice behaviors. Students are required to complete the form at the beginning of the field placement expected to share the information with their field instructor. This information will be useful to the student the field instructor in structuring planning the field placement activities. IMPORTANT NOTE: Students are required to complete the form in the first two weeks of the term will not be able to access the Field Educational Plan until this is completed. All items must be complete in order to save once saved, the ratings cannot be changed or edited. INSTRUCTIONS: For each practice behavior there is a description/rubric of each rating level. Try to be fair honest with your rating to help identify areas of learning growth. Competency Demonstrate Ethical Professional Behavior Engage diversity difference in practice Practice Behavior Rubric 1a. Demonstrate advanced capacity for professional practice ethical behavior, navigate related dilemmas complexities : Does not identify limitations; does not demonstrate critical thinking in communication skills; does not seek consultation or supervision Novice - : Identifies limitations; may seek consultation or supervision; may seek consultation or supervision; may include avoidance of/sensitivity to issues or fear of raising ethical concerns : Identifies significant limitations; demonstrates critical thinking in communications; seeks consultation supervision regarding ethical complexities : Identifies limitations uses consultation to integrate feedback; demonstrates critical thinking in communication; seeks consultation supervision applies ethical frameworks : Actively uses consultation supervision; demonstrates critical thinking in all communications; engages in own ethical development as a professional rather than a pre-professional 2a. Demonstrate advanced ability to identify how organizational foundations reflect values beliefs, identify how to revise these foundations to improve equity wellbeing for staff, clients community members : Aware of inequities; does not identify opportunities to improve equity well-being Novice - : Aware of inequities; identifies minor or limited opportunities to improve equity well-being; seeks recommendations from others that would enhance well-being Self-Rating

2 : Applies equity lens to the organization; identifies opportunities to improve equity well-being; makes recommendations that would enhance well-being : Applies equity lens to the organization; seeks out opportunities to improve equity well-being; implements recommendations that enhance well-being : Applies equity lens to the organization; creates opportunities to improve equity well-being; leads revisions that enhance well-being Advance Human Rights Social, Economic, Environmental Justice 3a. Demonstrate, via writing, advanced capacity for professional communications that increases the likelihood for advancing human, social, economic environmental justice : Does not demonstrate knowledge of social justice issues impacting community systems Novice - : Demonstrates limited knowledge of social justice issues impacting community systems; advocates for removal of barriers : Demonstrates knowledge of social justice issues impacting community systems; advocates for removal of barriers with awareness of policy implications : Demonstrates complex knowledge of social justice issues impacting community systems; successfully advocates for removal of barriers with awareness of policy implications : Demonstrates complex knowledge of social justice issues impacting community systems; leads advocacy initiative for removal of barriers with awareness of policy implications Engage In Practiceinformed Research Researchinformed Practice 4a. Demonstrate advanced capacity to conduct research that holds potential to advance equity improve quality of life for marginalized communities : Does not demonstrate the ability to design or conduct research to advance equity Novice - : Designs basic research; demonstrates emerging ability to conduct research to advance equity : Designs research; demonstrates strong ability to conduct research which seeks to advance equity : Designs research which is informed by

3 Engage in Policy Practice 6. Engage with theory; demonstrates strong ability to conduct research which seeks to advance equity : Implements research design which is informed by theory practice to advance equity 5a. Actively engage in public or institutional policy change, ensuring community-identified needs are being addressed : Policy change ideas do not reflect community needs; no engagement in policy changes Novice - : Policy change ideas reflect perceived community needs; limited engagement in policy changes : Policy change ideas accurately reflect community needs; works to implement policy changes : Policy change ideas reflects community needs within outside of organizations; instrumental role in policy changes : Policy change reflects community needs within outside of organizations; leads work in policy changes 6a. Demonstrate advanced levels of constituency engagement, with effective participatory methods empowerment practices, to build responsive human services : Does not demonstrate ability to facilitate community engagement regarding community needs Novice - : Facilitates community engagement with support regarding community needs; minimal ability to inform service delivery : Facilitates community engagement to inform service delivery that identifies responds to community needs : Leads community engagement efforts to inform service delivery that identifies responds to community needs : Effectively creates new opportunities to lead community engagement efforts to inform service delivery that identifies responds to community needs Highly Proficient:

4 7. Assess 8. Intervene with 9. Evaluate Practice with 7a. Demonstrate advanced capacity to underst the needs of communities organizations, with effective abilities to advance equity across an institution : Does not demonstrate understing of community organizational needs Novice - : Demonstrates understing of community organizational needs; demonstrates ability to work to advance equity : Demonstrates accurate understing of community organizational needs; effectively works to advance institutional equity : Leads initiatives to advance institutional equity based on strong understing of community organizational needs : Effectively creates opportunities to advance institutional equity based on sophisticated understing of community organizational needs 8a. Demonstrate advanced capacity to design interventions that are likely to advance community empowerment, culturally responsive organizations improved outcomes for those served by the organization : Does not demonstrate ability to outline an action plan that seeks to advance community empowerment, equity constituency outcomes Novice - : Demonstrates limited ability to outline an action plan that seeks to advance community empowerment, equity desired constituency outcomes : Designs action plan that seeks to advance community empowerment, equity desired constituency outcomes : Effectively builds support for implementing the action plan to advance community empowerment, equity desired constituency outcomes : Implements leads action plan to advance community empowerment, equity, maintain involvement of constituency 9a. Demonstrate advanced ability to assess the effectiveness of public policy or institutional policy practice, including methods for ensuring continuous quality improvement of an organization s policy practice : Does not explain results of advocacy practice

5 Novice - : Limited ability to explain results of advocacy practice : Accurately explains results of advocacy practice understs organization s systematic use of data/information to continuously improve practice : Critically analyzes formulates ideas to assess results of advocacy practice; develops ideas for organization s systematic use of data/information to continuously improve practice : Designs methods to assess results of advocacy practice leads or advocates for institutional implementation of continuous improvement