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					CALIFORNIA STATE UNIVERSITY, EAST BAY                  DEPARTMENT OF SOCIOLOGY & SOCIAL SERVICES
UNDERGRADUATE FIELD MANUAL                                                              2011-2012




     C A L I F O R N I A S T A T E UNIVERSITY EAST BAY




                          FIELD
                         MANUAL
                                             FOR THE


                   Bachelors of Arts in Sociology

             Social Services Option
   DEPARTMENT of SOCIOLOGY & SOCIAL SERVICES



                               25800 Carlos Bee Boulevard
                                   Hayward, CA 94542

                          Main Office: Meiklejohn Hall 3095
                                        www.csueastbay.edu
                                          (510) 885-3173
                                        FAX: (510) 885-2390
                             Social Service Option Webpage
         https://sites.google.com/a/csueastbay.edu/sso/



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CALIFORNIA STATE UNIVERSITY, EAST BAY                               DEPARTMENT OF SOCIOLOGY & SOCIAL SERVICES
UNDERGRADUATE FIELD MANUAL                                                                           2011-2012




                                               TABLE OF CONTENTS
Welcome……………………………………………………………………………………………………………………...3
       Contact Information
Purpose of Manual…………………………………………………………………………………………………………..4
The Evolution of Field Instruction……………………………………………………………………………………..……4

Social Services, Social Work, & Social Welfare…………………………………………………….………..………......5
Department of Sociology & Social Services…………………………………………………………………..………......5
       Sociology Degree Description
       Social Service Option Major Requirements
                Soc 4718 Field Practicum Eligibility Requirements and Prerequisites
                Special Notes

Structure of Field …………………………………………………………………………………………………………….6
         Objectives
         Responsibilities and Roles
                   CSUEB Social Service Option Coordinator Responsibilities
                   Field Agency Responsibilities
                   Agency Field Instructor Responsibilities
                   Student Responsibilities
Field Competencies and Tasks …………………………………………………………………………………………...9
The Learning Agreement………………………………………………………………………………………………….10
Evaluation & Grading………………………………………………............................................................................11
         Performance Evaluation
         Grading
                 Unsatisfactory Field Grades
                 Incomplete Grade in Field
                 Field Placement Terminations
Securing a Placement…………………………………….……………………………………………………………….13
Restrictions on Intern Duties………………………………………………….………………………………….………..13
Appendices …………………………………………………………………………………………………………………14
         2011-2012 Field Calendar
         Field Placement Questionnaire
         Internship Confirmation Form
         Learning Agreement
         Sample Learning Agreement
         Journal Entry Form
         Student’s Evaluation of Field Placement
         Hour Log
         Field Instructor’s Evaluation of Student Performance
         Agency Fact Sheet
         Service Learning Form
         Social Services Option Major Checklist
         Sociology & Social Services Department Faculty & Staff


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CALIFORNIA STATE UNIVERSITY, EAST BAY                            DEPARTMENT OF SOCIOLOGY & SOCIAL SERVICES
UNDERGRADUATE FIELD MANUAL                                                                        2011-2012


                                                   WELCOME

The Department of Sociology and Social Services welcomes you to its Social Service Option (SSO) Field
program, commonly known as ―field‖, ―practicum‖ or ―an internship‖. Interns participate in an experience
that applies classroom learning to agency settings, in an ―agency – university‖ tradition that dates back to
19th Century social work practice. Students gain a unique opportunity to explore their interests in working
with specific populations.
To facilitate the process of securing placements, SSO seniors enroll in SOC4716, Social Work
Theory and Methods, which is only offered in the fall quarter. Part of this course introduces students to
field procedures and this Field Manual. The manual is available on the CSUEB Sociology and Social
Services Department website ( http://class.csueastbay.edu/sociology/Home_Page.php ). In the senior
winter and spring quarters, students complete the SSO internship. Typically, students declare the SSO as
their sociology focus in the junior year, if not before, so they are ready to undertake the senior SSO
field/internship sequence.
The Field Manual describes the SSO internship component and includes all of the necessary forms for
students and agency field instructors (FI). It is very important for students to complete requested forms, as
failure to submit paperwork in a timely manner may preclude the student from participation in the field
program or obtaining course credit.
The student, in consultation with the SSO Coordinator and the SOC 4716 instructor, will consider potential
placements and is required to have an internship placement PRIOR to the commencement of the winter
quarter. While it is the responsibility of the Coordinator to assist students in their search for internships, the
student is responsible for contacting agencies and setting up meetings with potential FIs. Students must
have a working, accessible email account prior to starting field.
Field internships can be many things – exhilarating, challenging, inspiring, exhaustive, and fun. We wish
interns and FIs a wonderful, rewarding social service learning experience.
Sincerely,


Holly Vugia, PhD, LCSW, PPSC
Social Services Option Coordinator
CSUEB, Department of Sociology and Social Services
Contact Information:
CSUEB Department of Sociology & Social Services               Will Johnson, PhD, Assistant Professor
25800 Carlos Bee Blvd., Hayward, CA 94542                     Social Services Option
www.csueastbay.edu                                            will.johnson@csueastbay.edu
(510) 885-3173 FAX: (510) 885-2390                            (510) 885-3186, MI 3101
Holly Vugia, Assistant Professor
Social Services Option Coordinator
holly.vugia@csueastbay.edu
(510) 885-2121, MI 3066




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CALIFORNIA STATE UNIVERSITY, EAST BAY                           DEPARTMENT OF SOCIOLOGY & SOCIAL SERVICES
UNDERGRADUATE FIELD MANUAL                                                                       2011-2012


                                          PURPOSE OF MANUAL
This manual serves as a guide to the CSUEB SSO Field Program. Policies and procedures are based on
the Department’s Student Service Learning Program philosophy and the University Service Learning
Center standards. This manual includes an overview of field instruction, the curriculum, procedures, and
policies, as well as appendices with relevant forms (items in red font can be found in the Appendices).
                                   THE EVOLUTION OF FIELD EDUCATION
Direct experience in social agencies has been a central feature of social work and social service education
from its inception. In fact, the academic facet of social work began as a supplement to apprenticeship in
social agencies. The first academic social work program was a six-week summer institute for social service
volunteers sponsored by the New York Charity Organization Society (COS) in 1889. The institute featured
agency internships with a few supporting lectures, and later expanded to a one-year program called the
New York School of Philanthropy. By 1910, it was a two-year program called the New York School of Social
Work. Today, its successor is the Columbia University School of Social Work.
Many helping professions gradually transferred the responsibility of education from practice settings to
formal educational institutions. A formal, standardized educational structure often replaced the
apprenticeship model of learning. While social work education developed a strong academic structure, it did
not consign field experience to the last phase of formal training. Instead, social work educators were early
defenders of experiential education, seeing field as a concurrent adjunct to classroom instruction.
The responsibilities of social work departments within academic institutions have expanded to include:
imparting basic knowledge; preparing students for placement; and helping students connect field
experiences with classroom education. Thus, field serves a vital function for students allowing them to:
         1. Develop practice skills by applying classroom knowledge to real-life situations;
         2. Determine which evidence-based approaches work in practice and how they must be adapted
            to specific situations;
         3. Identify personal learning gaps for further study and training;
         4. Gain access to practical information that is difficult to experience in courses, books and
            journals;
         5. Develop skills in agency-based social work in an effort to understand professional practice in
            an organizational context and under professional supervision;
         6. Begin exposure to and practice with diverse populations with diverse needs;
         7. Formulate an initial professional identity and understand the use of self in practice; and
         8. Clarify career interests and objectives
The Conceptual Basis of Field
The history of social work education mirrors the history of the profession – both experiencing periods of
expansion and retrenchment or reduction. Field education is resilient and has withstood the cyclical periods
effecting social service professionals, agencies, and educators. This resilience stems from a sound
foundation and fundamental value that direct experience is necessary for the acquisition and integration of
knowledge and skills.
Conceptualizing social work students as adult learners who benefit from the application of ―ideas–to–real–
life situations‖ fits well with current societal realities. Present-day social work students tend to be older and
more experienced than students from earlier decades. Furthermore, the field has become more
demanding, more diverse, and more specialized. Field programs, in turn, have become more individualized
and flexible.


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CALIFORNIA STATE UNIVERSITY, EAST BAY                            DEPARTMENT OF SOCIOLOGY & SOCIAL SERVICES
UNDERGRADUATE FIELD MANUAL                                                                        2011-2012


Today’s field programs must respond to agency demands with fewer training resources while serving
clients with greater needs. Furthermore, students have increasing specific interests and competing
demands in their lives. The continued vitality of the field’s learning process and its ability to adapt is central
to why students consider field to be an important component of their social work education.

                         SOCIAL SERVICES, SOCIAL WORK, & SOCIAL WELFARE
At CSUEB, the undergraduate course of study in social services is housed in the Sociology and Social
Services Department. Students graduate with a BA in Sociology, Social Services Option. Students are
grounded in sociological theory and research, while learning social work practice skills. The program has a
broader focus than Bachelor of Social Work (BSW) degrees, which focus more specifically on the social
work profession. BSW degrees are regulated by the Council on Social Work Education (CSWE), which
requires adherence to its curricula components. The SSO and the BSW degrees each have their own
advantages. The SSO provides the student with a bit more flexibility in designing an undergraduate
program. It has a social work practice and sociological theoretical basis that enables the graduate to enter
direct practice positions in social work, social services, and human services, or continue on to various
graduate degrees. In general, social work can be conceptualized as a professional practice area in the
broader field of social services; social welfare is the study of current, pressing social problems.
             DEPARTMENT OF SOCIOLOGY & SOCIAL SERVICES DEGREE REQUIREMENTS
Sociology Degree Description
CSUEB offers a major in Sociology that leads to a Bachelor’s of Arts (BA) degree which requires a total of
180 units. The major contains two options:
    1. Sociology Option: This option is designed for students with career interests in the public sector or
        business, often associated with applied social research; or for students who plan to pursue
        graduate degrees in law, public administration, sociology, anthropology, public policy, etc.
    2. Social Services Option: This option prepares students for generalist practice in a social service
       agency; or for graduate education in social work, counseling, public administration and
       management, among others. The SSO entails a fulfillment of course requirements, in addition to an
       internship.
Field internships are only offered to students in the Social Services Option.
SSO Major Requirements (see Major Requirement Checklist in Appendix)
I. Lower Division (4 units)  SOC 1000: Introduction to Sociology (4), or 1 of 1001, 1002, 2001, or 2002)
II. Upper Division (52 units)
         CORE REQUIREMENTS
         □ SOC 3310: Sociological Theory (4)
         □ SOC 4111: Methods of Sociological Research I (4)
         □ SOC 4112: Methods of Sociological Research II (4)
          SSO REQUIREMENTS (40 units)
         □    SOC 3425: Prejudice & Discrimination (4) or SOC 3520: Sociology of Minority Groups
         □    SOC 3700: Introduction to Social Services (4)
         □    SOC 3710: Social Policy (4)
         □    SOC 3720: Human Behavior in the Social Environment (4)


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CALIFORNIA STATE UNIVERSITY, EAST BAY                         DEPARTMENT OF SOCIOLOGY & SOCIAL SERVICES
UNDERGRADUATE FIELD MANUAL                                                                     2011-2012


         □    SOC 4716: Social Work Theories & Methods (4) Senior Year Fall Quarter
         □    SOC 4718: Field Practicum (4) Senior Year Winter Quarter
         □    SOC 4719: Field Practicum Seminar (2) Senior Year Winter Quarter
         □    SOC 4718: Field Practicum (4) Senior Year Spring Quarter
         □    SOC 4719: Field Practicum Seminar (2) Senior Year Spring Quarter
         □    Electives: 8 units from upper division Sociology Courses (up to 8 units of upper division
              statistics courses, selected under advisement may be counted as Sociology electives) (8)
III. Courses in Supporting Fields (5-17 units)
         □ STAT 1000 Elements of Probability and Statistics (5)
         □ Option Electives (0-12)
*Soc 4718 Field Practicum Eligibility Requirements and Prerequisites
   □ Open to SSO majors only
   □ Prerequisite: SOC 3700: Introduction to Social Services
   □ Prerequisite: SOC 4716: Social Work Theories & Methods
   □ Senior-level standing (completion of at least 135 units of upper-division coursework)
   □ Co-requisite SOC 4719: Field Practicum Seminar
Special Notes
   SOC 3700 and 4716 must be completed before starting field practicum
   Field Practicum (4718) requires that students spend 120 hours per quarter in placement (12 hours
       per week per 10 week quarter) for a total of 240 hours
   Students remain in the same social service agency for both quarters
   Students must enroll in SOC 4719 concurrently with 4718 for both quarters
   Grades are credit / no credit for SOC 4718
   Students must have a working email before starting field
   SOC 4719 Field Practicum Seminar is a weekly or biweekly (depending on enrollment) process
       course designed to facilitate field learning. The seminar allows interns to clarify issues that arise
       on-site and assist one another in working through challenging situations. The seminar provides
       ongoing faculty/intern communication and problem-solving as students gain professional, applied
       experience. This class is taken on a letter-grade basis.
   Based on Social Service Option Coordinator approval, some students may start field early (fall
       quarter), if the agency needs this accommodation.
                                          STRUCTURE OF FIELD
Objectives
The main objectives of the SSO field experience are to:
   Facilitate an understanding of the professional roles and functions of social workers and other social
    service workers;
   Provide an introduction to mainstream, agency-based social work;
   Provide student opportunities to develop generalist practice skills by applying theoretical and
    conceptual knowledge acquired in classes to real-life experiences in agency-settings; and
   Expose students to the organizational structure and workings of agencies through first-hand
    experience.



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CALIFORNIA STATE UNIVERSITY, EAST BAY                          DEPARTMENT OF SOCIOLOGY & SOCIAL SERVICES
UNDERGRADUATE FIELD MANUAL                                                                      2011-2012


Responsibilities and Roles
   CSUEB SSO Coordinator Responsibilities: In consultation with the Department Chair, the SSO
Coordinator is responsible for:
1.    Overseeing/managing the entire field program;
2.    Implementing principles of student conduct to ensure that agency expectations are being met;
3.    Serving as a direct liaison between agencies and CSUEB;
4.    Supporting all parties (e.g., interns, agencies) in their respective roles;
5.    Ensuring that students’ educational needs are being met;
6.    Maintaining knowledge of policy and practice changes;
7.    Developing and recruiting field placement agencies;
8.    Creating an environment conducive to mutually beneficial experiences for interns, agencies, and
      clients;
9.    Orienting and supporting agency-based personnel;
10.   Teaching field seminars;;
11.   Supporting the development of student learning agreements in conjunction with students and agency
      FIs;
12.   Maintaining regular contact with agency FIs and students in order to support the field instruction
      process; and
13.   Mediating issues arising between students and their respective agencies.
    Field Agency Responsibilities: In the University Service Learning Program, agencies are referred to
as ―Community Partners.‖ The Service Learning website offers a great deal of information for agencies and
FIs http://www.csueastbay.edu/service_learning/ . Of particular interest are the Community Partner
Handbook and a section on Working with Students. Specific responsibilities of agencies are to:
1.    Identify a BA level employee, preferably with 2 years experience, to supervise interns;
2.    Provide needed support and time for this employee to provide supervision;
3.    Provide adequate work space, materials, and transportation cost to complete agency work;
4.    Provide liability coverage for the student while fulfilling volunteer duties; and
5.    Provide opportunities for students to work with diverse populations.

The following criteria guide the selection of agency FIs:
1. Entry-level training in social work or related field is a must, with a preferred minimum BA level training
   with 2 years of experience;
2. Knowledge of agency policies and procedures, and its relationship to the community;
3. Willingness to participate in training and other field events,
4. Commitment to work with the SSO Coordinator/Representative throughout the entire process of field
   education;
5. Patience, openness, and an enthusiastic attitude toward supervision of students and reciprocal
   learning;
6. Ability to give strength-based, constructive guidance to students, and
7. Sensitivity to the cultural, professional, and personal challenges of student life.

    Agency Field Instructor (FI) Responsibilities: The agency FI fulfills a crucial role in the SSO.
Without this essential role, students would not have a supervisor and mentor to guide their experiential


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CALIFORNIA STATE UNIVERSITY, EAST BAY                           DEPARTMENT OF SOCIOLOGY & SOCIAL SERVICES
UNDERGRADUATE FIELD MANUAL                                                                       2011-2012


learning. The value of the FI and agency’s commitment cannot be stressed enough. The FI provides
practice, administrative, and educational supervision. Hence, the relationship between the student and FI is
critical to student learning.
The following are FI responsibilities:
1. Interview prospective interns, giving the student and SSO representative feedback regarding the
    appropriateness of the placement match;
2. Assist the student in the development of a Learning Agreement by the end of the second week of the
    winter quarter;
3. Devote a minimum of 1 hour per week to direct individual or group supervision of the student;
4. Provide students with ongoing strength-based, constructive feedback, using clear examples;
5. Orient the student to the agency. Orientation should cover the following, if appropriate to the agency
    and placement:
          a. Agency or program mission;
          b. Client population(s) served;
          c. Organizational structure of the agency or program, (organizational charts);
          d. Funding sources of the agency or program;
          e. Policies and procedures including risk reduction, staff safety guidelines, confidentiality of client
              records or informed consent, required documentation, and record-keeping;
          f. Procedures regarding mandated reporting;
          g. The agency relationship to outside community structures or organizations including how
              referrals are made to/from agencies; and
          h. Role(s) of the social worker and other professionals in the agency;
6. Oversee that student is assigned beginning level tasks appropriate to a BA level—avoiding routine
    work below this level or advanced work more appropriate of masters level training;
7. Maintain ongoing contact with the SSO Coordinator or Representative regarding concerns or issues
    that arise with the student. Early notification of any problems is encouraged, as the University’s
    quarter system moves rapidly;
8. Submit a written Evaluation of Student Performance at the end of each quarter (see Appendix).
    Timely submission of these evaluations to the SSO Coordinator or representative is necessary
    in order for the student to receive course credit. The FI’s cooperation in this matter is greatly
    appreciated;
9. Attend CSUEB Field trainings or events in support of student learning and program implementation;
    and
10. Complete brief yearly evaluations of the field program as requested by CSUEB (either Department
    initiated or Service Learning Program driven).
    Student Responsibilities: Sociology interns are bachelor-level learners who are capable and active
participants in the field process. To facilitate the active learning model, students are required to develop a
learning agreement which specifies their professional and educational learning objectives consistent with
the social work competencies discussed in this manual.
1. Actively seek, interview for, and establish a placement, working with the SSO Coordinator or
   Representative;
2. Be an active learner and regularly communicate with the FI and the 4719 Instructor;
3. Meet in supervision for the minimum of 1 hour per week with the FI;



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CALIFORNIA STATE UNIVERSITY, EAST BAY                           DEPARTMENT OF SOCIOLOGY & SOCIAL SERVICES
UNDERGRADUATE FIELD MANUAL                                                                       2011-2012


4. Complete a learning agreement within the first 2 weeks of the winter quarter with the guidance of the
    FI;
5. Meet requirements as specified by the agency;
6. Conduct oneself professionally at all times, including:
        a. Dress and present self in a way that is consistent with the agency’s culture;
        b. Introduce self as an intern rather than giving the impression of being staff;
        c. Negotiate regular placement hours and follow the agency schedule on those days. Alternative
            scheduling arrangements may be established if mutually agreed-upon by the student and the
            FI;
        d. Report absences due to illness or some other compelling reason to the FI. (Excessive
            absenteeism is just cause for an unsatisfactory grade evaluation);
7. Immediately discuss any problems or concerns with the FI or the SSO Representative;
8. Participate in her/his evaluation;
9. Complete all agency assignments and practicum coursework in a satisfactory and timely manner;
10. Complete the minimum number of placement hours (240) and submit a signed Hour Log each quarter
    to document those hours;
11. Arrange for continuity of coverage for cases/assignments over holiday breaks or vacation periods;
12. Successfully complete the LA tasks and objectives;
13. Submit all required field documentation to the SSO Representative; and
14. Practice according to the NASW Code of Ethics.
                                    FIELD COMPETENCIES AND TASKS
The Department of Sociology and Social Services has put forth a concerted effort to standardize the range
of experiences of students in the field. Rather than impose a rigid framework, a set of competencies has
been developed that provides the basis for an organized, yet flexible, field experience. These competencies
constitute the basis for the Learning Agreement (LA), which is to be developed and finalized by the FI and
student working together. The LA defines expected performance outcomes and field tasks upon which the
student will be evaluated.
The concept of cultural competence infuses all of the practice competencies below – the successful
mastery of which requires an awareness of the multiple socio-cultural identities and statuses of individuals,
groups, and communities. Examples of the multiple identities and statuses to be considered include race,
ethnicity, gender, social class, sexual orientation, religious affiliation, mental and physical ability, and age.
Field Competencies
By the end of the spring quarter of field, students are expected to demonstrate the five practice
competencies described below. Demonstrable evidence of each competency should be documented and
used as the basis for the student’s Performance Evaluation.
1. The ability to form professional relationships with a range of individuals, groups and
   communities. This competency involves the ability to establish and maintain professional
   relationships with a variety of individuals and groups, including families, communities, agency staff and
   other collateral contacts. Culturally competent forms of communication which are sensitive to and
   respectful of the identities of individuals, groups and communities are used. The student demonstrates
   the ability to form working alliances with individuals different than him- or herself.
2. The ability to effectively communicate in both oral and written form. This competency includes
   meeting agency standards for written documentation of case findings and preparation of other written



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CALIFORNIA STATE UNIVERSITY, EAST BAY                            DEPARTMENT OF SOCIOLOGY & SOCIAL SERVICES
UNDERGRADUATE FIELD MANUAL                                                                        2011-2012


    reports, as well as effective oral communication through formal or informal exchanges. Students may
    be asked to make formal presentations of case findings or other information in meetings.
3. The ability to demonstrate professional behavior and attitudes. This competency involves
   behaving as an appropriate social service professional, the use of and adherence to the NASW Code
   of Ethics, the ability to utilize supervision, and the ability to accurately assess one’s professional
   strengths and areas needing improvement.
4. The ability to make appropriate use of agency resources and staff in planning and implementing
   interventions. This competency focuses on obtaining adequate understanding of the agency’s
   mission, organizational structure, policies, procedures, and funding; the agency’s function in the
   community it serves, and the role of social workers and other personnel in the agency. This
   understanding is then applied to effective intervention strategies.
5. The ability to actively and effectively participate in the field experience. This competency involves
   actively planning for field by developing questions and issues to discuss; participation in, and critical
   examination of the field instruction process; using feedback to improve performance; willingness to
   participate in activities appropriate for a bachelors-level students; and willingness to explore how one’s
   own personal values, beliefs, and attitudes affect the field experience.
Field Tasks
The following tasks provide students and FIs with a general sequence for developing and implementing
learning activities related to the list of competencies. Specific learning tasks will vary due to the nature of
the agency, as well as the student’s prior experience and skill level. These tasks should be viewed with
flexibility and as a guide.
1. Orientation: The student should spend several weeks becoming oriented to the agency and the
   specific placement, including learning about its structure, function, mission, policies, procedures,
   funding sources, and its socio-political affiliations. This includes learning about the target population
   and the agency and client needs. It is during this time that the student should develop the LA.
2. Experiential Practice: Next, the student should transition into the substantive segment of the field
   experience. During this time, the student should be closely supervised, with a minimum of one hour of
   supervision per week with the FI. During this time, students may be involved in: attending meetings;
   supervised interactions with clients; completion of individual assignments; case assessment; and
   documentation, research, informal interviewing, and other necessary agency functions.
3. Termination: During the final weeks of field, the student and FI should begin the process of
   termination, preparing for continuity client care, and evaluation of the student’s overall performance at
   the agency.
                                      THE LEARNING AGREEMENT
The Learning Agreement (LA) is a written understanding between the student, the FI and the SSO
Coordinator/Representative about the nature and content of the student’s field experience. The LA is jointly
developed by the student and the FI, and should outline the full range of field activities for the entire
placement. This document provides a focus for planning the placement and serves as a reference for
ongoing evaluation of the learning experience. The LA is also a basis for the resolution of any
disagreement that might later arise among the various parties involved. It should also be seen as a living
document, so that the FI, student and SSO Representative have the flexibility to add to or adapt the LA as
the placement unfolds. Changes must be agreed to by all parties.



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CALIFORNIA STATE UNIVERSITY, EAST BAY                            DEPARTMENT OF SOCIOLOGY & SOCIAL SERVICES
UNDERGRADUATE FIELD MANUAL                                                                        2011-2012


The Field Competencies and Field Tasks serve as a guide in drafting the LA. The student develops the LA
in consultation with the FI. It is the student’s responsibility to satisfactorily write-up the LA, and to submit the
final copy to the SSO Coordinator/Representative by end of the fourth week of the winter quarter. The LA
form can be found in the Appendix, along with a sample.

The LA must only be created at the beginning of the internship, unless there is an assigned placement
change or other significant transition.
                                        EVALUATION AND GRADING
While feedback on student performance should be ongoing, formal evaluations occur at the end of each
quarter. The LA is the foundation and guide for student performance evaluation. The FI is responsible for
submitting student evaluations to the SSO Coordinator/Representative. Timely submission of these
evaluations is imperative in order for the student to receive course credit (see field calendar for dates).

Performance Evaluations
Toward the end of each quarter, the student and FI should meet in order to discuss student progress to
date and the student’s future learning goals. The supervisor is responsible for completing the written
Evaluation of Student Performance with designation of either Satisfactory or Unsatisfactory performance.
The purpose of this report is to encourage students to reflect on their experience and progress, as well as
to receive constructive feedback from respective supervisors. These evaluations are used to determine the
student’s overall grade.
The evaluation is designed to assess the student’s acquisition of the 5 field competencies and involves the
following rating scale:
 Area of Future Growth           Demonstrates            Demonstrates Skill            Demonstrates
                                 Emerging Skill            Consistently           Advanced Accomplishment
Student has shown          Student has begun to      Student has                 Student has
evidence that this is a    show evidence of this     consistently shown          demonstrated evidence
clear area of needed       skill, but it is still    evidence of this skill      of advanced skill
future growth in           emerging by the end       mastery by the end of       attainment in this area by
relation to this skill.    of the quarter.           the quarter.                the end of the quarter.

The Evaluation of Student Performance form can be found in the Appendices.
Narrative FI comments are welcomed and typically quite meaningful to students.
Grading
In the evaluation, the FI is asked to recommend a grade of Satisfactory or Unsatisfactory, based on the
student’s overall performance and learning during each quarter. If an ―Unsatisfactory‖ is given, the
supervisor should include a brief statement of the problems as well as what the student needs to do to
improve his/her performance. This report should be attached to the evaluation form.
         Unsatisfactory Field Grades As soon as the FI identifies an issue that could lead potentially to a
recommendation of an Unsatisfactory, the SSO Coordinator should be contacted; at which time a meeting
with the student and FI will be arranged.
After the meeting has taken place, several outcomes are possible.




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CALIFORNIA STATE UNIVERSITY, EAST BAY                           DEPARTMENT OF SOCIOLOGY & SOCIAL SERVICES
UNDERGRADUATE FIELD MANUAL                                                                       2011-2012


A. A plan may be developed to allow the student to continue in his/her placement, working to correct the
   performance difficulties. This plan must be acceptable to the FI, the student, and the SSO Coordinator.
B. The student’s placement may be terminated and the student will have to find another agency in order to
   fulfill the internship requirements. An unsatisfactory evaluation leading to termination will result in a No
   Credit grade for the quarter.
C. The student may receive an ―Incomplete‖ grade if illness or outside conditions are significant barriers to
   meeting internship responsibilities. The student and FI should contact the SSO Coordinator as soon as
   such situations arise.
D. If the student’s evaluation reflects an inability to deliver social services in a competent, safe, and ethical
   manner, the SSO Coordinator, in consultation with the department Chair, will determine whether the
   student should be dismissed from the SSO. Such situations generally reflect challenges in readiness or
   fitness for the profession. These issues may include, but are not limited to difficulties with any of the
   following abilities:
         a. maintaining professional relationships with clients, colleagues, and peers;
         b. adhering to the NASW Code of Ethics;
         c. behaving with integrity regarding respect, honesty, and fulfillment of commitments;
         d. communicating effectively and appropriately at a college level;
         e. maintaining personal and professional boundaries;
         f. willingness to self-evaluate, as well as evaluate and modify practice;
         g. transferring theory to practice settings;
         h. assuming responsibility for one’s learning and providing self-direction;
         i. committing to culturally competent practice, respecting diverse cultures and lifestyles;
         j. accepting responsibility for one’s actions and decisions; and
         k. willingness to tolerate and consider viewpoint’s contrary to one’s own
   Incomplete Grade in Field An Incomplete grade may only be assigned under the following
conditions:
1. If a student is in ―good standing‖ (i.e., not on academic probation); and
2. The student experiences events beyond his/her control (e.g., illness/hospitalization, accident, family
   emergency, significant agency complication, etc.), which prevents completion of required field by the
   date evaluations and grades are due.
    Field Placement Terminations Occasionally, it becomes necessary to terminate a placement due to
compelling circumstances. While termination is an option, it should only be considered after every attempt
is made to resolve the problem/issue and complete the placement. In most cases, the decision to terminate
should only be made after a meeting with the student, FI, and SSO Coordinator has taken place. However,
in some instances, the SSO Coordinator may determine that such a meeting is not feasible or desirable.
Although a student or FI may request a termination at any time, mid-quarter terminations are particularly
discouraged, as students generally do not receive credit for field days when placements are terminated
mid-quarter. If the termination is requested after successfully completing a quarter in an agency with a
Satisfactory grade, a student will be credited with days spent in the initial placement.
If a decision is made to terminate a placement:
1. The SSO Coordinator will request a written evaluation of the student’s performance from the FI,
   indicating the student’s performance up to that point. The student’s grade should be indicated (e.g.,
   Incomplete; Satisfactory; or Unsatisfactory).


                                                                                                              12
CALIFORNIA STATE UNIVERSITY, EAST BAY                                         DEPARTMENT OF SOCIOLOGY & SOCIAL SERVICES
UNDERGRADUATE FIELD MANUAL                                                                                     2011-2012


2. Both the student and FI are asked to summarize the circumstances of the termination in a memo to the
   SSO Coordinator.
After reviewing these documents, the SSO Coordinator will consult with the student and the FI to determine
the reasons for termination and credited hours (if any). The SSO Coordinator will work with the student to
identify a new agency placement.
                                        SECURING A PLACEMENT
Students are required to secure their internship for the SSO. The Coordinator or the instructor for SOC
4716 can guide the student in this process. First, students should complete the Field Placement
Questionnaire as soon as possible in the fall quarter and submit this to the SSO Coordinator or their SOC
4716 instructor. Students are encouraged to seek placements with agencies already approved by the
CSUEB Service Learning Program.
     1. Go to the Service Learning webpage http://www.csueastbay.edu/service_learning/
     2. Click on the menu item ―Service Opportunities‖
     3. Click on the name of any agency to see further details
Students should contact these agencies for placement inquiries and have a current resume and
references available for interview appointments. When an agency and student mutually agree to a
placement, the student and agency should complete the Placement Confirmation Form and submit this to
the SSO Coordinator.
Establishing a New SSO Agency as a Placement
If the student is interested in interning at an agency not on this Service Learning list, she/he must speak
with the SSO Coordinator to determine if the agency is appropriate. Some agencies have been approved,
but prefer not to be on the web-based list. However, if the agency is new to the SSO program, the
Coordinator will need to conduct a visit to the agency for final approval. The agency must complete an
Agency Fact Sheet and a Service Learning Agreement. Paperwork must then be forwarded to the
University for processing and the agency will be contacted by Service Learning for liability verification and
other details. Thus, it is important that these arrangements be started as early as possible to allow for the
approval process to take place.
A Note on Criminal Records Having a criminal record does not preclude students from an internship
experience, but securing a placement may be more challenging. Almost all placements involved with children or
adolescents require fingerprinting, as well as all placements affiliated with protective or justice functions. Some
agencies/schools will make an individual determination about internship eligibility based on the type and specifics of
an offense. Concerned students should speak with the SSO Coordinator. Students with a record and an interest in
social services are encouraged to pursue the possibility of expunging their record in their long-range plans This can
be a lengthy but worthwhile process. Some helpful websites include:
http://www.courtinfo.ca.gov/selfhelp/other/crimlawclean.htm &   http://www.saclaw.lib.ca.us/pages/expunging-criminal-records.aspx

                                   RESTRICTIONS ON INTERN DUTIES
Students and FIs should understand that interns are prohibited from conducting the following activities:
1. transporting clients in a student’s private vehicle;
2. administering or delivering medications;
3. hands-on client restraint;
4. being alone in an agency facility;
5. collecting or handling urine samples or other medically hazadous waste.



                                                                                                                                    13
CALIFORNIA STATE UNIVERSITY, EAST BAY                         DEPARTMENT OF SOCIOLOGY & SOCIAL SERVICES
UNDERGRADUATE FIELD MANUAL                                                                     2011-2012




                                                     APPENDICES
                                             2011-2012 FIELD CALENDAR
                                                  (subject to change)

FALL QUARTER

         Classes begin                                      September 21, 2011
         Field Placement Questionnaire due                  October 13, 2011
         Veteran’s Day Observed                             November 11, 2011
         Thanksgiving Holiday                               November 25 – 26, 2011
         Last day of classes                                December 4, 2011
         Final Exams                                        December 5-11, 2011
         Placement Confirmation Form Due                    December 6, 2011

WINTER QUARTER

         Classes begin                                      January 9, 2012
         Field begins                                       Week of January 9, 2012
         MLK Holiday (University closed)                    January 16, 2012
         Learning Agreement due                             February 6, 2012
         Last day of classes                                March 18, 2012
         Winter Performance Evaluations due                 March 19, 2012
         Winter Hour Logs due                               March 19, 2012
         Final Exams                                        March 19-25, 2012
         Cesar Chavez Day (University closed)               March 30, 2012

SPRING QUARTER

         Classes begin                                      April 2, 2012
         Field begins                                       Week of April 2, 2012
         Memorial Day holiday (University closed)           May 28, 2012
         Last day of classes                                June 10, 2012
         Spring Performance Evaluations due                 June 11, 2012
         Spring Hour Logs due                               June 11, 2012
         Student Evaluation of Placement due                June 11, 2012
         SSO End of Year Celebration                        June 11, 2012 7pm-8:30pm
         Final Exams                                        June 11-17, 2012
         Commencement Ceremonies                            June 16, 17, 2012
            College of Letters, Arts & Social Sciences




                                                                                                           14
CALIFORNIA STATE UNIVERSITY, EAST BAY                              DEPARTMENT OF SOCIOLOGY & SOCIAL SERVICES
UNDERGRADUATE FIELD MANUAL                                                                          2011-2012


                 SOCIAL SERVICE OPTION (SS0) FIELD PLACEMENT QUESTIONNAIRE
  Please complete this sheet and return it to the Social Service Option Coordinator or the instructor for SOC 4716.
                       This information identifies student interests to assist with placement.

NAME ________________________________________________ NET ID _____________________

ADDRESS (Street/City/Zip) _________________________________________________________
________________________________________________________________________________

HM PHONE                                               CELL _____________________________________

WK PHONE                                               Best Times to Reach ________________________

PREFERRED EMAIL ________________________________________________________________

                                    EMERGENCY CONTACT INFORMATION

Name                                                     Relationship

hm phone                                                 wk phone

ALLERGIES / SPECIAL NEEDS

►Will you have use of a car during your field placement? (circle) YES             NO If not, please state how you plan
to get to your site and carry out field assignments, for instance, involving field visits with clients:




WORK EXPERIENCE (Please attach a current resume & summarize experience below)

               EMPLOYER                            DATES (TO-FROM)                            POSITION




SPECIAL SKILLS / CERTIFICATION (Crisis training, domestic violence training, CPR, etc.)




                                                                                                                      15
CALIFORNIA STATE UNIVERSITY, EAST BAY                                DEPARTMENT OF SOCIOLOGY & SOCIAL SERVICES
UNDERGRADUATE FIELD MANUAL                                                                            2011-2012


FIELD PLACEMENT INTERESTS (Please specify by rank-ordering your TOP 3 choices: 1, 2, 3)
        Child Welfare                           Adult Protection                               Mental Health
        Foster Care                             Residential/Inpatient                          Substance Abuse
        Adoptions                               Aging/Elderly                                  Health/Medical
        School-based                            Developmental Disabilities                     Hospice
        Teen Pregnancy                          Juvenile Justice                               HIV/AIDS
        Adolescents                             Adult Corrections                              Community Org.
        Infants/Toddlers                        Crime/Forensics                                Poverty
_______ Immigration                     _______ Legal Advocacy                         _______ Diversity / LGBTQQI
        Other [Please specify]

LANGUAGE Please specify any language[s] other than English in which you are fluent & check fluency skills:

Language: ________________                      _____ Reading                Writing           Speaking

Language: ________________                      _____ Reading                Writing           Speaking

Language: ________________                      _____ Reading                Writing           Speaking

Personal Demographics: You may use this space to indicate information that you think would contribute to a
placement serving the population of your choice. For example, a women’s domestic violence placement may
specifically need a female intern, an LGBTQQI program may benefit from a transgender intern, a substance abuse
program may view an intern in recovery as a ―plus‖. However, do not include such information here, if you do
not want it to be disclosed to the prospective agency field instructor. ______________________

________________________________________________________________________________________

►Please provide any additional information you think will assist in determining your placement




                                                  ADA ADVISEMENT
If you expect that you will be requesting an accommodation because of a disability, you must be registered with the
University’s Disabled Student Services. You must also provide information of the specific accommodation[s] you
require. This information will be shared with the placement agency to ensure that reasonable accommodations will be
provided. Student disclosure of a required accommodation because of a disability is voluntary and only necessary if
requesting an accommodation.
Do you require accommodation[s] due to a disability? (circle) YES NO             If yes, what type will be required?




    Thank you for taking the time to fill out this questionnaire. Please return it to the SSO Coordinator, Holly Vugia




                                                                                                                         16
CALIFORNIA STATE UNIVERSITY, EAST BAY                                      DEPARTMENT OF SOCIOLOGY & SOCIAL SERVICES
UNDERGRADUATE FIELD MANUAL                                                                                  2011-2012



                                     INTERNSHIP CONFIRMATION FORM
                     Internship Time Period: 2011-2012 (Typically winter & spring quarters)



                              Student Should Complete the Information in This Box

Student Name:

Agency Name:

Agency Address:

Agency Contact Person Name:

Contact Phone & Email:

Agency Field Instructor (FI) Name (if different than above):

FI Phone & Email:




                   Agency Representative Should Complete the Information in This Box

□   We have interviewed the above student and agree to take the student on as an intern
    (typically starting in the first week of January through the end of May, 240 hours total)

Agency Contact Person’s Signature: __________________________________________________

                                       Date: _____________________________




                                Student or Agency: Please return this form to Holly Vugia
                            25800 Carlos Bee Boulevard, 3095 Meiklejohn Hall, Hayward, CA 94542

                       holly.vugia@csuesastbey.edu (main office 510.885.3173) (FAX: 510.885.2390)




                                                                                                                        17
CALIFORNIA STATE UNIVERSITY, EAST BAY                                    DEPARTMENT OF SOCIOLOGY & SOCIAL SERVICES
UNDERGRADUATE FIELD MANUAL                                                                                2011-2012


                              SOCIAL SERVICES OPTION LEARNING AGREEMENT

Using the Field Competencies and Field Tasks, the student and FI should complete this LA by listing the
major goals to be accomplished during the internship, the strategies to achieve those goals, and the
methods of evaluating goal completion. At least 1 goal is recommended that relates to each competency.
Relevant competencies should be noted in parentheses. A signed copy must be submitted to the Social
Services Option Coordinator. Please see the sample LA. Please type.
Field Competencies:

1.   The ability to form professional relationships with a range of individuals, groups & communities.
2.   The ability to effectively communicate in both oral and written form.
3.   The ability to demonstrate professional behavior and attitudes.
4.   The ability to make appropriate use of agency resources & staff in planning & implementing interventions.
5.   The ability to actively & effectively participate in the field experience.

Student Name: ___________________________              Quarter: Winter      Spring      Year: _______________

Field Instructor: __________________________________ Agency: ___________________________________

       Weekly hours will be as listed below for the winter and spring 10 week quarters for a total of 240 hours.
 Monday         Tuesday       Wednesday        Thursday        Friday        Saturday        Sunday        Total Hours
                                                                                                                 12.0

              GOAL                                STRATEGIES                               EVALUATION
1)


2)


3)


4)


5)




STUDENT SIGNATURE                                                                DATE
F.I. SIGNATURE                                                                   DATE

SSO REPRESENTATIVE SIGNATURE __________________________________________



                                                                                                                         18
CALIFORNIA STATE UNIVERSITY, EAST BAY                                       DEPARTMENT OF SOCIOLOGY & SOCIAL SERVICES
UNDERGRADUATE FIELD MANUAL                                                                                   2011-2012




------ SAMPLE LEARNING AGREEMENT------
                               SOCIAL SERVICES OPTION LEARNING AGREEMENT

Using the Field Competencies and Field Tasks, the student and FI should complete this LA by listing the
major goals to be accomplished during the internship, the strategies to achieve those goals, and the
methods of evaluating goal completion. At least 1 goal is recommended that relates to each competency.
Relevant competencies should be noted in parentheses. A signed copy must be submitted to the Social
Services Option Coordinator. Please see the sample LA.
Field Competencies:

6.    The ability to form professional relationships with a range of individuals, groups & communities.
7.    The ability to effectively communicate in both oral and written form.
8.    The ability to demonstrate professional behavior and attitudes.
9.    The ability to make appropriate use of agency resources & staff in planning & implementing interventions.
10.   The ability to actively & effectively participate in the field experience.

Student Name: Louise Jackson           Quarter: Winter    Spring         Year: 2011

Field Instructor: ___Renee Garcia__________________ Agency: _______Helping Others ___________

        Weekly hours will be as listed below for the winter and spring 10 week quarters for a total of 240 hours.
 Monday          Tuesday       Wednesday       Thursday         Friday          Saturday         Sunday       Total Hours
                                                   9-3             9-3                                            12.0

               GOAL                                STRATEGIES                                  EVALUATION
1) Develop an understanding of           1) Read NASW Code of Ethics                  1) Discuss all strategies with FI
ethical social service practice (3)      2) Apply the Code to a case
                                         3) Attend an ethics committee
                                         meeting at the agency, if available
2) Work with a client that is            1) Obtain a case assignment or               1) Discuss case with FI
ethnically/culturally different from     co-case assignment with client               2) Discuss case in practicum
myself (1)                               that fits this description                   seminar

3) Learn to fulfill agency               1) Review samples of agency                  1) Discuss and present report to
documentation requirements. (2)          records or documents.                        FI
                                         2) Write a mock case report
                                         based on an actual record.
4) Learn about agency &                  1) Orient self to agency with help           1) Present resource list to FI &
community resources for the              of FI and staff                              Identify service gaps in the list—
target population. (4)                   2) Review resource materials                 whether or not they truly exist
                                         3) Create own list of critical
                                         resource contacts, numbers &
                                         websites

5) Learn to examine my own               1) Commit to discussing these                1) Evaluate my growth in this area
biases & reactions to situations in      observations in supervision with             with FI
social service settings, as well as      FI & in practicum seminar
to others beliefs (5)


                                                                                                                            19
CALIFORNIA STATE UNIVERSITY, EAST BAY                                DEPARTMENT OF SOCIOLOGY & SOCIAL SERVICES
UNDERGRADUATE FIELD MANUAL                                                                            2011-2012


6) Participate in some type of          1) Explore group options at the     1) Discuss possibilities with
client group session or meeting to      agency                              supervisor & follow-up with leads
begin to learn group work skills        2) Arrange to join & observe a      2) If possible, meet with group
(1,2 4,5)                               group                               facilitator for feedback
                                        3) Plan & facilitate at least 1
                                        activity for/with this group




STUDENT SIGNATURE                                                           DATE
F.I. SIGNATURE                                                              DATE

SSO REPRESENTATIVE SIGNATURE __________________________________________



        ------ SAMPLE LEARNING AGREEMENT------




                                                                                                                  20
CALIFORNIA STATE UNIVERSITY, EAST BAY                                 DEPARTMENT OF SOCIOLOGY & SOCIAL SERVICES
UNDERGRADUATE FIELD MANUAL                                                                             2011-2012


                              SOCIAL SERVICE OPTION JOURNAL ENTRY FORM
                               # 1 2 3 4 5 6 7 8 9 10 (highlight the number)
My Name:                                                                                                 Entry Date:
                    DO NOT USE ACTUAL CLIENT NAMES (CONFIDENTIALITY). PLEASE TYPE.
                  STUDENTS ARE ENCOURAGED TO DISCUSS THESE EXPERIENCES WITH FI’S.
Placement Site:
Free Response Entry:




After reflecting on your entry, check the areas of social work practice that relate to the situation(s) that you discussed.
     Micro Intervention                 Macro Issues                    Oppression                   Countertransference
     Mezzo Intervention                 Values & Ethics                 Empowerment                  Transference

One observed strength in self:

One observed area/skill in which I would like to grow:

One positive change observed in client, self, field relationships, agency, etc. as a result of my efforts:


A question I would like to ask my field instructor is… (called a ―supervision question‖)


On a scale of 1-10, how positive am I feeling about my practicum experience so far? (mark the scale)
            very negative                              neutral                                    very positive
                  1       2         3          4         5       6        7          8       9         10




                                                                                                                           21
CALIFORNIA STATE UNIVERSITY, EAST BAY                         DEPARTMENT OF SOCIOLOGY & SOCIAL SERVICES
UNDERGRADUATE FIELD MANUAL                                                                     2011-2012


                              STUDENT’S EVALUATION OF FIELD PLACEMENT
                           Please take the time to evaluate your field experience.
           Please submit this form no later than the last day of classes in the spring quarter.
    Responses do not affect your grade, but are used for program improvement and future student perusal.

NAME                                                         DATE
AGENCY                                        FIELD INSTRUCTOR _____________________________

                          Circle how much you agree or disagree with each statement.
                                                               Strongly      Agree     Neutral    Disagree   Strongly
#                             Statement                         Agree                                        Disagree
                                                                   5           4          3           2          1
1      I felt accepted in the agency.
                                                                    5          4          3           2           1
2      I was invited to participate in staff meetings.
                                                                    5          4          3           2           1
3  The agency environment and resources were
   conducive to learning.                                           5          4          3           2           1
4 I had opportunities to interact with staff other than my
   FI.                                                              5          4          3           2           1
5 My skills & talents were used effectively by the
   agency.                                                          5          4          3           2           1
6 My FI supported me in getting the most out of my
   internship experience.                                           5          4          3           2           1
7 I had opportunities to work with clients or groups of
   people different than myself.                                    5          4          3           2           1
8 I learned a lot about social service work in this
   internship.                                                      5          4          3           2           1
9 I grew personally & professionally as a result of this
   internship.                                                      5          4          3           2           1
10 I would recommend this internship to a peer.
                                                                    5          4          3           2           1

Please list your major tasks during the internship.



For this placement, please list 3 strengths:              Please list 3 areas of needed improvement:

     1.                                                        1.
     2.                                                        2.
     3.                                                        3.


Feel free to write any other comments on the back. Thank you for your feedback.


                                                                                                             22
CALIFORNIA STATE UNIVERSITY, EAST BAY                           DEPARTMENT OF SOCIOLOGY & SOCIAL SERVICES
UNDERGRADUATE FIELD MANUAL                                                                       2011-2012



                                                 HOUR LOG
       Must be submitted at the end of each quarter of placement. Please type or print all entries legibly.


NAME:                                                        QUARTER: F W S Sum YEAR: 20____
COURSE: 4718 Field Practicum                   FI :_______________________________

AGENCY____________________________________ PHONE


 DATE           TIME IN          TIME OUT         HOURS                              ACTIVITIES




Total Quarter Hours



Total Field Hours (cumulative): _________     Student Signature ______________________________
Field Instructor Signature: ____________________________________________________________
SSO Representative Signature: _______________________________________________________




                                                                                                              23
CALIFORNIA STATE UNIVERSITY, EAST BAY                               DEPARTMENT OF SOCIOLOGY & SOCIAL SERVICES
UNDERGRADUATE FIELD MANUAL                                                                           2011-2012


                   FIELD INSTRUCTOR’S EVALUATION OF STUDENT PERFORMANCE

Student Name: ___________________________         Quarter: Winter     Spring     Year: _______________

Field Instructor: __________________________________ Agency: __________________________________________

Please take the time to evaluate the student’s performance for this quarter. This assessment assists the
faculty in determining whether the student receives credit for the time in the field. In addition, it enables the
student and FI to identify areas of excellence as well as areas of needed improvement. Please submit this
form no later than the week of final exams (see Calendar for dates).

Please rate the student’s performance/skills using the rating table for each competency. Each table is
followed by a space for comments, which are helpful for students to evaluate their progress.
1) The ability to form professional relationships with a range of individuals, groups & communities.
                                  Please check the appropriate rating:
 Area of Future Growth           Demonstrates          Demonstrates Skill             Demonstrates
                                 Emerging Skill          Consistently            Advanced Accomplishment


Field Instructor’s Narrative Summary/Comments:




2) The ability to effectively communicate in both oral and written form.
                                        Please check the appropriate rating:
 Area of Future Growth           Demonstrates          Demonstrates Skill             Demonstrates
                                 Emerging Skill          Consistently            Advanced Accomplishment


Field Instructor’s Narrative Summary/Comments:




                                                                                                                 24
CALIFORNIA STATE UNIVERSITY, EAST BAY                             DEPARTMENT OF SOCIOLOGY & SOCIAL SERVICES
UNDERGRADUATE FIELD MANUAL                                                                         2011-2012


3) The ability to demonstrate professional behavior and attitudes.
                                        Please check the appropriate rating:
 Area of Future Growth           Demonstrates          Demonstrates Skill           Demonstrates
                                 Emerging Skill          Consistently          Advanced Accomplishment



Field Instructor’s Narrative Summary/Comments:




4) The ability to make appropriate use of agency resources and staff in planning and implementing
        interventions.
                                        Please check the appropriate rating:
 Area of Future Growth           Demonstrates          Demonstrates Skill           Demonstrates
                                 Emerging Skill          Consistently          Advanced Accomplishment



Field Instructor’s Narrative Summary/Comments:




5) The ability to actively and effectively participate in the field experience.
                                        Please check the appropriate rating:
 Area of Future Growth           Demonstrates          Demonstrates Skill           Demonstrates
                                 Emerging Skill          Consistently          Advanced Accomplishment



Field Instructor’s Narrative Summary/Comments:




                                                                                                               25
CALIFORNIA STATE UNIVERSITY, EAST BAY                            DEPARTMENT OF SOCIOLOGY & SOCIAL SERVICES
UNDERGRADUATE FIELD MANUAL                                                                        2011-2012


Number of hours completed this quarter: _______________________________


Overall the student’s performance has been:  Satisfactory             Unsatisfactory           Incomplete
         If ―unsatisfactory‖ or ―incomplete‖ have been marked, please clearly outline below what needs to be
         completed or accomplished for the student to obtain a ―satisfactory‖ rating.




This evaluation has been discussed with the student by the FI.           yes                no


Student Responses or Comments (Optional):




Student Signature: _______________________________________ Date: ____________________

FI Signature: ____________________________________________ Date: ___________________

SSO Representative Signature: __________________________ Date: ____________________


                   25800 Carlos Bee Boulevard, 3095 Meiklejohn Hall, Hayward, CA 94542-3084GFFGV
                                www.csueastbay.edu , 510.885.3173, FAX: 510.885.2390




                                                                                                               26
CALIFORNIA STATE UNIVERSITY, EAST BAY                              DEPARTMENT OF SOCIOLOGY & SOCIAL SERVICES
UNDERGRADUATE FIELD MANUAL                                                                          2011-2012


                            DEPARTMENT OF SOCIOLOGY & SOCIAL SERVICES
                      25800 Carlos Bee Boulevard, Hayward, CA 94542; Office: Meiklejohn Hall 3095
                     www.csueastbay.edu              510.885.3173              FAX: 510.885.2390

                                             AGENCY FACT SHEET

NAME OF AGENCY :

ADDRESS (Street/City/Zip):

PHONE:                                                FAX :

CONTACT PERSON:                                                 TITLE :

PHONE:                                                 EMAIL:

►The agency will accept (please fill in a number)               undergraduate social work interns (January –
Early June)

►Does the agency require the student to have transportation between one internship-affiliated site
and another? NO         YES

►Does the agency have any requirements BEFORE placement (e.g., fingerprinting, criminal clearance,
health clearance, TB testing, etc.)?
                                                NO        YES (If yes, list below)


►Does the agency PREFER or REQUIRE (circle one) a bilingual student?

          NO            YES (If yes, which language(s)?)

►Agency HOURS of OPERATION
Is it possible for students to intern during the weekend and/or evenings? If so, please specify
                                                                                     _____________

►Are stipends available?                NO      YES      If yes, please specify


►Type of Setting (Hospital; Residential; Private; Public CBO; School; University Campus, etc.)


►Major social problems addressed by the agency                                   ________




                                                                                                                27
CALIFORNIA STATE UNIVERSITY, EAST BAY                                                  DEPARTMENT OF SOCIOLOGY & SOCIAL SERVICES
UNDERGRADUATE FIELD MANUAL                                                                                              2011-2012


CLIENTS (Check all that apply)
               Population                                                                            Ethnicity
       adolescents                         families                            African American/Blk                Native American
       women                               older adults                        Asian                               Middle Eastrn/S. Asian
       men                                 infants/toddlers                    Caucasian/White                     other
       children                            other                               Latino/Hispanic

AVAILABLE TRAINING / FIELDWORK OPPORTUNITIES (Check all applicable categories)
                          DIRECT SERVICES                                                         MACRO-PRACTICE
        Individuals                                                            Consult/Collaborate w/staff in agency
        Families                                                               Task Force / Committee Assignments
        Couples                                                        _______ Community Education
_______ Groups                                                                 Fiscal / Budgetary Issues
        Information/Referral                                                   Program Development & Evaluation
        Advocacy                                                               Community Networking / Linking
        Case Management                                                        Special Projects / Assignments
        Discharge Planning                                                     Multi-/Interdisciplinary team meetings
        Psychosocial Assessment                                                Quality Assurance
        Diagnostic Assessment                                                  Grant Writing
        Crisis Intervention                                            _______ Research

FIELD INSTRUCTOR (FI) INFORMATION (Please attach CV / Resume)
1. ) Name of Prospective FI                                                        _____________________________
School Attended                                                                     Degree/Year
Other degrees/certifications ________________________________________________________
Prior Intern Supervision (from other schools/universities) _________________________________

______________________________________________________________________________

Phone ___________________________________ Email ________________________________

2.) Name of Prospective FI                                                         _____________________________
School Attended                                                                     Degree/Year
Other degrees/certifications_________________________________________________________
Prior Intern Supervision (from other schools/universities) _________________________________

______________________________________________________________________________

Phone ___________________________________ Email ________________________________
Please FAX or MAIL or Email this document and all other correspondence – the department information is provided on the 1st page.
ATTN: Holly Vugia, Social Service Option Coordinator, holly.vugia@csueastbay.edu




                                                                                                                                            28
CALIFORNIA STATE UNIVERSITY, EAST BAY                     DEPARTMENT OF SOCIOLOGY & SOCIAL SERVICES
UNDERGRADUATE FIELD MANUAL                                                                 2011-2012




               CALIFORNIA STATE UNIVERSITY, EAST BAY
               25800 Carlos Bee Boulevard, Hayward, California 94542 - 3096
               Service Learning Program

               Mary D’Alleva, Director of Service Learning, Office of Faculty Development, LI 2300
               Telephone: (510) 885-4437 Fax: (510) 885-4724 E-mail: mary.dalleva@csueastbay.edu
               Website: http://www.csueastbay.edu/service_learning

        SERVICE LEARNING PROJECT DESCRIPTION FORM
CSUEB Contact Information [Be sure to send copy to this contact]
Department: Sociology & Social Services
Faculty Member: Holly Vugia, phone 510.885.2121, FAX 510 885 2390, email: holly.vugia@csueastbay.edu;
Agency Information
Agency Name:
Contact Person:
Address:
         City: ___________________ State : ________________ Zip: _______
Telephone: ___________________________ Fax: _________________________________
E-Mail:
Website:


1. How many students could you place in your organization at one time?
   ________________________________________________________________________
2. What hours/days can students volunteer?
   ________________________________________________________________________
3. Please specify the populations the students would be working with:
    Adolescents                Adult women                 Adult men
    Children                   Disabled persons            Families
    Homeless                   Learning disabled           Older adults
    Immigrants/ non-native speakers

4. Please specify the service categories for the proposed projects (check all that apply):
       Advocacy                                Childcare           Clerical
       Computers/Technology support            Counseling          Fiscal/Budgetary Issues
       Gardening                               Mentoring          Program Support/Development
       Recreational activities                 Teaching            Tutoring
       Writing/Editing                         Special Events Planning/Implementation

5. Who will supervise students?
     ________________________________________________________________________


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CALIFORNIA STATE UNIVERSITY, EAST BAY                    DEPARTMENT OF SOCIOLOGY & SOCIAL SERVICES
UNDERGRADUATE FIELD MANUAL                                                                2011-2012


6. Will the scope of the work include any activity that requires specific skills, preparation or
   training?     If so, will your organization provide the training and/or necessary information? If
   yes, please describe briefly.
   ___________________________________________________________________________
   ___________________________________________________________________________
7. Do students need fingerprinting or background checks?
   ___________________________________________________________________________

8. What type of clothing should students wear (i.e., closed-toe shoes, professional dress, casual
   dress)
   __________________________________________________________________________
9. Please briefly describe the project/s for which you are recruiting:
   ___________________________________________________________________________
   ___________________________________________________________________________
   ___________________________________________________________________________
   ___________________________________________________________________________
   ___________________________________________________________________________

Risk Identification
10. Are there specific health and safety risks associated with the student’s specific work assignment?
    If yes, please explain.
    ___________________________________________________________________________
11. Has there been any history of violence, environment hazards or other health and safety risks on
    the site? If yes, please explain.
    __________________________________________________________________________
12. What safety precautions would you recommend for students working at your site, if any?
    __________________________________________________________________________
13. Will students ever work unsupervised with clients? If so under what circumstances?
    __________________________________________________________________________

_____________________________________________________________________________
14. Outline any specific risks involved in this placement both to CSUEB students or population
    served. Are there any risks in the community? Will the students be subjected to any risks
    (outside of those generally expected) due to exposure to disease, strenuous physical activity, or
    any other personal harm? If so, please list:
    _________________________________________________________________________
    __________________________________________________________________________
    ___________________________________________________________________________
    ___________________________________________________________________________
    ___________________________________________________________________________




                                                                                                      30
CALIFORNIA STATE UNIVERSITY, EAST BAY                   DEPARTMENT OF SOCIOLOGY & SOCIAL SERVICES
UNDERGRADUATE FIELD MANUAL                                                               2011-2012


Accessibility
15. Are the buildings, restrooms and offices ADA compliant and fully accessible for students with
    mobility impairments?
    __________________________________________________________________________
16. Is parking available near the building?
        ________________________________________________________________________
17. Does the work require lifting, standing, or other physical requirements?
       ________________________________________________________________________
       ________________________________________________________________________

18. Are repetitive fine motor skills required (for example, writing and typing)? If so, does the
    organization have alternative methods available such as dictation software?
        ________________________________________________________________________
        ________________________________________________________________________
19. Are the workspaces comfortable?
        ________________________________________________________________________
20. Are breaks allowed, especially for stretching or moving about if necessary?
       ________________________________________________________________________
21. Has the organization employed people who are deaf/hard of hearing or blind/visually impaired?
       ________________________________________________________________________
22. Are materials such as handouts, forms, and orientation booklets fully accessible?
    __________________________________________________________________________
       _______________________________________________________________________
23. Can the organization provide services such as interpreters, captioning, materials in large point
    font or auditory format?
        ________________________________________________________________________
        ________________________________________________________________________
24. Is there a designated person in the workplace that employees can talk to about disability issues
    and possible need for accommodations?
        ________________________________________________________________________



I attest to the accuracy of the above information.  (Please check box)

______________________________________
Community Based Organization Representative

___________________
Date:




                                                                                                     31
CALIFORNIA STATE UNIVERSITY, EAST BAY                                    DEPARTMENT OF SOCIOLOGY & SOCIAL SERVICES
UNDERGRADUATE FIELD MANUAL                                                                                2011-2012



     Sociology B.A. Major Requirements: Social Service Option Checklist
     Be sure to consult a major advisor
     Social Service Option requires 61 units
     B.A. requires 180 units
LOWER DIVISION REQUIREMENTS                                                           NOTES               4 UNITS
     SOC 1000        Introduction to Sociology (or 1001, 1002, 2001, 2002)                                    4

UPPER DIVISION CORE REQUIREMENTS                                                                          12 UNITS
     SOC 3310        Sociological Theory                                                                      4
     SOC 4111        Methods of Sociological Research I                            Must take STAT             4
                                                                                    1000 1st; Must
     SOC 4112        Methods of Sociological Research II                          take 4111 before            4
                                                                                   4112; CANNOT
                                                                                  take both at same
                                                                                         time


UPPER DIVISION OPTION REQUIREMENTS                                                                        40 UNITS
     SOC 3425          Prejudice & Discrimination                                                             4
                                (or SOC 3520 Sociology of Minority Groups)
     SOC 3700          Introduction to Social Services                                                        4
     SOC 3710          Social Policy                                                                          4
     SOC 3720          Human Behavior in the Social Environment                                               4
     SOC 4716          Social Work Theories & Methods                               Fall only; Must           4
                                                                                    take 3700 1st;
                                                                                   Must take 4716
                                                                                   before 4718-19
     SOC 4718          Field Practicum (winter)                                                               4
                                                                                  Seniors only; must
     SOC 4719          Field Practicum Seminar (winter)                             take 4716 1st;            2
     SOC 4718          Field Practicum (spring)                                   register for all four       4
                                                                                  courses with same
     SOC 4719          Field Practicum Seminar (spring)                                instructor
                                                                                                              2
     Electives:*       2 Upper Division Sociology courses:
     SOC _____                                                                                                4
     SOC _____                                                                                                4

COURSES IN SUPPORTING FIELDS                                                                              5 UNITS
     STAT 1000         Elements of Probability & Statistics                                                   5
     TOTAL                                                                                                   61
     *Up to 8 units of upper division Statistics courses, selected under advisement, may be counted as
                                               Sociology electives.
           For details on 4718 & 4719, the Field Practicum, see the Field Manual on-line at
               http://class.csueastbay.edu/sociology/ under “Social Services Option.”




                                                                                                                      32
CALIFORNIA STATE UNIVERSITY, EAST BAY                              DEPARTMENT OF SOCIOLOGY & SOCIAL SERVICES
UNDERGRADUATE FIELD MANUAL                                                                          2011-2012


                DEPARTMENT OF SOCIOLOGY & SOCIAL SERVICES FACULTY & STAFF


Professors:                             Benjamin Bowser, PhD
                                        Efren N. Padilla, PhD
                                        Carl Stempel, PhD (Graduate Advisor)
                                        Willem W. Van Groenou, PhD

Associate Professors:                   Patricia Jennings, PhD (Chair)

Assistant Professors:                   Will Johnson, PhD, MSW
                                        Holly Vugia, PhD, LCSW, PPSC

Administration Staff:                   Sylvia Musson

Lecturers:                              Vibha Chandra
                                        Thomas Long
                                        Farzana Nabi
                                        Michael Schutz
                                        Hester van der Vinne




National Association of Social Workers Code of Ethics

         Available online at:     http://www.socialworkers.org/pubs/Code/code.asp




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