Agency Information

Agency Information Form
Click on the link above to include your agency in our online agency resource book.

Field Memo Fall 2017

HBSSW Field Education Policy and Procedure Manual


Required Field Education Materials

Field Instructor Responsibilities
Direct Practice
Macro Practice

Field Education Assignments
Field Safety Manual

Field Course Objectives
Direct Field Education Course Objectives
Direct Field Education Course Objectives (Printer Friendly Version)
Macro Field Education Course Objectives

Learning Plans
BSW Learning Plan Instructions
BSW Learning Plan Form

MSW Learning Plan Instructions
MSW Learning Plan Form


Late Field Documentation Request Form

Students can submit this form to their liaison to request an extension for submitting field documents.


Field Education Grading Policies

Field Grading Rubric (SW421, SW422)
Field Grading Rubric (SW721)
Field Grading Rubric (SW423, SW722, SW821, SW822, SW921)

Incompletes In Field Education
Incomplete Request Form
Field Course Incomplete Policy

Practicum Improvement Plan
To be completed at the discretion of the field instructors for students who are performing below expectations in one or more areas.


Evaluation Forms for Field Education Courses

Evaluation Instructions for Field Instructors

Direct Practice Field Education Course Evaluation Form:
Use for mid-term progress report and final evaluation of direct practice field students (BSW or MSW students)

Macro Practice Field Education Course Evaluation Form:
Use for mid-term progress report and final evaluation of macro practice field students (MSW students only)

School Social Work Field Education Course Evaluation Form:
Use for mid-term progress report and final evaluation of school social work students (MSW students only)

Final Evaluation of Field Liaison
For field instructors


Field Hour Verification Forms

Field Hour Verification Form

Clinical Field Placement Verification Form
  • Clinical Field Placement Verification Form – Wisconsin Department of Safety and Professional Services
  • This form is only relevant for graduate students who have had a clinical field placement and want to document this for the purposes of a future application for the Licensed Clinical Social Work (LCSW) credential. A student may request that the field liaison complete this form at the close of their clinical field placement so that the student has verification of the clinical nature of the field placement documented for their future LCSW application.
  • Students may direct questions about this form to their field liaison. For more information about social work credentialing in Wisconsin, including LCSW, see the health profession web pages of the Wisconsin Department of Safety and Professional Services.

Miscellaneous Forms

Program Memorandum Request [E-Form]


Field Instructor Benefits

UWM Privilege Information
UWM Field Instructor Privilege Request Form


Social Work Field Education Advisory Board

Social Work Field Education Advisory Board