Summary of experiences this week including client/project assignments completed this week:

Learning goals and competencies from your learning contract addressed this week:

Share the date and length of this week’s supervision:

How have course discussions and materials been integrated in your practicum experience this week

(provide two specific examples):

Identify Social Work Skills/Theory used this week (provide two specific examples):

Discuss one application of the NASW Code of Ethics (values, ethical dilemmas, etc.) that was

experienced this week:

How did you employ self-awareness, self-care and/or professionalism this week? (Provide a specific

example):

Future plans for your continued learning at your placement (provide specific examples):

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