ࡱ> 160_ |bjbj 7r=\r=\|sf$   - " 2~D , JC0sR,+ 6d+ ~+ ~`0" )s    + > Z: Field Education / School of Social Work PROBLEM IN FIELD FORM This form must be used to document problems in field. Students and field instructors are asked to discuss problems and attempt resolutions as part of the supervisory process. Following discussions in supervision, the next step to resolution of an issue is to involve the faculty liaison. A conference will be scheduled with the student, faculty liaison and field instructor. This form will be completed by the faculty liaison and must document the plan for resolution of the problem in field. At any time the parties may consult with the director of Field Education. Date of Meeting: __________________________ Student: _________________________________________ Agency Placement: _____________________________________________ Field Instructor: ___________________________ Phone: ______________________________________ Faculty Liaison: ____________________________________________ 1. State the problem: 2. List of activities to resolve the problem: 3. Issues still to be addressed: 4. Clearly state the expectations upon which all parties agree that will take place to Address the unresolved problem(s). Expectation Person Responsible Completion Date 5. Plan to address future concerns: All parties in attendance should review and sign this agreement. Any additional comments may be written and attached to this form. Comments Attached? Student: _______________________________________________ Date: __________ Yes ___ No ___ Field Instructor: ______________________________________ Date: __________ Yes ___ No ___ Faculty Liaison: _______________________________________ Date: __________ Yes ___ No ___ Director of Field: ______________________________________ Date: __________ Yes ___ No ___ Rev 5/09 >?@ - \      9 ; < = ˾}si\O}Oh{h +kOJQJ^Jh{h {OJQJ^Jh{OJQJ^Jh@OJQJ^Jh{hOJQJ^Jh{h{OJQJ^Jh{h8ZOJQJ^Jh{h(OJQJ^Jh{hOJQJ^Jh{h@OJQJ^J#h{h@5CJOJQJ^JaJh{h5CJOJQJaJ#h{h5CJOJQJ^JaJ(>?@6 7 - . $a$gd(gd{gd8Zgd@$a$gd     9 : ; < = > ?     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J;̊iN $AI)t2 Lmx:(}\-i*xQCJuWl'QyI@ھ m2DBAR4 w¢naQ`ԲɁ W=0#xBdT/.3-F>bYL%׭˓KK 6HhfPQ=h)GBms]_Ԡ'CZѨys v@c])h7Jهic?FS.NP$ e&\Ӏ+I "'%QÕ@c![paAV.9Hd<ӮHVX*%A{Yr Aբ pxSL9":3U5U NC(p%u@;[d`4)]t#9M4W=P5*f̰lk<_X-C wT%Ժ}B% Y,] A̠&oʰŨ; \lc`|,bUvPK! ѐ'theme/theme/_rels/themeManager.xml.relsM 0wooӺ&݈Э5 6?$Q ,.aic21h:qm@RN;d`o7gK(M&$R(.1r'JЊT8V"AȻHu}|$b{P8g/]QAsم(#L[PK-![Content_Types].xmlPK-!֧6 0_rels/.relsPK-!kytheme/theme/themeManager.xmlPK-!R%theme/theme/theme1.xmlPK-! ѐ' theme/theme/_rels/themeManager.xml.relsPK] |= r|  , | 8@0(  B S  ?~/>~/>~/>~''~=*urn:schemas-microsoft-com:office:smarttags PlaceName=*urn:schemas-microsoft-com:office:smarttags PlaceType9*urn:schemas-microsoft-com:office:smarttagsplace ~~yz8GHI{~~1 Xu76h ^`hH.h pp^p`hH.h @ L@ ^@ `LhH.h ^`hH.h ^`hH.h L^`LhH.h ^`hH.h PP^P`hH.h  L ^ `LhH.1 Xu         X4 `%jXsY8Z +kDq {@d={(DW;|~@|@UnknownG*Ax Times New Roman5Symbol3. *Cx Arial7@Cambria5. .[`)TahomaACambria Math"1hlX'lX'&_ _ !r4yy 3QHP)?@2!xx PROBLEM IN FIELD FORMRhode Island CollegeRubino, Karen M. Oh+'0 0< \ h t PROBLEM IN FIELD FORM̳NormalRubino, Karen M.2Microsoft Office Word@@:۪C@P @P _՜.+,D՜.+,T hp  ̳ y PROBLEM IN FIELD FORM Title@ _dlc_DocId_dlc_DocIdItemGuid_dlc_DocIdUrlPublishingExpirationDatePublishingStartDate67Z3ZXSPZZWZ-789-33(f2264b9b-9c6e-413d-accb-e07b8ed7d643hhttp://www.ric.edu/socialwork/_layouts/15/DocIdRedir.aspx?ID=67Z3ZXSPZZWZ-789-33, 67Z3ZXSPZZWZ-789-33 !"#$%&')*+,-./234589:;<Q>?@ABCDEFGHIJKLMNOPRSRoot Entry FD 71Table; WordDocument7SummaryInformation( DocumentSummaryInformation8(MsoDataStore 8 D LDLPTE4B1==28 D Item PropertiesAX0TESGFRP4A==2 8 D Item  !Properties#SNJTU0FCLSHG==2 8 D Item ='Properties)IE4YHKC03Q==28 D Item <Properties@OCompObjFr  "$%&'(*+,-./0123456789:;=>?Document ID GeneratorSynchronous100011000Microsoft.Office.DocumentManagement, Version=15.0.0.0, Culture=neutral, PublicKeyToken=71e9bce111e9429cMicrosoft.Office.DocumentManagement.Internal.DocIdHandlerDocument ID GeneratorSynchronous100021001Microsoft.Office.DocumentManagement, Version=15.0.0.0, Culture=neutral, PublicKeyToken=71e9bce111e9429cMicrosoft.Office.DocumentManagement.Internal.DocIdHandlerDocument ID GeneratorSynchronous100041002Microsoft.Office.DocumentManagement, Version=15.0.0.0, Culture=neutral, PublicKeyToken=71e9bce111e9429cMicrosoft.Office.DocumentManagement.Internal.DocIdHandlerDocument ID GeneratorSynchronous100061003Microsoft.Office.DocumentManagement, Version=15.0.0.0, Culture=neutral, PublicKeyToken=71e9bce111e9429cMicrosoft.Office.DocumentManagement.Internal.DocIdHandler This value indicates the number of saves or revisions. 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