Social Worker Intern Monthly Report

Please Format (JAN, FEB, MAR)
Please Format (2024, 2025)
Interns Work Site
Full Name (First, Last)
Intern Email Address

Communications:

Enter Number (Format 1,2,3)
Enter Number (Format 1,2,3)

One-on-One Counseling Sessions

Enter Number (Format 0,1,2,3)
Enter Number (Format 0,1,2,3)
Enter Text separated by comma (Mental Health, Economic Security, Housing)

Group Education Sessions

Format Numbers (1,2,3)

Session Program Details

Format Numbers (0,1,2,3)
Format Numbers (0,1,2,3)
Drag & Drop Files, Choose Files to Upload You can upload up to 5 files.
Flyers, evaluations, surveys | Up to 5 - Formats accepted: PFD, WORD, JPG, PNG

Community Outreach (HDM, Home Visits, External Meetings with Community Partners, Trainings)

Format Numbers (0,1,2,3)

South Shore Elder Mental Health Field Supervisor Monthly Report

Please Format (JAN, FEB, MAR)
Please Format (2024, 2025)

1. ONE HOUR WEEKLY SUPERVISION WITH INTERNS

Please enter a number: 1, 2, 3
Please enter a number: 1, 2, 3
Please enter a number: 1, 2, 3

PROCESS RECORDINGS

(8 Process Recordings are required by each student per semester) Please enter a number: 1, 2, 3

LEARNING CONTRACTS

Number completed this month (Please enter a number: 1, 2, 3)
Number Completed this month (Please enter a number: 1, 2, 3)
Done at the end of each semester Number completed this month (Please enter a number: 1, 2, 3)

MEETINGS

(Please enter a number: 1, 2, 3)
(Highlight intern experiences including but not limited to 1:1 with clients and group work)

On Site Supervisor Monthly Report

Please Format (JAN, FEB, MAR)
Provide a brief narrative summarizing the overall experience of the month. Include reflections, observations and any other pertinent information.