School of Social Work Faculty, Staff, and Community Partners:

The School of Social Work Office of Student Affairs exists to support theacademic and professional success of our students. At times, their progress maybe impeded by behaviors considered below standard. The listthat follows contains professional standards we expect students to demonstrate in theclassroom, in practica, and in communication with others. These include the standardsof the National Association of Social Workers Code of Ethics, the Code ofConduct prescribed by the Texas State Board of Social Worker Examiners, theUTA Code of Conduct and Honor Code, and the School of Social Work's Professional Standards. Additionally, as stated in the Code of Conduct forUTA, “all students are expected and required to obey federal, state,and local laws, to comply with the Regents' Rules and Regulations,with The University of Texas System and institutional rules and regulations,with directives issued by an administrative official of the UT System orinstitution in the course of his or her authorized duties, and to observestandards of conduct appropriate for an academic institution.” These Codes andStandards, therefore, serve as criteria for students' behavior duringclasses, volunteer work, and practicum work while at UTA. Forthe purpose of this form, these standards are organized and operationalizedaround behavior, self-disclosure/awareness, communication, and emotional andmental abilities. Within each category are listed areas of concern which may indicatethat a student is unable, or unwilling, to follow the aforementionedProfessional Standards. This list is not intended to be all-inclusive and maybe amended as needed.   

This evaluation requires yourprofessional appraisal of the student in your course, in practicum, or in communicationswith others, whose conduct and/or communication are of concern relative to their progress and potential in the classroom, practicum, or profession. Bydocumenting the student’s demonstrated indicators of concern, you are providing SSW Student Affairs with an opportunity to know your concerns,support your efforts to intervene, address the areas of concern directly withthe student, and determine possible patterns of unprofessionalconduct/communication that may be occurring in other classes, in practicum, orin the profession. 

Once submitted, this form will be used to determine anappropriate course of action. Information disclosed during student meetingswith faculty, program directors, or school administrators can be shared asappropriate if the information raises concerns about professional performance.