For each week of service, you must complete a copy of this worksheet. Remember to write clearly, and check spelling and grammar, as these sheets will be included in your final product.
Name: Last First Instructor Name: Last First Placement of Service: Name of organization Address of organization City, State, Zip Site Supervisor: Last name First Phone number
Module:
Start Date
Please use:
mm/dd/yr format End Date
Please use:
mm/dd/yr format
Directions: Using academic writing standards (i.e., proper grammar and complete sentences), complete the following table:
Summarize the week’s service; highlight specific situations that you have encountered.
Explain what you learned about the human service field in general.
Explain what you learned about the organization regarding multiculturalism.
Explain how this week affected your cultural self-awareness and professional relationship, specific to the provision of culturally competent services.
Any additional comments or notes.
HS6016: Weekly Self-Reflection and Process Worksheet
Page PAGE 1 of NUMPAGES 2
Multiculturalism and Diversity in Practice
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