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Be an ally!
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Certified Social Work Manager Supervisor Reference Form
The individual named below is applying for the Certified Social Work Manager (CSWM) credential through the Network for Social Work Management (NSWM). As their supervisor, you are requested to provide an evaluation of their leadership, management skills, and adherence to ethical practice. Please complete this form and return it to the applicant or directly to NSWM as specified in the application guidelines.
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- Required Field
Candidate Information:
Name of Applicant:
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Position/Title:
*
Organization Name:
*
Supervisor Information:
Name of Supervisor:
*
Position/Title:
*
Organization Name:
*
Phone:
Email:
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Relationship to Applicant:
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Length of Time Supervising Applicant:
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Assessment of Candidate:
Please rate the applicant on the following competencies using the scale below:
1 = Needs Improvement
2 = Below Expectations 3 = Meets Expectations 4 = Exceeds Expectations 5 = Outstanding
Demonstrates effective leadership and management skills
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1
2
3
4
5
N/A
Exhibits ethical decision-making and integrity in practice
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1
2
3
4
5
N/A
Demonstrates proficiency in program administration
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1
2
3
4
5
N/A
Effectively supervises and develops staff
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1
2
3
4
5
N/A
Engages in strategic planning and organizational development
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1
2
3
4
5
N/A
Shows competency in financial and resource management
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1
2
3
4
5
N/A
Advocates for policies and systems that promote social justice
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1
2
3
4
5
N/A
Effectively communicates with stakeholders and teams
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1
2
3
4
5
N/A
Utilizes data and technology to inform decision-making
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1
2
3
4
5
N/A
Demonstrates commitment to continuous learning and professional development
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1
2
3
4
5
N/A
Narrative Evaluation:
Please provide brief comments on the applicant’s strengths and qualifications for the CSWM credential. If applicable, describe specific examples of their leadership impact.
Supervisor’s Certification:
I confirm that the above-named applicant has demonstrated the leadership and management skills required for the Certified Social Work Manager credential. The information provided in this form is accurate to the best of my knowledge.
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