Concurrent Report Format

● Log sheet ( will send you)

● Introduction
During the first day of the placement introduction should be about the Organization which
includes history, organogram, vision and mission, registration, Programs and projects) .
Later you guys can give introduction about that day
● Learning Outcome
Learning outcome should be written very detailed manner for every one hour
For example: Time : 10.00 am to 11.00 am
Activity: The trainee had a orientation
● professional Learning
( It is compulsory to include theories, models, practices , skills, roles You have used or
learnt in the field) And For MSW additionally you have to include competencies you have
gained in that day which will be circulated to you.
● Personal Learning
 CONSOLIDATED REPORT

INTRODUCTION

AGENCY PROFILE
(Brief Introduction about fieldwork agency & services)

ACTIVITIES CARRIED OUT

(Summary of entire placement)

THEORIES APPLIED
MODELS USED / IMPLEMENTED
APPROACHES USED
(Applied during fieldwork practice)

SKILLS
(Skills Learnt, Improved, Applied)

PROFESSIONAL LEARNING(S)
PERSONAL LEARNING(S)

CONCLUSION
 SOCIAL WORK WITH INDIVIDUAL

CASE WORK NO. :

S. Particula Remar
No rs ks
1 Name
2 Age
3 Gender
4 Educational Qualification
5 Religion
6 Marital Status
7 Occupation
8 Area of Residence
9 Native Place
10 Type of Family
11 Legal Entitlements
12 Reference

13 Family Constellation
S. Name Relationship Sex Age Occupatio Income/ Remarks
No n Month

14 Case Summary
S. Session Objectives Date Time Venue
No s

INTAKE (Identification of needs / problems, Duration of Problem, History of Problem)

ASSESSMENT (Use Genogram / Daily Routine Charts / Eco Map)

INTERVENTION PLAN
● Goal
● Specific Objectives
● Plan of Action
Time Frame Indicators/Plan of Action Expected Outcome

CASE WORK SESSIONS

Session no:
Date: Time:
Day: Venue: (If Home Visit or Collateral Visit, please specify)
Objective(s):
Descriptive Summary:
Plan of Action for Next Session:

INTERVENTION
FOLLOW UP
 SOCIAL WORK WITH INDIVIDUAL
CASE STUDY NO. :

S. Particula Remar
No rs ks
1 Name
2 Age
3 Gender
4 Educational Qualification
5 Religion
6 Marital Status
7 Occupation
8 Area of Residence
9 Native Place
10 Type of Family
11 Legal Entitlements
12 Reference

13 Family Constellation
S. Name Relationship Sex Age Occupatio Income/ Remarks
No n Month

14 Case Summary
S. Session Objectives Date Time Venue
No s

ASSESSMENT

● Need / Problem Identified

● Background of Need / Problem
● Genogram / Eco Map

SUGGESTED INTERVENTION
 SOCIAL WORK WITH GROUPS

GROUP WORK NO. :

Group Details Remarks

Name of Group
(Task / Treatment)
Classification of Group
(Open / Closed) (Formed/ Natural)
Type of Group
No. of Members
(Women/ Children/ Elderly)
Target Group
No. of Sessions
Duration of Sessions
Group Goal
Specific Objectives

GROUP MEMBERS PROFILE

S.N Name S A
o e ge
x

GROUP WORK SUMMARY

Sessio Date Programme Objective Duratio Outcome

n n

PROGRAMME PLAN

Sessio Programme Objective Expected Duratio Methodolog Facilitato

n Outcome n y r

GROUP WORK SESSIONS

Session no:
Date: Time:
Day: Venue:
(If Home Visit or Collateral Visit, please specify)
Objective(s):
Descriptive Summary:
(Use Sociogram to show group interaction patterns)
Observations & Recommendations:
Plan of Action for Next Session:

OUTCOME
LEARNING(S)
 SOCIAL WORK WITH COMMUNITIES
COMMUNITY ORGANISATION REPORT NO. :

COMMUNITY PROFILE
(Location, Target group, Population, Problems, Community Structures)

NEEDS / PROBLEMS IDENTIFIED

GOALS & OBJECTIVES
CHANGE STRATEGY
● Roles & Responsibility Assumed
● Medium of Change
● Tools & Techniques

ACTIVITIES CARRIED OUT

Activity no:
Date:
Time:
Day:
Venue:
Programme:
Nature of Programme:
Objective(s):
Descriptive Summary:
Strategies used:

OUTCOME OF PROGRAMME
LEARNING(S)
(Learning From Field, Theory, Professional

Skills) PROSPECTIVE PLAN OF

ACTION THEORETICAL
FRAMEWORK PHOTO GALLERY
APPENDIX
(Assessment Tools, Contacts & Networks, Posters, Resource Materials, News Paper Publication)
 SPECIAL PROGRAMME REPORT NO. :

INTRODUCTION
NEED & IMPORTANCE OF THE PROGRAMME
OBJECTIVES

Title of the Programme

Date & Day
Timing
Venue
Target Group
No. of Participants
Chief Guest(s) / Resource Person(s)
Collaborations

PROGRAMME SCHEDULE
S.no Timings Activities Facilitator

BUDGET
S. Particulars Rate per unit (In Quantity Total Amount (In
No ₹) ₹)

OUTCOME OF PROGRAMME
LEARNING(S)
FEEDBACK
CONCLUSION
PHOTO GALLERY
APPENDIX
(Invitation, Posters, Resource Materials, News Paper Publication)
 REPORT OF THE EVENT
Requirements
1. Geo-tagged Photos (at least 3) – the photos which are added in the
report are to be uploaded in the geotagged pictures separately also
2. Flyer / Brochure
3. Invitation
4. CV of the Resource person / Invited Guestas PDF (wherever
applicable: This is the requirement of NAAC)
5. List of students participated as PDF (Name, registration and class;
MCC & Non-MCC: This is the requirement of NAAC)
6. Attendance sheet of the participants as PDF
7. Newspaper Cutting if available
Name of the
organizing Unit
/ Department
Type of the Conference / Seminar / Symposium / workshop /
Event Training Programme / Webinar / Internship /
Outreach / Extension Activity / Capacity Building
Programme / FDP / Induction Programme /
Endowment Lecture / Special Lecture / Career or
Placement Related events /Alumni Meet / Others
(please specify)
Theme of the Research Methodology / Intellectual Property Rights
Event (IPR) / Entrepreneurship / Skill development / Career
Development / Career Orientation / Career
Counselling / Life skill or Employability skill
development programme / Community Development
Programme / Guidance to Competitive Examinations /
Awareness of Trends in Technology / Awareness
event / Commemoration event / Others (please
specify)
Patron of the
event
Convenor of the
event
Organizing
Secretary/Secr
etaries of the
event
Faculty i/c
Student
Coordinators if
any
Participants / Students / Research Scholars / Faculty / Non-teaching
Beneficiaries staff / Community
Objective/s of
the event
Number of MCC:
Participants Non-MCC (if any):
Resource
Person/s or
Invited Guest/s
and their
affiliation
details
Topic of the
Lecture (if any)
Source of Fund
Collaboration if
any
Sponsors if any
Details about
the event
Outcome of the
event

Geo-tagged Photo1 with Caption

Geo-tagged Photo2 with Caption

Geo-tagged Photo3 with Caption

Signature of the Head of the Unit