ࡱ> ceb` 3bjbjss *T|||||||8888Lp$Dhs$#######$&%h'z#9|+++#||*$+ ||#+#||8 485" @$0p$(W((|,+++++++## +++p$++++dD|||||| MAJOR CASE STUDY SHEET (to be completed by FFA and returned to the School) Date:  FORMTEXT      Faculty Field Advisor:  FORMTEXT      Focus: FORMTEXT      Identifying Client InformationAge:  FORMTEXT      Race/Ethnicity: FORMTEXT      Citizenship:  FORMTEXT      Gender:  FORMTEXT      Religion:  FORMTEXT      Social Class:  FORMTEXT      Sexual Orientation: FORMTEXT      Facility:  FORMTEXT      Modality: FORMTEXT      Duration of Intervention: FORMTEXT      Mode of Intervention: FORMTEXT      Presenting Problems: FORMTEXT      Diagnostic: FORMTEXT      Major Themes/Issues: FORMTEXT      How Services were Funded: FORMTEXT      Educatio     & ( * 8 : N P R \ ^ ` b d f  ߭ߝqjh}Yh|>*Uh|h|5>*CJaJh}Yh}Y5>*CJ aJ jwh}Yh|>*Ujh}Yh|>*U#jh}Yh|>*UmHnHujh}Yh|>*Uh}Yh|>*jh}Yh|>*Uh|h}YhQcb). * 8 ` Rkdt$$Ifl0v%m# td&44 la d$If\$gd}Y$a$ 3` b d f ~?2 d$If\$gd}Y?kd$$Ifl%O& td&44 la $Ifgd}Yxkd$$Ifl\$ d% @ Y& td&44 la " > f d$If\$gd}Y?kd$$Ifl%O& td&44 la    " > @ T V X b d f z |    " $ & P R f ɵɥɕɅthh}Yh|>*CJaJ jh}Yh|>*CJUaJjh}Yh|>*UjOh}Yh|>*Ujh}Yh|>*Ujh}Yh|>*Uh|h}Yh|>*#jh}Yh|>*UmHnHujh}Yh|>*Uj h}Yh|>*U(f h z & aTTTTTT d$If\$gd}Ykd$$Iflֈvd%m td&44 la& ( P x aTG d$If\$gd}Y d$If\$gd}Ykd7$$Iflֈ~  vp% s td&44 laf h j t v x * , @ B D N P R ~ ۹~n~^~j h}Yh|>*Uj h}Yh|>*U#jh}Yh|>*UmHnHuj# h}Yh|>*Uh}Yh|>*jh}Yh|>*Uh|h}Yh|>*CJaJ+jh}Yh|>*CJUaJmHnHu jh}Yh|>*CJUaJ&jh}Yh|>*CJUaJ x z d$If\$gd}YRkd$$Ifl0 %x td&44 la * R ~ zzzz d$If\$gd}Yxkd $$Ifl\B%Am  td&44 la   * , . 8 : < h j ~ ɵɥɕő|ljh}YhE$>*Uh}YhE$>*jh}YhE$>*UhE$j{h}Yh|>*Ujv h}Yh|>*Ujq h}Yh|>*Uh|h}Yh|>*#jh}Yh|>*UmHnHujh}Yh|>*Uj@ h}Yh|>*U# zz(Rkd $$Ifl0%6  td&44 la d$If\$gd}Yxkd $$Ifl\( % p~  td&44 la  < > h NRkd$$Ifl0%, # td&44 laRkd $$Ifl0%N! td&44 la d$If\$gd}Y ...,...0.:.<.>.@...............///6/8/:/*jh}YhE$>*UhE$hE$CJaJjh}YhE$>*UUhE$h}YhE$>*jh}YhE$>*U#jh}YhE$>*UmHnHu$ .>.@..NA d$If\$gd}YRkd$$Ifl0 %x td&44 la d$If\$gd}YRkd$$Ifl0= %  td&44 lan & Usage: FORMTEXT      Summary of Case: (please limit to one paragraph) FORMTEXT       Evaluation of Summary:Excellent  FORMCHECKBOX Very Good  FORMCHECKBOX Fair  FORMCHECKBOX Poor  FORMCHECKBOX Identifying Student Information:Author s Name: FORMTEXT      Placement Year: FORMCHECKBOX 1st FORMCHECKBOX 2nd Author s Race/Ethnicity: FORMTEXT      Student s approval obtained: FORMTEXT      Date: FORMTEXT      When Used: FORMTEXT      Course: FORMTEXT      When Used: FORMTEXT      Course: FORMTEXT      When Used: FORMTEXT      Course: FORMTEXT       .......kb $Ifgd}Y?kdy$$Ifl%O& td&44 la $Ifgd}Y d$If\$gd}Y?kd$$Ifl%O& td&44 la../*#jh}YhE$>*UmHnHujh}YhE$>*Uh}YhE$>*jh}YhE$>*Uh|hE$hE$5CJaJh}Yh}Yh}Y5CJ aJ jhE$UjShE$UjhE$UhE$#jh}YhE$CJUaJh}YhE$CJaJjh}YhE$CJUaJ ////tk,?kd$$Ifl%O& td&44 la $Ifgd}Ykd;$$IflrH !% F td&44 la/0080`0000 d$If\$gd}Y?kdw$$Ifl%O& td&44 la d$If\$gd}Y00000000000000 1 1 1"1$1.1012141@1x1z1|1111111111111111ǿǝǿǿǝzǿjǝjkh}YhE$>*Uh}Yh|>*jh}YhE$>*Uh}Yh}YCJ aJ #jh}YhE$>*UmHnHujh}YhE$>*Uh}YhE$>*jh}YhE$>*UjhE$Uh| hE$H*hE$jhE$UjfhE$U)00 121tgg d$If\$gd}YkdN$$IflrBbX%   td&44 la21416181:1<1>1 $Ifgd}YRkd$$Ifl02 %  td&44 la>1@1z11111tggggg d$If\$gd}Ykd$$$Iflr= Vd$ *n td&44 la111111222 2"2$26282L2N2P2Z2\2^2v2x2222222222222222233 3333*3۱ӡ۱ӑ۱Ӂ۱q۱j h}Yh}Y>*Ujh}Yh}Y>*Uj@h}Yh}Y>*Ujh}Yh}Y>*U#jh}Yh}Y>*UmHnHujh}Yh}Y>*Uh}Yh}Y>*jh}Yh}Y>*Uh}Yh}YCJ aJ h}Yh}Yh|>*,1111111tkkkkk $Ifgd}Ykd$$Iflr= Vd$ *n td&44 la111$2&262^2tggggg d$If\$gd}Ykd$$IflrCV$8 td&44 la^2`2v22222tggggg d$If\$gd}Ykdo$$IflrCV$8 td&44 la22233*3R3tggggg d$If\$gd}Ykd, $$IflrCV$8 td&44 la*3,3@3B3D3N3P3R3T3Z33 hQcbCJhQcbh}Y#jh}Yh}Y>*UmHnHujs!h}Yh}Y>*Uh}Yh}Y>*jh}Yh}Y>*U R3T3Z3h3j3l3~333333tommmmmmmmmgd|kd!$$IflrCV$8 td&44 la (/ =!"#8$8% tDText1$$If!vh55m##v#vm#:Vl t0d&55m#tDText2tDText3$$If!vh5 5@ 5Y5& #v #v@ #vY#v& :Vl t0d&5 5@ 5Y5& w$$If!vh5O&#vO&:Vl t0d&5O&w$$If!vh5O&#vO&:Vl t0d&5O&tDText4tDText5tDText6$$If!vh55m5555 #v#vm#v#v#v#v :Vl t0d&55m5555 tDText7tDText8tDText9$$If!vh5555 55s #v#v#v#v #v#vs :Vl t0d&5555 55s vDText10$$If!vh5x5#vx#v:Vl t0d&5x5vDText11vDText12$$If!vh5A5m 55#vA#vm #v#v:Vl t0d&5A5m 55vDText13vDText14$$If!vh5 5p5~ 5 #v #vp#v~ #v :Vl t0d&5 5p5~ 5 vDText15$$If!vh56 5#v6 #v:Vl t0d&56 5vDText16$$If!vh5N5!#vN#v!:Vl t0d&5N5!vDText17$$If!vh5, 5##v, #v#:Vl t0d&5, 5#vDText18$$If!vh5 5#v #v:Vl t0d&5 5vDText19$$If!vh5x5#vx#v:Vl t0d&5x5w$$If!vh5O&#vO&:Vl t0d&5O&vDText20w$$If!vh5O&#vO&:Vl t0d&5O&w$$If!vh5d&#vd&:Vl t0d&5d&tDeCheck7tDeCheck8tDeCheck3tDeCheck4$$If!vh5 555F5#v #v#vF#v:Vl t0d&5 55F5w$$If!vh5O&#vO&:Vl t0d&5O&w$$If!vh5O&#vO&:Vl t0d&5O&vDText21tDeCheck5tDeCheck6$$If!vh55 5 55 #v#v #v #v#v :Vl t0d&55 5 55 vDText22$$If!vh5 5#v #v:Vl t0d&5 5$$If!vh5 555*5n #v #v#v#v*#vn :Vl t0d&5 555*5n vDText23vDText24$$If!vh5 555*5n #v #v#v#v*#vn :Vl t0d&5 555*5n $$If!vh555585#v#v#v#v8#v:Vl t0d&555585vDText25vDText28$$If!vh555585#v#v#v#v8#v:Vl t0d&555585vDText26vDText29$$If!vh555585#v#v#v#v8#v:Vl t0d&555585vDText27vDText30$$If!vh555585#v#v#v#v8#v:Vl t0d&5555858@8 Normal_HmH sH tH 8@8 Heading 1$@&CJDAD Default Paragraph FontVi@V  Table Normal :V 44 la (k(No List 6>@6 Title$a$ 5>*CJj@j | Table Grid7:V0TKLMThi34=Q\p)?STi}~  QRfghijk  0@Ukl/0;OPXlmx00000 0 @0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 000 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 @0 0 0 0 0 000000000034hij00Xj00@h00j00h00j008j00x/h00j00 00a f P/01*33 #(` f & x ..//021>111^22R33  !"$%&')3 T`f +1=IO\hn!'?KQiu{ R^d(.@PUe '-;GMXdjxFFFFFFFFFFFFFFFFFFFFG$G$G$G$FG$G$FFFFFFFFF8@0(  B S  ?$Text1Text2Text3Text4Text5Text6Text7Text8Text9Text10Text11Text12Text13Text14Text15Text16Text17Text18Text19Text20Check7Check8Check3Check4Text21Check5Check6Text22Text23Text24Text25Text28Text26Text29Text27Text30U >]@j SAV<Yy  !"#g2Po(R|e/Qf.Nk33MTi4=Q[p~)?Si}  k0/;OXlxE$}YQcb|DKMThi34=Q\p)?STi}~  QRhijk  0@Ukl/0;OPXlmx)3@ afpaa4PP P P.UnknownGz Times New Roman5Symbol3& z Arial"hz&[a,  !242QHX)?Qcb2MAJOR CASE STUDY SHEET Janet Babcockgx620Oh+'0  ( H T ` lxMAJOR CASE STUDY SHEETJanet BabcockMajor Case Study Sheet.dotgx6204Microsoft Office Word@%@j#@Zl@ 4՜.+,0  hp  Smith College  MAJOR CASE STUDY SHEET Title  !"#$%&'()*,-./0123456789:;<>?@ABCDEFGHIJKLMNOPQSTUVWXY[\]^_`adRoot Entry Fp4fData +"1Table=(WordDocument*TSummaryInformation(RDocumentSummaryInformation8ZCompObjq  FMicrosoft Office Word Document MSWordDocWord.Document.89q