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Department of Counselor Education & Rehabilitation COIN 239 Supervised Fieldwork Agreement This Document Pertains to Acquiring Hours for the MFT License SECTION I: DEFINITIONS OF TERMS 1. Qualifying
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How to fill out supervised fieldwork agreement

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How to Fill out Supervised Fieldwork Agreement:

01
Read the agreement thoroughly to understand its terms and expectations.
02
Fill out the personal information section, including your full name, contact details, and student ID (if applicable).
03
Provide details about your educational institution, such as its name, department, and address.
04
Specify the start and end dates of your supervised fieldwork placement.
05
Indicate the name and contact information of your fieldwork supervisor or mentor.
06
Outline the objectives and goals of your fieldwork experience in the designated section.
07
Describe the specific tasks, activities, and responsibilities you will undertake during the placement.
08
Discuss the learning outcomes you hope to achieve and how they align with your academic program.
09
Consult with your supervisor or mentor to identify any additional requirements or expectations.
10
Review any confidentiality or non-disclosure agreements and provide your consent as necessary.

Who Needs a Supervised Fieldwork Agreement:

01
Students pursuing degrees or certifications that require supervised fieldwork experience.
02
Educational institutions that have established partnerships with organizations to offer fieldwork opportunities.
03
Employers or organizations that host students for supervised fieldwork placements.
04
Supervisors or mentors responsible for overseeing and evaluating students' fieldwork progress.
05
Professional associations or licensing bodies that mandate supervised fieldwork as part of the accreditation process.
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Supervised fieldwork agreement is a formal contract between a student, educational institution, and employer which outlines the terms and conditions of the student's internship or work experience.
The student, educational institution, and employer are required to file supervised fieldwork agreement.
Supervised fieldwork agreement can be filled out by providing information such as student details, educational program, internship details, responsibilities, and signatures of all parties involved.
The purpose of supervised fieldwork agreement is to ensure that all parties are aware of their roles and responsibilities, and to protect the rights of the student during the internship or work experience.
Information such as student details, educational program, internship details, responsibilities, and signatures of all parties involved must be reported on supervised fieldwork agreement.
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