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Department of Counselor Education & Rehabilitation COIN 239 Supervised Fieldwork Clinical Agreement MFT and PCC Counseling Programs This is NOT an interagency contract. This is an agreement among

How to fill out supervised fieldwork clinical agreement

How to fill out supervised fieldwork clinical agreement:

1. Gather the necessary information: The first step in filling out a supervised fieldwork clinical agreement is to gather all the necessary information. This includes details about the student, the fieldwork site, the supervisor, and any other relevant information required by the agreement.
2. Read the agreement carefully: Before filling out the agreement, it is important to read through it carefully. Understand the terms, conditions, and expectations outlined in the agreement. This will help ensure that all parties involved are aware of their responsibilities and rights.
3. Complete the student information section: Begin by filling out the student information section of the agreement. This may include personal details such as name, contact information, student identification number, and academic program.
4. Provide details about the fieldwork site: Next, provide information about the fieldwork site. This may include the name of the organization, address, contact person, and any additional details required by the agreement.
5. Include supervisor details: Fill out the section that pertains to the supervisor. Include their name, contact information, professional qualifications, and any other relevant details. It is important to ensure that the supervisor meets the requirements outlined in the agreement.
6. Review and sign the agreement: Once all the required information has been filled out, carefully review the agreement again to ensure accuracy. After reviewing, sign the agreement in the designated area. This indicates that you understand and agree to the terms and conditions stated in the agreement.

Who needs supervised fieldwork clinical agreement:

1. Students pursuing clinical programs: Supervised fieldwork clinical agreements are typically required for students who are enrolled in clinical programs. These programs may include fields such as psychology, social work, counseling, occupational therapy, physical therapy, and nursing.
2. Fieldwork sites and organizations: Fieldwork sites and organizations that host students for supervised clinical experiences also require a supervised fieldwork clinical agreement. This ensures that both the site and the student are aware of their responsibilities and rights during the placement.
3. Academic institutions: Academic institutions that oversee and coordinate clinical placements for students also play a role in the need for supervised fieldwork clinical agreements. These agreements help maintain a clear understanding and accountability between the academic institution, the student, and the fieldwork site.

For pdfFiller’s FAQs

What is supervised fieldwork clinical agreement?

Supervised fieldwork clinical agreement is a formal agreement between a student, their academic institution, and a clinical site outlining the requirements and expectations for the student's fieldwork experience.

Who is required to file supervised fieldwork clinical agreement?

Both the student and the academic institution are required to file the supervised fieldwork clinical agreement.

How to fill out supervised fieldwork clinical agreement?

The supervised fieldwork clinical agreement should be filled out by the student, signed by the academic institution, and then submitted to the clinical site for approval.

What is the purpose of supervised fieldwork clinical agreement?

The purpose of supervised fieldwork clinical agreement is to ensure that all parties involved are aware of their roles and responsibilities during the fieldwork placement and to provide a framework for supervision and evaluation.

What information must be reported on supervised fieldwork clinical agreement?

The supervised fieldwork clinical agreement must include the student's name, academic institution, clinical site information, dates of fieldwork placement, and signatures from all parties involved.

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