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Get the free Practicum Agreement Form - Wilfrid Laurier University - wlu

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MSW PRACTICUM AGREEMENT I have read the information on the Faculty of Social Work website www.wlu.ca/socialwork, (click on MSW Practicum) and have reviewed the MSW Practicum Manual for the time frames
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How to fill out practicum agreement form

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Who needs practicum agreement form?

01
Students: Students who are undertaking a practicum or internship as part of their educational program typically need to fill out a practicum agreement form. This includes undergraduate, graduate, and professional students.
02
Educational Institutions: The institutions that provide educational programs that include practicum or internship experiences require students to fill out practicum agreement forms. This ensures that the institution and the student are aware of the expectations and responsibilities during the practicum.
03
Employers/Organizations: Any organization or employer that accepts students for practicum or internship placements will require students to complete a practicum agreement form. This helps establish a formal agreement between the organization and the student, outlining the terms, duration, and expectations of the practicum.

How to fill out a practicum agreement form:

01
Personal Information: Provide your personal details, including your name, contact information, and student identification number.
02
Educational Program Information: Specify the program you are enrolled in, the name of your educational institution, and the department or faculty you belong to.
03
Practicum Site/Organization: Indicate the name of the organization where you will be undertaking the practicum. This could be the name of a company, hospital, school, or any other relevant institution.
04
Duration and Schedule: Specify the start and end dates of your practicum. Additionally, mention the anticipated schedule for your practicum, including the number of hours per week or any specific days you will be required to be present.
05
Responsibilities and Objectives: Detail the specific tasks and responsibilities you will be undertaking during the practicum. This could include job descriptions, learning objectives, and any deliverables you are expected to complete.
06
Supervision: Mention the name and contact information of your supervisor or mentor at the practicum site. This allows for effective communication and guidance throughout the practicum experience.
07
Confidentiality and Code of Conduct: Acknowledge your understanding of the importance of maintaining confidentiality and adhering to the code of conduct of the organization during the practicum. This may involve signing a confidentiality agreement or agreeing to follow specific ethical guidelines.
08
Evaluation and Assessment: Provide consent for your performance to be evaluated during the practicum and agree to undergo assessments or evaluations as required by the educational institution or the practicum site.
09
Signatures: Sign and date the practicum agreement form to indicate your understanding and agreement with the terms and conditions outlined in the form.
10
Submitting the Form: Follow the instructions provided on the form to submit it to the appropriate department or individual at your educational institution.
By following these steps, you will be able to successfully fill out a practicum agreement form, ensuring that all parties involved are aware of their responsibilities and expectations during the practicum experience.
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The practicum agreement form is a formal document that outlines the terms and conditions of a student's placement at a practicum site.
Students who are participating in a practicum placement are required to file a practicum agreement form.
Students must complete the required fields on the practicum agreement form, including personal information, placement details, and signatures.
The purpose of the practicum agreement form is to establish a clear understanding between the student, the practicum site, and the educational institution regarding the terms of the placement.
The practicum agreement form must include personal information of the student, details of the placement site, responsibilities of the student and site supervisor, and signatures.
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