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Date Received: Please return to: Field Coordinator, Department of Social Work University of Wisconsin Oshkosh 800 Alma Blvd. Oshkosh, WI 54901Department of Social Work STUDENT REQUEST AND AGENCY AGREEMENT
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Obtain a copy of the appendix-y-request-for-work-site-field-placement form
02
Fill out the student information section with your name, student ID, and contact information
03
Provide details about your program of study, including the name of your school and the field placement course you are enrolled in
04
Specify the desired work site for your field placement, including the name of the organization and the address
05
Describe the duties and responsibilities you expect to have at the work site during your field placement
06
Obtain any necessary signatures from your school advisor or field placement coordinator
07
Submit the completed form to the appropriate department or office for processing

Who needs appendix-y-request-for-work-site-field-placement?

01
Students who are required to complete a field placement as part of their academic program
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appendix-y-request-for-work-site-field-placement is a form that must be submitted to request a work site field placement.
Students or employees seeking a work site field placement are required to file appendix-y-request-for-work-site-field-placement.
To fill out appendix-y-request-for-work-site-field-placement, you must provide information about your desired work site placement and submit the form according to the instructions provided.
The purpose of appendix-y-request-for-work-site-field-placement is to formally request a work site field placement for educational or work-related purposes.
Information such as the desired work site placement, dates of availability, and any relevant qualifications or skills must be reported on appendix-y-request-for-work-site-field-placement.
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