Student-Attained Professional Placement Application (SAP)
There are two parts to the SAP Application:
1. Student-Mentor Agreement
2. Proposed Placement Description
Notes for the Student:
 Submit the completed SAP Student-Mentor Agreement form along with a
hardcopy of the Proposed Placement Description to the KPE Faculty Main
Office Drop Box by July 17, 2015

The Student-Mentor Agreement must be signed by both the student and the
potential mentor to be valid.

Students must also email an electronic copy of the Proposed Placement
Description to: placements.kpe@utoronto.ca.
Criteria used to Assess SAP Applications:
Mentor Criteria:
- Minimum of 3 years work experience employed in a kinesiology/physical educationrelated occupation.
Placement Criteria:
- Student is matched with a qualified professional.
- Student will complete an average of 100 placement hours (80 min/120 max).
- Student placement work is supervised.
- Placement tasks/activities have a kinesiology/physical education focus.
- The student placement has a meaningful learning component.
- Students will not receive financial compensation for professional placement hours.
Student-Mentor Agreement
To Be Completed By The Student And Mentor:
By signing below, the mentor and student acknowledge that they have read the package
on “Background Information for New Mentors” and agree that:
1. They know the mentor's and student's roles and responsibilities and will work
together in a mentor-student relationship in the 2015-16 academic year if this
application is approved.
2. The student will serve as a volunteer and will not be compensated financially for
his/her professional placement hours.
3. They are not members of the same family and are not intimately related.
4. The mentor and student have completed the “Proposed Placement Description”
and this “Student-Mentor Agreement.”
5. The student will contact the mentor to advise him/her of the outcome of this
application.
6. Where an application has been approved, the student will contact the mentor in
September, 2015 in order to maintain this placement and to begin professional
placement hours.
Mentor: ______________________________ ____________________
Printed Name
Signature
Student: _____________________________ ____________________
Printed Name
Signature
____________
Date
____________
Date
Placement Organization: __________________________________________________
Professional Placement Student Position Title_________________________________
FOR OFFICE USE ONLY:
SAP Application Result: Granted ___
Denied ___
Placement Category: __________
Comments: ________________________________________________________________________
Signature: ___________________________________
Date: _______________________________
Proposed Placement Description
Thank you for your interest in partnering with us as a KPE professional placement
mentor. Please complete the following placement application form for the purpose of
identifying placement suitability for an interested volunteer student from the University of
Toronto, Faculty of Kinesiology & Physical Education.
Completed forms should be emailed to: placements.kpe@utoronto.ca
Organization Information:
Full Name of Organization: _________________________________________________
Department (if applicable): _________________________________________________
Organization website: _____________________________________________________
Professional Placement Student Position Title: ______________________________
Mentor Information:
Name of Mentor: _________________________________________________________
Job Title of Mentor: _______________________________________________________
Full work mailing address: __________________________________________________
____________________________________________ Postal Code: ________________
Nearest intersection (main streets): ___________________________________________
Work telephone #: __________________________ Fax #: ________________________
Email: __________________________________________________________________
Do you the mentor have a minimum of 3 years work experience employed in a
kinesiology/physical education-related occupation?
Yes
No
Contact Information (if different than mentor):
Name of contact person: ___________________________________________________
Title of contact person: ____________________________________________________
Work telephone #: __________________________ Fax #: ________________________
Email: __________________________________________________________________
Professional Placement Student Position Title_________________________________
Description of Placement:
 Provide a brief description of the mission and/or main goals and/or approach
followed in the organization.
 Provide a general description of a placement student’s intended role in the
organization.
 Include any additional information about the organization to assist our office in
assessing the suitability of this placement for the development of a kinesiology and
physical education student.
Students’ Potential Learning Activities:
 Please list examples of activities, responsibilities, and learning opportunities a
student could become involved in at this new placement. Also include possible
duties and projects a student could undertake.
 Note: The main tasks performed by the student in the professional placement
should relate to the practice of kinesiology/physical education.
Continued on next page…
Special Requirements for a student placed in this organization (if applicable):
 List any required certifications, police checks, KPE course pre-requisites, etc.
Students have a minimum placement requirement of 80 hours and a maximum placement
requirement of 120 hours. These hours are to be completed within the academic year
(September – March). Will the student be able to meet this course requirement?
Yes
No
Additional Information:
 Please attach any additional information you would like us to consider when
evaluating the suitability of your organization for a professional placement
opportunity.