Form SP012-A
Page 1 of 3
STUDENT PLACEMENT LEARNING CONTRACT
Bachelor of Counselling
Placement learning contract is to be developed in consultation with your Placement Supervisor
within the first 20 hours or two weeks of placement (whichever comes first).
Once completed, a signed copy of this contract must be emailed as an attachment to the
Student Placement team
STUDENT DETAILS
ACAP student ID number:
Family Name:
Given Name(s):
State/Territory:
Email:
Mobile:
Other Phone:
Course Name: Bachelor of Counselling
ORGANISATION AND PLACEMENT SUPERVISOR DETAILS
Organisation:
Placement Supervisor Name:
Placement Supervisor Position
Title:
Qualifications:
Supervisory Experience:
Email:
Telephone:
PLACEMENT SUPERVISOR AND STUDENT MEETINGS
Frequency:
[E.g. each morning / weekly / daily debrief etc.]
Placement Supervisor’s feedback will focus
on:
[e.g. Planning activities and tasks / reflecting / sharing
insights and learning / constructive feedback /
requirements for next meeting etc.]
Sydney Campus
(NSW, ACT and offshore)
T 02 9964 6300
studentplacementsyd@acap.edu.au
Brisbane Campus
(QLD and NT)
T 07 3234 4416
studentplacementbris@acap.edu.au
Melbourne Campus
(VIC)
T 03 8613 0600
studentplacementmelb@acap.edu.au
Adelaide Campus
(SA, TAS and WA)
T 08 81104018
studentplacementadel@acap.edu.au
Form SP012-A
Page 2 of 3
PLACEMENT LEARNING GOALS:
Each leaning goal in your Learning Contract should be set out as follows:
1. The Learning Goal: These are the formal learning outcomes for your Placement and Supervision unit, plus two additional personal goals
2. The Learning Tasks: Individual tasks/activities that you will engage in to achieve your goal.
3. Method of Assessment: How each learning goal and learning task will be monitored and assessed.
Learning Goal

Competently apply theoretical
knowledge and counselling skills to
practice with clients in a counselling
agency;

Demonstrate ethical thinking and
decision-making skills in counselling
practice

Demonstrate respect for the rights
and autonomy of clients

Effectively present counselling
practice with clients in placement
supervision

Receive and apply supervisor
feedback to improve practice

Demonstrate skilled intervention
planning
Apply counselling skills and models
to meet client needs


Describe and analyse the influence
of organisational, social and cultural
contexts on your counselling practice

Reflect on your counselling efficacy

Prepare for future clinical practice.
Personal Learning Goal
Sydney Campus
(NSW, ACT and offshore)
T 02 9964 6300
studentplacementsyd@acap.edu.au
Learning Task
Learning Task
Brisbane Campus
(QLD and NT)
T 07 3234 4416
studentplacementbris@acap.edu.au
Method of Assessment
Method of Assessment
Melbourne Campus
(VIC)
T 03 8613 0600
studentplacementmelb@acap.edu.au
Adelaide Campus
(SA, TAS and WA)
T 08 81104018
studentplacementadel@acap.edu.au
Form SP012-A
Page 3 of 3
STUDENT AND PLACEMENT SUPERVISOR DECLARATION
This contract has been developed within the first 20 hours or two weeks of placement.
This contract has been developed in consultation with the Placement Supervisor.
This contract will be referred to during Placement Supervision sessions and amended as required (major changes
to be approved by Student Placement team and Clinical Supervisor).
This contract will have learning tasks and method of assessments that are appropriate for the placement.
Placement Supervisor Signature:
Date:
Student Signature:
Date:
Email contract to Student Placement team
Sydney Campus
(NSW, ACT and offshore)
T 02 9964 6300
studentplacementsyd@acap.edu.au
Brisbane Campus
(QLD and NT)
T 07 3234 4416
studentplacementbris@acap.edu.au
Melbourne Campus
(VIC)
T 03 8613 0600
studentplacementmelb@acap.edu.au
Adelaide Campus
(SA, TAS and WA)
T 08 81104018
studentplacementadel@acap.edu.au