Western Kentucky University
Department of Social Work
Field Policy Statement
I, (student name)____________________________________,
by signing below, verify that I have knowledge and
understanding of the “Field Policy Manual” contents. I have
been given field requirements and understand the steps/tasks
that are required to have a successful field placement. I agree
to abide by all policies and regulations.
The witness may be a faculty member, field instructor, or field
liaison.
_______________________________________________Date___________
Student Signature
____________________________________________Date _____________
Witness Signature