Field Placement Information Form

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Field Placement Information Form
The information on this form is collected under the authority of the Ryerson University Act and is
needed to consider your interest in providing a learning experience to one or more students in a
social work degree program at Ryerson University. The information will be used in connection
with placement negotiations, communication with students, as well as reports required for
accreditation from the Canadian Association for Social Work Education (CASWE). The
information you provide will also be used to keep you informed and up-to-date on the School of
Social Work’s activities, such as workshops and events for Field Instructors. If you have any
questions about the collection, use and disclosure of this information by the School of Social
Work, please contact the Field Education Manager at [email protected] or 416-979-5000, ext.
7241.
Please complete this form as follows:
1. Save a copy of this form on your computer.
2. Complete the form.
3. Email your completed form to [email protected]
A. Placement Setting
Name of your organization / agency:
B. Field Instructor
The Field Instructor is the person at your organization / agency who will be working directly with
the student(s). The Field Instructor is also the person who will be working with the student(s) to
develop a learning plan and submit mid-term and final evaluations.
The information you provide will be used to keep the Field Instructor informed and up-to-date
on the activities of the School of Social Work, including workshops for Field Instructors. If you
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have questions about the collection, use and disclosure of this information by the School of
Social Work, please contact the Field Education Manager at [email protected] or 416-9795000, ext. 7241.
Name:
Title:
Program:
Address:
Email:
Telephone number:
Other number:
C. About the Field Instructor
Accredited by the Canadian Association for Social Work Education (CASWE), the School of
Social Work is required to collect certain information about the people who will be supervising
our students. The reason we ask for this information is for reports required for accreditation
and to allow the School of Social Work to understand the experience that each Field Instructor
brings to the placement. If you have questions about the collection, use and disclosure of this
information by the School of Social Work, please contact the Field Education Manager at
[email protected] or 416-979-5000, ext. 7241.
Experiential background:
0-2 years in the social work field
2-5 years in the social work field
5-10 years in the social work field
10+ years in the social work field
Educational background:
BSW
MSW
PhD in social work
Not applicable
Other:
Has the Field Instructor supervised students before? Select all that apply:
BSW student(s) from Ryerson
MSW student(s) from Ryerson
Students from other programs / institutions (please list the program and institution):
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This will be the first time supervising students
D. Education Coordinator
Our school refers to the person who coordinates student placements within an organization /
agency as the Education Coordinator. Not all organizations / agencies have one employee
designated as the Education Coordinator to coordinate all student placements. In some
organizations / agencies, each Field Instructor is responsible for all aspects of coordinating
placements. If applicable, please provide information about the person in charge of student
placements at your organization / agency (Education Coordinator).
The information you provide will be used to keep the Education Coordinator informed and upto-date on the activities of the School of Social Work, including workshops for Field Instructors.
If you have questions about the collection, use and disclosure of this information by the School
of Social Work, please contact the Field Education Manager at [email protected] or 416-9795000, ext. 7241.
Name:
Title:
Program:
Address:
Email:
Telephone number:
Other number:
E. Field Placement Details
Describe the social work student’s role as it relates to the field placement being offered.
Include:




information about the department(s) / program(s) / project(s),
population being served,
the potential learning experiences, and
other details that will help students know what to expect.
The more information you provide, the better we may be able to find potentially good match(es).
The following are examples of tasks and activities that our students have experienced in field
placements. Select all those that apply to the field placement being offered.
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Accompaniment of service user
Intake
Administrative tasks
Internet / web use
Advocacy
Meeting facilitation
Arts-based / informed practices
Newsletters / publications
Assessment
Observing others’ practice
Case management
Oral presentations
Case presentations / case conferences
Organizational planning / development
Client monitoring
Participation in staff / team meetings
Client support
Policy analysis
Coalition work
Policy development
Committee work
Program development
Community development
Program evaluation
Community outreach
Proposal writing
Crisis intervention
Public education
Direct practice with communities
Referrals
Direct practice with families
Research
Direct practice with groups
Skills development with client
Direct practice with individuals
Social action
Discharge planning
Social planning
Documentation of practice / intervention
Special projects
Follow-ups with client
Telephone counseling
Fundraising
Use of mandated assessment tools
Information giving
Volunteer training / coordination
Address where the field placement will primarily be located. If the placement requires frequent
travel, please let us know how often, where (e.g., home visits, travel through community, court
visits, etc.), and if it can be done on public transit.
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Is the primary location accessible? Select all those that apply.
Physically accessible – for example, if needed, the space has an elevator, wide hallways, ramps
inside / outside of building, automatic doors, accessible washrooms, etc.
Accessible to trans, Two-Spirit and non-binary people – for example, the space has all gender
washrooms and/or trans inclusive washroom policy
Visually accessible – for example, braille on signs, desktop magnifiers, etc.
Other:
If needed by a student, could your organization / agency provide assistive technology(ies) to
students? Examples include screen readers or software.
Yes
No
Students are expected to be in placement during ordinary working hours (approximately 9 am to
5 pm or 7 placement hours per day, excluding breaks) unless otherwise arranged with both the
school and the placement setting. What will be the typical working hours for the field placement
being offered?
A small number of our students seek field placements that offer flexible hours. Will this field
placement involve one or more of the following? If yes, please specify:
Evening hours:
Weekend hours:
Shift work:
Flexible hours:
The following are examples of attributes that our students possess. Select all those that are
best suited to the field placement being offered:
New to field
Works well independently
Previous placement / work experience
Enjoys office environment
Works well with little supervision
Enjoys community-based work
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Enjoys fast-paced work environment
Enjoys highly structured environment
Will students require a police record check for the field placement begin offered?
Yes, police reference check – vulnerable sector screening
Yes, police record check without a vulnerable sector search (e.g., clearance letter)
No, police record check not required
Do not know at this time
NOTE: The School of Social Work at Ryerson University does not require that students obtain a police
record check for admission to the program or for field placements. For this reason, the school does not
oversee police record checks for student placements. Once matched with a placement setting, each
student is instructed to inquire about the organization / agency’s protocols concerning police record
checks and, if applicable, how to obtain one. Unless informed otherwise by organizations / agencies,
students are responsible for covering the cost for obtaining police record checks.
Will students require inoculations and medical tests for the field placement being offered?
Select all those that apply:
Chest x-ray
Routine physical
Flu shot
TB skin test
Hepatitis vaccination
Proof of immunization
Other:
NOTE: The School of Social Work’s Field Education Office can provide those students requiring
inoculations and / or medical tests information about options upon request. Students are however
responsible for providing placement settings any required documentation. Unless informed otherwise
by organizations / agencies, students are responsible for covering the cost for obtaining medical tests.
Are there other preferences / requirements for the field placement being offered? Select all
those that apply:
Addictions course
Driver’s licence (G)
Availability of own car on placement days
Proof of automobile liability insurance
Language(s) required other than English:
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Lived experience with the population / communities being served. For example, a history of
addictions if working in addictions / harm reduction field.
Other:
If any of the above are assets / preferences rather than requirements, list them here.
F. Students
Students in a social work program at Ryerson (BSW or MSW) are expected to put in ordinary
working hours (approximately 9 am to 5 pm or 7 placement hours per day, excluding meal
breaks), unless otherwise arranged with both the school and the placement setting.

Students in the 3rd year of the BSW program are expected to be in field placement 14 hours
per week, usually on Tuesday and Thursday from September to mid-April for a total of 336
hours.

Students in the 4th year of the BSW program are expected to be in their field placement 21
hours per week, usually on Wednesday, Thursday and Friday from September to mid-April
for a total of 504 hours.

Students in the MSW program are expected to be in their field placement 21 hours per week,
usually on Wednesday, Thursday and Friday from January to June for a total of 450 hours.
From the options listed in the following table, specify the number of students that this
placement opportunity is best suited for.
Term
3rd year BSW
student(s)
4th year BSW
student(s)
MSW student(s)
September to April
#
#
Not applicable
May to July / August*
#
#
Not applicable
January to June
Not applicable
Not applicable
#
* May to July/August term is available to a small number of BSW students.
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G. Additional Information
Is there any additional information about the field placement being offered you think the School
of Social Work should know?
H. Next Steps
If we do find one or more student(s) who would potentially be good matches, someone from our office
will email the contact person and let you know the name(s) of the student(s) who will be contacting
them with a copy of their cover letter and resume and to arrange an interview. If you have a particular
timeline that you follow regarding interviews with students, please feel free to let us know in section G
of this form.
Thank you for considering offering a learning opportunity to one or more BSW and / or MSW students
from Ryerson University. Your support and willingness to provide instruction in the field is an integral
part of our program.
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