Field Instructor Response to Interview
To: Dr. Susan Elswick
Department of Social Work
From: ___________________________
Agency: _________________________
Re: Field Placement Interview
I have met with ___________________________ regarding the possibility of him/her engaging in
field placement at this agency next semester.
(Please check the correct statement below):
_____ I think we can move forward on having this student placed with our agency. We have
mutually agreed on the date of ____________________ for him/her to begin the placement.
_____ I would like to talk further with you before we move forward on this placement. Please
call me at _______________, or e-mail me at __________________________.
_________________________________
___________________
(Signature)
(Date)
Please return this notice to Dr. Susan Elswick
at selswick@memphis.edu
or by fax at 678-2981