SERVICE LEARNING STUDENT-PLACEMENT CONTRACT
The Student-Placement Contract is designed to:
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Assist the student and placement advisor in understanding the learning objectives for Service
Learning.
Clarify the activities in which the student will be involved in the placement in relation to the learning
objectives.
Ensure that both the student and the placement advisor are aware of their responsibilities as
partners in this Service Learning project.
Course Learning Objectives:
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Increase student motivation and understanding of their discipline by grounding academic
knowledge in meaningful, relevant context
Connect the unique perspectives and ideas of the academic undergraduate student with those of
their peer, research or external community.
Develop student competence for and appreciation for critical thinking, reflection, teamwork,
communication, creativity and initiative
STUDENT INFORMATION:
PLACEMENT INFORMATION:
Placement Site (lab, course or organization):
Name:
Placement Address (Outreach only):
E-mail:
Phone:
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2° Contact:
Phone:
Overall Purpose/Goal of Placement Partner
(mission statement, what are they trying to achieve):
Program of Study & Year:
Days/Hours Available & NOT Available:
Service Learning Course:(check one)
Outreach (CTLB03H3)
In-reach (CTLB03H3)
Primary Placement Supervisor Information:
Name:
Contact Info:
Service Learning Course Contact:
Dr. Kamini Persaud
(416)287-7557
kpersaud@utsc.utoronto.ca
Role
(Job Title):
Secondary Placement Advisor/Contact:
PROJECT INFORMATION:
Project Title:
General Objective(s) of Project:
Student Role/Position:
Days & Hours of Service:
Student Start Date:
End Date:
Methods Used to Meet Objectives (Student Activities): * PLEASE BE DETAILED!!
End Products or Evidence to be Generated in Meeting Objective(s):
Training (skill and/or SAFETY) or Other Pre-Service Requirements:
Other Student Requirements (By Placement Partner):
STUDENT AGREEMENT:
Student will:
1. Arrive on time and appropriately dressed
2. Be honest, respectful, and cooperative
3. Conduct themselves in a professional manner
4. Communicate with the placement advisor
and course coordinator regarding problems,
questions or concerns they may have
5. Be aware of their own safety, avoid unsafe
situations & refuse activity when feeling unsafe
6. Participate in any additional training and/or
orientation required for their placement project
7. Contact the placement in advance if unable
to make a scheduled appointment
8. Ensure that they are not utilized as TAs,
Teaching Fellows, Demonstrators, Instructors,
Tutors, Invigilators, Markers, Teaching Lab
Assists., Chief Presiding Officers, or Lecturers.
9. Honour their commitment to their placement
partnership & the Service Learning program
Student Signature:
PLACEMENT AGREEMENT:
Placement Supervisor will:
1. Clearly define student’s responsibilities
2. Be available to provide guidance and feedback
and to answer student’s questions
3. Provide a positive and safe environment
4. Help student acquire any necessary pre-service
training or documentation
5. Honour student’s other time commitments &
schedule & not demand >7hrs/wk (avg.)
6. Communicate any questions, problems or
concerns with the course coordinator
7. Plan activities for student that use academic
knowledge & require meaningful service.
8. Ensure that students shall not be utilized as TAs,
Teaching Fellows, Demonstrators, Instructors,
Tutors, Invigilators, Markers, Teaching Lab
Assists., Chief Presiding Officers, or Lecturers.
9. Honour their commitment to their placement
partnership & the Service Learning program
Placement Supervisor Signature:
Date:
Date: