SCHOOL OF SOCIAL WORK
FACULTY OF COMMUNITY SERVICES
Accredited by The Canadian Association for Social Work Education
anti-oppression | social transformation | social justice
2015/2016 BSW FIELD PLACEMENT OPPORTUNITY FORM
The information on this form is collected under the authority of the Ryerson University Act and is
needed to process your request for a student. 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 activities of the School of Social Work, including
special events, such as workshops, 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 swfield@ryerson.ca or 416-979-5000, ext. 7241.
Field Instruction is a critical component of the School of Social Works’ curriculum. Through field
education, our students are enabled to integrate theory and practice, develop a professional identity,
and apply their practice skills and knowledge under the guidance of experienced, qualified Field
Instructors. The Field Education Office in the School of Social Work greatly appreciates your interest in
offering a learning opportunity to our BSW students.
Please complete this form as follows:
1. Save a copy this form on your computer.
2. Complete the form.
3. Email your completed form to swfield@ryerson.ca
A. ORGANIZATION
Name of the placement setting (organization):
Name of person in charge of all student placements (Education Coordinator) if applicable:
Title and program:
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Work number and email:
Work address:
Name and email of the person to whom the student(s) should send their cover letter and resume
(if different than above):
B. FIELD PLACEMENT DETAILS
Address where the student(s) will be placed:
Will this field placement be with a specific department/program/project? If yes, please feel free
to provide more details:
Description of the program/project/organizational activities that the student(s) will engage in:
Please specify which of the following tasks/activities the student(s) will complete in this field
placement:
accompaniment of service user
committee work
administrative tasks
community development
advocacy
community outreach
arts-based/informed practices
crisis intervention
assessment
direct practice with communities
case management
direct practice with families
case presentations/case conferences
direct practice with groups
client monitoring
direct practice with individuals
client support
discharge planning
coalition work
documentation of practice/intervention
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follow-ups with client
program development
fundraising
program evaluation
home visits
proposal writing
information giving
public education
intake
referrals
internet/web use
research
meeting facilitation
skills development with client
newsletters/publications
social action
observing others’ practice
social planning
oral presentations
special projects
organizational planning/development
telephone counseling
participation in staff/team meetings
use of mandated assessment tools
policy analysis
volunteer training/coordination
policy development
Will this field placement involve one or more of the following? If yes, please specify:
Evening hours:
Weekend hours:
Shift work:
Flexible hours:
Will the student(s) require a police record check? If yes, please specify which one:
Police reference check – vulnerable sector screening
Police record check without a vulnerable sector search (e.g., clearance letter)
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’s protocols concerning police record checks and,
if applicable, how to obtain one. Unless informed otherwise by organizations, students are responsible
for covering the cost for obtaining police record checks.
Will the student(s) require inoculations and medical tests? If yes, please specify:
Chest x-ray
Flu shot
Hepatitis vaccination
Routine physical
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TB skin test
Proof of immunization
Other (please specify):
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, students are responsible for covering the cost for obtaining medical tests.
Are there other requirements? If yes, please specify. If an asset rather than a requirement
please specify:
Addictions course
Driver’s licence
Availability of own car on placement days
Language(s) required other than English (please specify):
Other (please specify):
C. FIELD INSTRUCTOR
The Field Instructor is the person 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 person who will be supervising the student(s):
Is the same as the one listed in section A. Organization. This is also the person who is in charge of
all student placements (Education Coordinator).
Is different than the one listed in section A. Organization. The person’s contact information is as
follows.
Name:
Title and program:
Work number and email:
Work address:
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D. INFORMATION ABOUT THE FIELD INSTRUCTOR
As a program that is 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 in placement. 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.
Does the person who will be supervising the student(s) (Field Instructor) have a BSW, MSW
and/or other degree/diploma?
Yes
BSW
MSW
Other (please specify):
No
Is the person who will be supervising the student(s) (Field Instructor) a graduate of the BSW
and/or MSW program at Ryerson University?
Yes (please select all that apply):
Ryerson BSW Alumni
Ryerson MSW Alumni
No
How many years of experience does the person who will be supervising the student(s) (Field
Instructor) have in the social services field?
Has the person who will be supervising the student(s) (Field Instructor) supervised students
before?
Yes (please select all that apply):
Ryerson BSW student(s)
Ryerson MSW student(s)
Other student(s) (please specify the academic setting and program):
No
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E. NUMBER OF STUDENTS
From the options listed in the following table, please specify the number of students that this
placement opportunity would be best suited for.
If you are not sure whether a 3rd or 4th year student would be best suited for this opportunity,
please specify the following:
I would like the school to determine this based on the information provided in this form.
I would like the school to contact me to discuss this in further detail.
Term
Number of 3rd Year Students
Number of 4th Year Students
Fall 2015 / Winter 2016
2 days per week, usually on
Tuesday and Thursday
3 days per week, usually on
Wednesday, Thursday, and
Friday
4-5 days per week
4-5 days per week
September to April
Spring/Summer 2016
Number but
unsure
May to July/August
NOTE: there are few
students who do a
placement during the
Spring/Summer term
F. ADDITIONAL INFORMATION
Is there any additional information about this placement opportunity you think the School of
Social Work should know?
G. NEXT STEPS
If we do find one or more student(s) who would potentially be a good match, we will email you first and
let you know the name of the student who will be contacting you with a copy of their cover letter and
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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.
Thank you for considering offering a learning opportunity to BSW 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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