G1
Student Field Contract
between
Youngstown State University
______________________________ (agency name),
______________________________ (student name),
Youngstown State University considers field instructors a vital part of the education of social work
students and recognizes the importance of the contribution of the agencies where these students are
placed. To maintain the educational excellence desired by all parties in this joint program, a specific
statement of the responsibilities of the three parties is listed in the following paragraphs.
Responsibilities of Youngstown State University
1.
The YSU Social Work Internship Coordinator will provide the agencies with a manual
setting objectives, policies, and content of field instruction.
2.
In cooperation with the agencies, the YSU Social Work Internship Coordinator will assign
the students to be placed in the agencies.
3.
The YSU Social Work Internship Coordinator will provide the agency with background
information on the student(s), including any prior convictions or limitations to field.
4.
The YSU Social Work Internship Coordinator will assist the agency in planning an
educational program for the student, and will be available for consultation whenever
problems occur. Visits to the agency by the YSU Social Work Internship Coordinator will
take place at least twice the first semester of placement and once the second semester of
placement.
5.
The university and the YSU Social Work Internship Coordinator will provide seminars,
workshops and meetings for agency field instructors and administrators.
6.
The YSU Social Work Internship Coordinator has the responsibility for evaluating the
overall achievement of the student and will assign the grade. This will be based on the
agency field work instructor's evaluation of the student's performance.
7.
The YSU Social Work Internship Coordinator will send a Faculty Data Form to the agency
field instructor. The YSU Social Work Internship Coordinator must also sign the Field Work
Contract and Learning Contract for the Field.
8.
Youngstown State University carries liability insurance for each student during the field
work placement. YSU maintains professional liability insurance in the amount of
$1,000,000.00 per occurrence and $3,000,000.00 in the aggregate per year for its students
and its faculty present at the agency.
G2
Responsibility of the Agency
1.
The agency will provide a field instructor who is an agency employee and who has a master's
or bachelor’s degree in social work and who has the knowledge and experience the university
considers essential. OR
1a.
If the agency does not have a qualified social worker, it may wish to contract with a qualified
social worker to provide supervision to YSU students. Under these conditions, the agency
works closely with the Internship Coordinator to insure an ethical, competent, and
meaningful experience for student.
2.
The field instructor will be allowed a minimum of one hour agency time weekly per student
for individual conferences. Additional release time must also be granted for case
assignments and monitoring, reading student recording and reports, and any other tasks
associated with field learning. It is also expected that the field instructor(s) workload
will be adjusted in order to assure adequate time to meet the learning needs of students.
3.
The agency will make available to the student, through the field instructor, learning
experiences which are suitable in quality and quantity for the student's maximum
professional growth.
4.
The field instructors will accent, as their teaching objectives, the learning objectives
mutually agreed upon by the university, agency and student.
5.
Students should be involved with the field instructor in an ongoing evaluation of field
performance.
6.
It is the primary responsibility of the field instructor to report in written form an evaluation
of the performance of the student(s) to the university at midterm and at the end of each
semester. A verbal conference on the student's performance will be held each semester with
student, field instructor and YSU Social Work Internship Coordinator present.
7.
The field instructor will help plan and will attend seminars, workshops and meetings
pertinent to field instruction.
8.
The agency field instructor must complete the Field Instructor Qualifications Form and
submit it to the University. The agency field instructor must also sign the Field Work
Contract and the Learning Contract for the Field.
G3
Responsibilities of the Student
1.
The student will complete the application for field work, submit a chronological resume and
agree to a pre-placement interview at the placement agency. If the field placement agency
and student agree to the placement, a finalization conference with the student, agency field
instructor and YSU Social Work Internship Coordinator will be held. The student must sign
the Field Work Contract and the Learning Contract for the Field.
2.
The student will abide by agency rules, policies, and procedures, including maintaining of
client confidentiality, appropriate dress and attendance.
3.
The student will abide by the NASW Code of Ethics.
4.
The student will be responsible to the field work instructor and perform assignments
under his/her direction.
5.
The student is responsible for taking an active part in his/her learning. This includes
being prepared for supervisory conferences, completing required recording and reading
assignments given by the field work instructor.
6.
The student will discuss questions, problems or complaints concerning the field placement
first with the field work instructor and then, if unsatisfied, with the YSU Social Work
Internship Coordinator.
7.
The student must complete the Student Evaluation of Field Work and Seminar forms and
return them to the YSU Social Work Internship Coordinator on the designated date.
8.
Student is responsible for being aware that they will not be considered as employees of the
agency and will not be covered by its workers’ compensation, malpractice or other insurance
coverage.
G4
The parties here to recognize their interdependence and recognize that each will derive the greatest
benefits by promoting each others interests. Each of the parties is, therefore, entering into the
agreement with the intention of cooperating with the other in carrying out the terms of the agreement,
and agrees to interpret its provisions in such a manner as to best promote the interests of social work
education, the client and the community. This agreement will be reviewed periodically and may be
altered or modified by mutual consent.
Effective Period of Contract
It is understood and agreed that the effective period shall be the academic year of
______________________.
______________________________
Youngstown State Univ.
Social Work Internship Coordinator
_____________________
Date
______________________________
Agency Field Work Instructor
_____________________
Date
______________________________
Agency Manager/Director
(if required by agency)
_____________________
Date
______________________________
Student's Name
_____________________
Date
contract.fld
Revised 6/10