The University of Queensland School of Social Work and Human Services FORM 2B SWSP7088/7288 Master of Social Work Studies Student Pre-Placement Interview SWSP7088/7288: SUPERVISED PRACTICE II Please complete Parts B, D & E of this form and email the whole form to fielded@uq.edu.au (The Field Education Unit). Parts D and E will be taken from this form for your field educator. PLEASE NOTE: This form needs to be submitted before your interview with the Field Education Unit. PART A (Office Use Only) Vaccination Documentation: BLUE CARD: Yes/No Health Checklist: Application: Expiry Date: CURRENT BLUE CARD No. Date of FEU Interview: PART B (to be completed by student) 1. Name: (Mr/Mrs/Ms Miss) FIRST Names 2. Full Student Number: 4. Address: (term time) Post Code: 5. FAMILY Name 3. Date of Birth: Telephone: Mobile: Postal Address: (for notification of placement – i.e. vacation time) 6. Post Code: Telephone: (Student Email Address) Email: (Alternative Email Address) 7. Suburb where you expect to be living during placement: 8. Availability of transport: car motorbike Driver’s licence: car motorbike 9. 10. Courses Completed: (only courses other than social work subjects completed as part of this program or other programs) Completed Tertiary Qualifications: D:\533563712.doc 2 11. Work History: (including vacation and part-time work) 12. Volunteer social welfare activities. 13. Do you speak any language other than English? 14. Previous placement(s) and name of field educator: Agency: Field educator: 15. Interest areas in social work: PART C (To be completed during Pre-Placement Interview) 16. What would you NOT consider at this time and why? 17. Geographical possibilities: 18. Placements discussed: 19. Placement Preferences: Category Organisations 1. 2. 3. 4. 5. 20. Any other comments: D:\533563712.doc (Note: Government agencies will require a criminal history check) 3 PART D – Student profile for field educators (to be completed by student) 21. Relevant work and voluntary experience: 22. Detail electives undertaken: 23. Comment on your professional development in your previous placement experience: 24. Preferred learning style (refer to Field Education Manual or Handout: ‘Learning Strategies, Learning Environments, and Educational Methods’ on the School’s webpage: http://www.uq.edu.au/swahs/ under the Field Education link.) 25. Learning objectives and skills development for this placement. 26. Comment on preferred learning environment including expectations for supervision; expectations of self; and degree of structure in the learning process: Name: D:\533563712.doc Student No: 4 PART E – Master of Social Work Studies Student Pre-Placement Document (approx. 600 words in total) SWSP7088/SWSP7288 Master of Social Work Studies Student Pre-Placement Document Material from Parts D and E may be shared with a prospective field educator by the Field Education Unit staff when negotiating placements. It will also be useful information to take with you to your field placement visit/s. The document should therefore reflect your emerging practice framework and your practice starting points for this placement. 1. Discuss briefly your current practice framework. How did it develop during first placement? 2. Comment on your previous placement experiences. a) In particular, the use you made of the learning experiences. b) What were three significant areas of learning for you? c) What were three challenges for you during the placement and how did you resolve these? D:\533563712.doc 5 3. What social work methods (e.g. individual/family, group work, community work, research, policy development) do you want to explore on placement? Please relate this to both your strengths and gaps in the different fields of practice. 4. What organisational contexts will enhance and/or challenge your learning? 5. What specific competencies are important for your preparation for autonomous social work practice? 6. What are your long-term goals in social work? D:\533563712.doc 6 7. Have you personal issues that you are dealing with currently that may impact on your placement? 8. Have you dealt with issues previously that may resurface as a result of placement experiences? 9. Do you have any special needs for learning support, e.g. do you currently have a Disability Access Plan or might you require one to meet placement demands? D:\533563712.doc