GEORGE BROWN COLLEGE COMMUNITY WORKER PROGRAM
LEARNING CONTRACT
Student: __________________________________________ ______________________________________________ _________________
(Signature)
(Date Submitted)
Semester: (Circle) 2
3
4
Agency: _______________________________________________________________
Supervisor: __________________________________________ ______________________________________________ _________________
(Signature)
(Date)
Faculty Advisor: _____________________________________ __________________________________________ _________________
(Signature)
(Date)
Community Worker Program Field Placement Learning Contract
1
FIELD PLACEMENT GOAL #1:
Tasks
Status/Date
Student comments upon
completion of task
Supervisor’s evaluation (to be done at end if term). How well did the student achieve this goal?
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Community Worker Program Field Placement Learning Contract
2
FIELD PLACEMENT GOAL #2:
Tasks
Status/Date
Student comments upon
completion of task
Supervisor’s evaluation (to be done at end if term). How well did the student achieve this goal?
______________________________________________________________________________________________________________________________________________________________
______________________________________________________________________________________________________________________________________________________________
______________________________________________________________________________________________________________________________________________________________
Community Worker Program Field Placement Learning Contract
3
FIELD PLACEMENT GOAL #3:
Tasks
Status/Date
Student comments upon
completion of task
Supervisor’s evaluation (to be done at end if term). How well did the student achieve this goal?
_____________________________________________________________________________________________________________________________________________________________
______________________________________________________________________________________________________________________________________________________________
______________________________________________________________________________________________________________________________________________________________
Community Worker Program Field Placement Learning Contract
4
FIELD PLACEMENT GOAL #4:
Tasks
Status/Date
Student comments upon
completion of task
Supervisor’s evaluation (to be done at end if term). How well did the student achieve this goal?
______________________________________________________________________________________________________________________________________________________________
______________________________________________________________________________________________________________________________________________________________
______________________________________________________________________________________________________________________________________________________________
Community Worker Program Field Placement Learning Contract
5
FIELD PLACEMENT GOAL #5:
Tasks
Status/Date
Student comments upon
completion of task
Supervisor’s evaluation (to be done at end if term). How well did the student achieve this goal?
______________________________________________________________________________________________________________________________________________________________
______________________________________________________________________________________________________________________________________________________________
______________________________________________________________________________________________________________________________________________________________
Community Worker Program Field Placement Learning Contract
6
Example Field Placement Goal
FIELD PLACEMENT GOAL #1:
to develop small group facilitation skills in the context of residents’ meetings.
Tasks
Status/Date
1. Observe staff/supervisor facilitate
Ongoing
2. Discuss with staff how they approach facilitation
By 3rd week of placement
3. Use group facilitation techniques to deal with issues as they arise in
the group
Ongoing
4. Assist staff in preparing for group meetings/programs
As needed
5. Facilitate/co-facilitate meetings/programs by end of placement.
By end of placement
Student Comments upon
completion of task.
Supervisor’s evaluation (to be done at end if term). How well did the student achieve this goal?
______________________________________________________________________________________________________________________________________________________________
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Community Worker Program Field Placement Learning Contract
7