SCHOOL OF SOCIAL WORK RENISON UNIVERSITY COLLEGE ...
SCHOOL OF SOCIAL WORK RENISON UNIVERSITY COLLEGE ...
SCHOOL OF SOCIAL WORK RENISON UNIVERSITY COLLEGE ...
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<strong>SCHOOL</strong> <strong>OF</strong> <strong>SOCIAL</strong> <strong>WORK</strong><br />
<strong>RENISON</strong> <strong>UNIVERSITY</strong> <strong>COLLEGE</strong><br />
<strong>UNIVERSITY</strong> <strong>OF</strong> WATERLOO<br />
BSW PLACEMENT AVAILABILITY FORM<br />
(for the 2013-2014 academic year)<br />
This form is used to plan Bachelor of Social Work students’ placements for the upcoming academic year.<br />
It is the understanding of Renison that placements will be coordinated according to the information<br />
completed below and to the availability of an appropriate student.<br />
A BSW or MSW is required for all Field Instructors. The School of Social Work offers the BSW as full and<br />
part-time programs. Both require a minimum of 720 hours of practicum time. Exceptions will be made<br />
for part-time students who receive a positive evaluation following the Reduction for Field Hours process.<br />
This form is also available in the Practicum Manual and on the School of Social Work web site.<br />
https://uwaterloo.ca/school-of-social-work/bachelor-social-work-bsw/field-education<br />
PLACEMENT AGENCY INFORMATION<br />
Agency Name: __Family Counselling and Support Services - Guelph<br />
Clinical Manager: Marion MacLean<br />
E-mail: marionmaclean@familyserviceguelph.on.ca<br />
Address: 109 Surrey Street East<br />
City: Guelph, ON<br />
Postal Code: N1H3P7<br />
Telephone: 519.824.2431 Extension: 27<br />
Fax: 519.824.3598<br />
Website: http://www.familyserviceguelph.on.ca/<br />
Should someone be designated as coordinator of the field placements and/or agency contact, please<br />
complete the following information if different from above. This person will receive all mail from the<br />
College and be identified as the primary contact person.<br />
Name: Kelvin Mutter E-mail: kelvinmutter@familyserviceguelph.on.ca<br />
Address: 109 Surrey Street East<br />
City: Guelph, ON<br />
Postal Code: N1H3P7<br />
Telephone: 519.824.2431 Extension: 29 Fax: 519.824.3598
PLACEMENT AVAILABILITY INFORMATION<br />
Is your agency available for student placements during the next (2013-2014) academic year?<br />
Full Time Students: Yes (XX ) No ( ) If Yes, indicate number of students _One (1)_<br />
Part Time Students: Yes ( ) No (XX ) If Yes, indicate number of students __________<br />
Comments: _________________________________________________________________________<br />
___________________________________________________________________________________<br />
Will students be expected to work standard office hours? Yes ( XX ) No ( )<br />
Evenings? Yes ( XX ) No ( )<br />
Flexible hours? Yes ( ) No ( )<br />
Be on-call? Yes ( ) No ( XX )<br />
Comments: It is likely the student will be asked to work at least one evening a week.<br />
Please indicate which of the following requirements you have of students placed in your agency:<br />
Police Check Yes ( XX ) No ( )<br />
CAS Check Yes ( ) No ( XX )<br />
Immunizations Yes ( ) No ( XX )<br />
Health Records Yes ( ) No ( XX )<br />
Will students be expected to use their own cars in the performance of placement related duties?<br />
( ) Yes ( XX ) No<br />
Will they be expected to transport clients/service recipients in their cars?<br />
( ) Yes ( XX ) No<br />
What are the car insurance requirements of your agency?<br />
_____________________________________________________________________________________<br />
Is your agency able to accommodate students with special needs with any of the following?<br />
Flexible Work Schedule Yes ( ) No ( XX ) Maybe ( )<br />
Please explain: We require the student to be available for the full duration of their shift.<br />
Barrier-free environment: Yes ( ) No ( XX ) Maybe ( ) Please explain: The first floor of the<br />
agency is wheel chair accessible. However, the second floor of the agency is not wheel chair accessible.<br />
Private Office: Yes ( ) No ( XX )<br />
Please explain: Except for when we are meeting with clients, everyone in the agency shares an office. In<br />
some situations, people actually work out of the same office at the same time. In other situations,<br />
workers “time-share” their office space.<br />
Access to adaptive software (ex. JAWS) Yes ( ) No ( XX )<br />
Explain:
Does your agency have an anti-discrimination policy? Yes ( X ) No ( )<br />
Does your agency have a former client policy? (i.e.: student being former client)<br />
Yes ( XX ) No ( )<br />
Explain: Former clients cannot be work in the agency as interns.<br />
DESCRIPTION <strong>OF</strong> PLACEMENT EXPERIENCE<br />
FIELDS <strong>OF</strong> SERVICE<br />
Rank the top three that best describe the learning opportunities available:<br />
1. Other: Intake Work: i.e., management of file from first contact to first appointment, telephone<br />
contact with clients, referral to groups or for individual counselling, setting initial appointment for<br />
clients<br />
2. Family Violence – Possible Group Work with adults and/or children<br />
3. Clinical Counselling – Possible Group Work(depending on availability)<br />
Addictions/Substance Abuse<br />
Child Welfare<br />
Community Development<br />
Community Outreach<br />
Corrections/Community Justice/ Probation and Parole<br />
Disabilities<br />
Education<br />
Gerontology<br />
Health<br />
Indigenous/First Nation Services<br />
Lesbian, Gay, Bi-sexual, Transgender Services<br />
Mental Health Services (Adults)<br />
Mental Health Services (Children)<br />
Multicultural Work<br />
Poverty<br />
Residential Services<br />
Social Policy/Planning<br />
INTERVENTION APPROACHES<br />
Check the intervention approaches commonly used (check as many as are relevant):<br />
Individuals<br />
Couples<br />
Families<br />
Groups (Therapy and/or Psychosocial)<br />
Advocacy and outreach<br />
Social Action<br />
Community development<br />
Fundraising<br />
Social Policy development
Program evaluation<br />
Social planning<br />
Education<br />
Active committee membership<br />
Facilitating workshops, seminars<br />
Research<br />
Primary Theoretical Orientation of Placement Site: (if applicable)<br />
Clinical counsellors utilize a variety of theoretical orientations with a view to facilitating and supporting<br />
change in 6 to 10 counselling sessions.<br />
________________________________________________________________________________<br />
Please answer the questions below to the extent that you are able. We recognize that these are general<br />
descriptions and subject to change.<br />
Narrative Description of Proposed Placement Experience:<br />
It is anticipated that the BSW intern will spend at least 2/3 of their placement within the Intake<br />
Office where they will gain experience in the management of case files from first contact to first<br />
appointment. This work includes telephone contact with clients, referral to groups or for individual<br />
counselling, setting initial appointment for clients, and the creation of client files. It noted that the<br />
skills that will be gained in this aspect of the placement will be transferrable to work within a variety<br />
of social service agencies.<br />
It is anticipated that the remainder of the intern’s placement could include involvement with any of<br />
the treatment groups offered by this agency.<br />
Possible Tasks and Projects:<br />
Direct Practice<br />
Telephone contact with potential clients and<br />
returning clients<br />
Assisting another therapist lead one of our<br />
therapeutic groups<br />
Indirect Practice<br />
Referring clients to groups or for individual<br />
counselling,<br />
setting initial appointment for clients,<br />
the creation of client files<br />
liaising with third party funders
Possible Number and Nature of Practice Assignments: One Stude<br />
Direct Practice<br />
Community<br />
Development<br />
Projects/Activities<br />
Social Planning<br />
Projects/Activities<br />
Social Policy<br />
Projects/Activities<br />
Administration<br />
Research<br />
Individuals Families Groups (Number of<br />
Groups and sessions)<br />
Depends on Intern’s<br />
availability and the group<br />
schedule.<br />
Community<br />
Contacts<br />
Direct contact<br />
with clients<br />
through our<br />
Intake office<br />
FIELD INSTRUCTORS AND SERVICE AREA<br />
Field Instructor: Kelvin Mutter Service Area: Clinical Counselling<br />
Qualifications: OAMFT Clinical Fellow, Experienced MSW Supervisor (WLU & UofT) E-Mail:<br />
kelvinmutter@familyserviceguelph.on.ca<br />
Please email completed form by February 28, 2013 to:<br />
Deborah Clark<br />
BSW Field Education Coordinator<br />
Email: dclark@uwaterloo.ca<br />
Telephone: 519-884-4404 x28656<br />
Fax: 519-884-5135<br />
Website: https://uwaterloo.ca/school-of-social-work/<br />
School of Social Work<br />
Renison University College<br />
240 Westmount Road N.<br />
Waterloo, ON<br />
N2L 3G4
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