SCHOOL OF SOCIAL WORK RENISON UNIVERSITY COLLEGE ...

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PLACEMENT AVAILABILITY INFORMATION Is your agency available for student placements during the next (2013-2014) academic year? Full Time Students: Yes (XX ) No ( ) If Yes, indicate number of students _One (1)_ Part Time Students: Yes ( ) No (XX ) If Yes, indicate number of students __________ Comments: _________________________________________________________________________ ___________________________________________________________________________________ Will students be expected to work standard office hours? Yes ( XX ) No ( ) Evenings? Yes ( XX ) No ( ) Flexible hours? Yes ( ) No ( ) Be on-call? Yes ( ) No ( XX ) Comments: It is likely the student will be asked to work at least one evening a week. Please indicate which of the following requirements you have of students placed in your agency: Police Check Yes ( XX ) No ( ) CAS Check Yes ( ) No ( XX ) Immunizations Yes ( ) No ( XX ) Health Records Yes ( ) No ( XX ) Will students be expected to use their own cars in the performance of placement related duties? ( ) Yes ( XX ) No Will they be expected to transport clients/service recipients in their cars? ( ) Yes ( XX ) No What are the car insurance requirements of your agency? _____________________________________________________________________________________ Is your agency able to accommodate students with special needs with any of the following? Flexible Work Schedule Yes ( ) No ( XX ) Maybe ( ) Please explain: We require the student to be available for the full duration of their shift. Barrier-free environment: Yes ( ) No ( XX ) Maybe ( ) Please explain: The first floor of the agency is wheel chair accessible. However, the second floor of the agency is not wheel chair accessible. Private Office: Yes ( ) No ( XX ) Please explain: Except for when we are meeting with clients, everyone in the agency shares an office. In some situations, people actually work out of the same office at the same time. In other situations, workers “time-share” their office space. Access to adaptive software (ex. JAWS) Yes ( ) No ( XX ) Explain:
Does your agency have an anti-discrimination policy? Yes ( X ) No ( ) Does your agency have a former client policy? (i.e.: student being former client) Yes ( XX ) No ( ) Explain: Former clients cannot be work in the agency as interns. DESCRIPTION <strong>OF</strong> PLACEMENT EXPERIENCE FIELDS <strong>OF</strong> SERVICE Rank the top three that best describe the learning opportunities available: 1. Other: Intake Work: i.e., management of file from first contact to first appointment, telephone contact with clients, referral to groups or for individual counselling, setting initial appointment for clients 2. Family Violence – Possible Group Work with adults and/or children 3. Clinical Counselling – Possible Group Work(depending on availability) Addictions/Substance Abuse Child Welfare Community Development Community Outreach Corrections/Community Justice/ Probation and Parole Disabilities Education Gerontology Health Indigenous/First Nation Services Lesbian, Gay, Bi-sexual, Transgender Services Mental Health Services (Adults) Mental Health Services (Children) Multicultural Work Poverty Residential Services Social Policy/Planning INTERVENTION APPROACHES Check the intervention approaches commonly used (check as many as are relevant): Individuals Couples Families Groups (Therapy and/or Psychosocial) Advocacy and outreach Social Action Community development Fundraising Social Policy development
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SCHOOL OF SOCIAL WORK RENISON UNIVERSITY COLLEGE ...

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