Distance Placement Proposal Ccld 464

FIELD EDUCATION DISTANCE PLACEMENT PROPOSAL CCLD 464

(This proposal should be 3-4 pages in length)

Selected Course Learning Outcomes:

Students will reliably demonstrate the ability to:

 Evaluate their personal competencies and to plan towards ongoing professional growth

 Use previous field education experiences and professional growth

in the planning for an integrative experience in this final internship

and to demonstrate a higher level of skills and abilities

 Demonstrate readiness for the transition to advancement in professional

employment or graduate studies

 Collaborate in establishing appropriate goals, objectives, and

tasks for the fourth year internship and successfully meet them

Student #

Ryerson e-mail address:

Phone #:

Full Site Name:

Full Site Address:

Name of staff with whom you confirmed the placement:

Job Title:

Email Address:

Telephone: Name of staff who will supervise you at the placement site (Field Educator):

Job Title:

Email Address:

Telephone:

Type of Setting (Describe):

Describe how this setting will allow you to satisfy the learning outcomes listed above:

Non-Academic Documentation

Prior to beginning field education courses all students must have up-to-date non academic documentation (NAD) on file at the ECS office. For students completing placements in Ontario, the minimum NAD required is:

 clear criminal reference check that includes a vulnerable sector search

 Standard first aid with CPR level C

 TB test

 Worker Health and Safety Training

Does your site require additional NAD? Describe your plans for meeting the NAD requirements of the School and the site.

Professional Goals:

How will this placement help you meet the above goals?

Start and end dates of placement:

Days will you attend placement:

Time will you attend placement each day:

Student’s Signature: NB: By submitting this form you acknowledge that you are responsible for the course by paying its fees and attending your placement site for the prescribed weeks, days, and hours.