Adult Easter or May Block Thank you for making available a two week final block placement for our 2MSc students.

26th March – 13th April

OR

8th May – 18th May

Please complete the form below and return as soon as practically possible to Sherifah and Julie at [email protected]. This is to enable us to allocate these block placements in a timely manner and for students to arrange accommodation where needed.

UNIVERSITY OF READING – School of Psychology & Clinical Language Sciences

Speech & Language Therapy – Easter/May Block Placements 2017/18

Student availability 26th March – 13th April OR 8th May – 18th May

Year group Length of placement 2MSc 2 weeks

Placement dates:

PCT/NHS Trust/ Organisation

It is recommended, each placement will have no more than 3 educators. Please contact Katherine Pritchard ([email protected]) to discuss any variations.

Placement HCPC Email address First time Attended Placement Educator number taking a Educator Training? Reading Student? Yes ☐ No ☐ Yes ☐ Yes ☐ No ☐ Yes ☐ Yes ☐ No ☐ Yes ☐

Placement Address

Where the placement covers several sites, please include address details for each location.

First Line Second Line Adult Easter or May Block Town Post Code

Type of Placement

Peer ☐ Singleton ☐

Group ☐ Group Size

Accessibility

If you are unsure about accessibility for a student with mobility issues please speak to Allie Biddle

[email protected]

Yes No Car Driver essential? ☐ ☐ It is helpful if car essential placements can be peer or group placements Is the placement suitable for a student with mobility issues? ☐ ☐

Client Group

Please tick the main client groups for this placement.

Educato Educato Educato Educator r 1 r 2 r 1 2 Acquired Neuro ☐ ☐ AAC ☐ ☐

Degenerative ☐ ☐ ALD ☐ ☐

Dysphagia ☐ ☐ Fluency ☐ ☐

Head and Neck Oncology ☐ ☐ Hearing Impairment ☐ ☐

Inpatient Forensic ☐ ☐ Mental Health ☐ ☐ Services Voice ☐ ☐ Other please state

ENT ☐ ☐

Service Setting

Please tick all boxes that apply.

Educator Educato Educato Educator 1 r 2 r 1 2 Acute ☐ ☐ Hospital Out Patients ☐ ☐ Adult Easter or May Block Rehab Unit ☐ ☐ Community Clinic ☐ ☐ Day Centre ☐ ☐ Domiciliary ☐ ☐ Early Supported ☐ ☐ Other please state Discharge

Service Delivery

Please tick all boxes that apply.

Assessment ☐ Consultative ☐ Direct Therapy ☐ Drop-in ☐ Multidisciplinary ☐ Triage ☐

Additional Information

E.g. what time to arrive, dress code; lunch facilities; recommended reading, knowledge of specific assessment methods, etc.

*Accommodation - some students may require accommodation, if you have any accommodation contact details please provide below:

Please return to [email protected]

Thankyou