<p> FIELD EDUCATION DISTANCE PLACEMENT PROPOSAL CCLD 464</p><p>(This proposal should be 3-4 pages in length)</p><p>Selected Course Learning Outcomes:</p><p>Students will reliably demonstrate the ability to:</p><p> Evaluate their personal competencies and to plan towards ongoing professional growth</p><p> Use previous field education experiences and professional growth </p><p> in the planning for an integrative experience in this final internship </p><p> and to demonstrate a higher level of skills and abilities</p><p> Demonstrate readiness for the transition to advancement in professional </p><p> employment or graduate studies</p><p> Collaborate in establishing appropriate goals, objectives, and </p><p> tasks for the fourth year internship and successfully meet them</p><p>Name:</p><p>Student #</p><p>Ryerson e-mail address:</p><p>Phone #:</p><p>Full Site Name:</p><p>Full Site Address:</p><p>Name of staff with whom you confirmed the placement:</p><p>Job Title:</p><p>Email Address:</p><p>Telephone: Name of staff who will supervise you at the placement site (Field Educator):</p><p>Job Title:</p><p>Email Address:</p><p>Telephone:</p><p>Type of Setting (Describe):</p><p>Describe how this setting will allow you to satisfy the learning outcomes listed above:</p><p>Non-Academic Documentation</p><p>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:</p><p> clear criminal reference check that includes a vulnerable sector search</p><p> Standard first aid with CPR level C</p><p> TB test</p><p> Worker Health and Safety Training</p><p>Does your site require additional NAD? Describe your plans for meeting the NAD requirements of the School and the site.</p><p>Professional Goals:</p><p>How will this placement help you meet the above goals? </p><p>Start and end dates of placement:</p><p>Days will you attend placement: </p><p>Time will you attend placement each day:</p><p>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.</p>