Common use of Student’s Responsibilities Clause in Contracts

Student’s Responsibilities. ACKNOWLEDGMENT As a Community Services placement student, from the program listed above, I have read and understood the Roles & Responsibilities as outlined in my programs Student Field Placement Manual and have read and understood my rights and responsibilities in the Student Code of Conduct. I will abide by the policies and procedures, especially, confidentiality policies outlined by the Placement Organization, and agree not to disclose confidential information obtained from this placement to anyone unless required to do so by law. I will attend my placement for the full term as defined above, and I will promptly inform my Field Liaison if my placement dates need to change. Similarly, I will notify my Field Liaison and Placement Supervisor if I will be absent or late for a placement shift. My professional attire and behaviour will be in keeping with the accepted standards of my placement provider. I will perform my duties to the best of my ability and comply with all reasonable directions given by my Placement Supervisor. I will immediately inform my Placement Supervisor, Field Liaison and Field Placement Coordinator of any injury or illness at placement and comply with WSIB reporting procedures as directed by Seneca staff. I acknowledge failure to comply with the above terms may result in my termination from this placement. Student Signature acknowledgment and consent to Parental Consent (If student is under the age of 18): above terms: I consent to participating in placement as stated above. / / / / Signature of Student Date Signature of parent/legal guardian Date 2. PLACEMENT PROVIDER’S AGREEMENT I enter into an arrangement for the above-named student to be placed with me for a meaningful placement experience. Conditions of placement: a. I agree that this is an unpaid student placement opportunity. b. I understand my duties as outlined in the WSIB process for reporting any illness or injuries promptly (within 24 hours). c. The hours in placement will be as agreed upon by student (and Field Staff where negotiated) and within program guidelines. d. I agree to inform the student of organizational health & safety, AODA, harassment & discrimination, requirements/policies/protocols. e. The student will work under my supervision, or my designate, and I will inform the student in advance of this designates name and contact. f. I agree to notify the Field Liaison of any unexplained absences by the student. g. I agree to provide consistent supervisory/feedback sessions to encourage the student’s learning and professional growth. h. I agree to complete and sign all required Seneca documents and field visits pertaining to the student’s placement. i. Should the student’s performance/behaviour not improve despite documented feedback, I agree to consult with the students Field Liaison and/or Field Placement Coordinator prior to termination. j. Students require supervision at all times, (especially in the Child & Youth Care program, students cannot be left alone with clients or students under any circumstances). / / Signature of Placement Supervisor Date Privacy Statement The College is collecting information on this form pursuant to section 2 of the Ontario Colleges of Applied Arts and Technology Act for the purpose of administering your field placement. If you have any questions concerning the collection and use of person al information, please contact the privacy office at (000) 000-0000 extension 77846 or email xxxxxxxxxxxxx@xxxxxxxxxxxxx.xx. The mailing address for the Privacy Office is 0 Xxx Xxxxxx Xxx, 0xx Xxxxx, Xxxxxxx, Xxxxxxx, X0X 0X0. Original of completed Agreement to be retained in the school and copies to be kept by signing parties

Student’s Responsibilities. ACKNOWLEDGMENT As a Community Services placement student, from the program listed above, I have read and understood the Roles & Responsibilities as outlined in my programs Student Field Placement Manual and have read and understood my rights and responsibilities in the Student Code of Conduct. I will abide by the policies and procedures, especially, confidentiality policies outlined by the Placement Organization, and agree not to disclose confidential information obtained from this placement to anyone unless required to do so by law. I will attend my placement for the full term as defined above, and I will promptly inform my Field Liaison if my placement dates need to change. Similarly, I will notify my Field Liaison and Placement Supervisor if I will be absent or late for a placement shift. My professional attire and behaviour will be in keeping with the accepted standards of my placement provider. I will perform my duties to the best of my ability and comply with all reasonable directions given by my Placement Supervisor. I will immediately inform my Placement Supervisor, Field Liaison and Field Placement Coordinator of any injury or illness at placement and comply with WSIB reporting procedures as directed by Seneca staff. I acknowledge failure to comply with the above terms may result in my termination from this placementfromthisplacement. Student Signature acknowledgment and consent to Parental Consent (If student is under the age of 18): above terms: I consent to participating in placement as stated above. / / / / Signature of Student Date Signature of parent/legal guardian Date 2. PLACEMENT PROVIDER’S AGREEMENT I enter into an arrangement for the above-named student to be placed with me for a meaningful placement experience. Conditions of placement: a. I agree that this is an unpaid student placement opportunity. b. I understand my duties as outlined in the WSIB process for reporting any illness or injuries promptly (within 24 hours). c. The hours in placement will be as agreed upon by student (and Field Staff where negotiated) and within program guidelines. d. I agree to inform the student of organizational health & safety, AODA, harassment & discrimination, requirements/policies/protocols. e. The student will work under my supervision, or my designate, and I will inform the student in advance of this designates name and contact. f. I agree to notify the Field Liaison of any unexplained absences by the student. g. I agree to provide consistent supervisory/feedback sessions to encourage the student’s learning and professional growth. h. I agree to complete and sign all required Seneca documents and field visits pertaining to the student’s placementstudent’splacement. i. Should the student’s performance/behaviour not improve despite documented feedback, I agree to consult with the students Field Liaison and/or Field Placement Coordinator prior to termination. j. Students require supervision at all times, (especially in the Child & Youth Care program, students cannot be left alone with clients or students under any circumstances). / / Signature of Placement Supervisor Date Privacy Statement The College is collecting information on this form pursuant to section 2 of the Ontario Colleges of Applied Arts and Technology Act for the purpose of administering your field placement. If you have any questions concerning the collection and use of person al information, please contact the privacy office at (000) 000-0000 extension 77846 or email xxxxxxxxxxxxx@xxxxxxxxxxxxx.xx. The mailing address for the Privacy Office is 0 Xxx Xxxxxx Xxx, 0xx Xxxxx, Xxxxxxx, Xxxxxxx, X0X 0X0. Original of completed Agreement to be retained in the school and copies to be kept by signing parties

Student’s Responsibilities. ACKNOWLEDGMENT As a Community Services placement studentYour Chromebook is an important learning tool and is to be used for educational purposes only. In order to take your Chromebook home each day, you must be willing to accept the following responsibilities.  When using the Chromebook at home, at school, and anywhere else I may take it, I will follow the policies of Bethel Park School District, especially the Student Code of Conduct and the Internet Acceptable Use Policy, and abide by all local, state, and federal laws.  I will treat the Chromebook with care by not dropping it, getting it wet, or leaving it outdoors, and I will keep my Chromebook in my school-issued protective case at all times when not in use.  I will not lend the Chromebook to anyone, not even my friends; it will stay in my possession at all times.  I will not remove District-owned programs or files from the program listed aboveChromebook.  I will bring the Chromebook to school every day.  I agree that email (or any electronic communication) should be used only for appropriate, legitimate and responsible communication.  I will keep all accounts and passwords assigned to me secure and will not share them with anyone else.  I will not attempt to repair the Chromebook.  I will return the Chromebook when requested or upon my withdrawal from the Bethel Park School District. Bethel Park School District Internet Acceptable Use Policy Signature Page This page must be signed and returned before a student is issued any school-owned technology equipment. I have read and understood agree to abide by the Roles & Responsibilities as outlined Internet Acceptable Use Policy. I understand that any violation of the terms and conditions set forth in my programs Student Field Placement Manual the Policy and is inappropriate and may constitute a criminal offense. As a user of the District’s computers/network the Internet, I agree to communicate over the Internet and the Network in an appropriate manner, honoring all relevant laws, restrictions and guidelines. I have read and understood my rights understand the responsibilities of use of the school owned equipment. Teachers and responsibilities in Building Principals are responsible for determining what is unauthorized or inappropriate use. The Principal may deny, revoke or suspend access to the Network/Internet to individuals who violate the Internet Acceptable Use Policy and related Guidelines, and take such other disciplinary action as is appropriate pursuant to the Student Code of Conduct. I will abide by the policies and procedures, especially, confidentiality policies outlined by the Placement Organization, and agree not to disclose confidential information obtained from By signing this placement to anyone unless required to do so by law. I will attend my placement for the full term as defined above, and I will promptly inform my Field Liaison if my placement dates need to change. Similarlyform, I am acknowledging that my son/daughter(s) will notify my Field Liaison and Placement Supervisor if I will be absent or late for a placement shift. My professional attire and behaviour will be in keeping with the accepted standards of my placement provider. I will perform my duties adhere to the best of my ability and comply with all reasonable directions given by my Placement Supervisor. I will immediately inform my Placement Supervisor, Field Liaison and Field Placement Coordinator of any injury or illness at placement and comply with WSIB reporting procedures as directed by Seneca staff. I acknowledge failure to comply with the above terms may result in my termination from this placement. Student Signature acknowledgment and consent to Parental Consent (If student is under the age of 18): above terms: I consent to participating in placement as stated above. / / / / Signature of Student Date Signature of parent/legal guardian Date 2. PLACEMENT PROVIDER’S AGREEMENT I enter into an arrangement for the above-named student to be placed with me for a meaningful placement experience. Conditions of placement: a. I agree that this is an unpaid student placement opportunity. b. I understand my duties as outlined in the WSIB process for reporting any illness or injuries promptly (within 24 hours). c. The hours in placement will be as agreed upon by student (and Field Staff where negotiated) and within program guidelines. d. I agree to inform the student of organizational health & safety, AODA, harassment & discrimination, requirements/policies/protocols. e. The student will work under my supervision, or my designate, and I will inform the student in advance of this designates name and contact. f. I agree to notify the Field Liaison of any unexplained absences by the student. g. I agree to provide consistent supervisory/feedback sessions to encourage the student’s learning and professional growth. h. I agree to complete and sign all required Seneca documents and field visits pertaining to the student’s placement. i. Should the student’s performance/behaviour not improve despite documented feedback, I agree to consult with the students Field Liaison and/or Field Placement Coordinator prior to termination. j. Students require supervision at all times, (especially in the Child & Youth Care program, students cannot be left alone with clients or students under any circumstances). / / Signature of Placement Supervisor Date Privacy Statement The College is collecting information on this form pursuant to section 2 of the Ontario Colleges of Applied Arts and Technology Act for the purpose of administering your field placement. If you have any questions concerning the collection and use of person al information, please contact the privacy office at (000) 000-0000 extension 77846 or email xxxxxxxxxxxxx@xxxxxxxxxxxxx.xx. The mailing address for the Privacy Office is 0 Xxx Xxxxxx Xxx, 0xx Xxxxx, Xxxxxxx, Xxxxxxx, X0X 0X0. Original of completed Agreement to be retained in the school and copies to be kept by signing partiesfollowing:

Student’s Responsibilities. ACKNOWLEDGMENT As In order for CCC to function as the HOME institution, you must be able to answer “Yes” to all the following: * I am admitted to CCC and the purpose of my enrollment is to complete my declared certificate or degree program [ ]Yes * I will enroll only in courses that are required for the completion of my declared CCC program [ ]Yes * I will maintain at least half-time enrollment (6 or more credits) at CCC… [ ]Yes * I will only accept federal financial aid through CCC for the term specified… [ ]Yes * I understand that, in general, the administrative policies of CCC will be used when processing and monitoring my file (exception: refund on partial withdrawal) [ ]Yes *I am responsible for submitting a Community Services placement copy of my registration at the HOST institution to CCC with this form [ ]Yes * I must successfully complete the term enrollment at my Host institution for consideration of future aid eligibility based on dual enrollment with CCC as my Home institution… [ ]Yes * I am responsible for having official notification of my grade(s) earned at my Host institution submitted to CCC’s Financial Aid Office as soon as possible after term completion or a hold will be placed on future aid [ ]Yes * I understand that enactment of this agreement will only be possible before eligible payment has been made or the end of CCC’s drop period, whichever is later [ ]Yes If you cannot answer “Yes” to all above, you may either pursue aid from CCC for your CCC-only enrollment (no need to complete or submit form), or you may inquire of your HOST institution of your eligibility for them to serve as HOME. CCC’s HOME Institution Responsibilities: * Determine and award eligibility for federal and state aid, disburse eligible aid, monitor satisfactory academic progress and process repayments, as necessary, under the Return of Title IV funds policy. * Retain all required records for the requisite time necessary to maintain compliance with pertinent federal, state, and institutional regulations and procedures. H OST Institution’s Responsibilities: * Ensure that this student does not receive federal or state aid through the host school during the term specified under this agreement. * Upon the request of this student or CCC, or upon the end of the term specified under this agreement, whichever is earlier, provide official notification to CCC’s Financial Aid Office of student, ’s grade(s). * Should this student withdraw from the program listed abovehost institution during the term specified under this agreement, the host institution will notify CCC in a timely manner. In such case as CCC must calculate a Return to Title IV, the host institution shall provide CCC with the information necessary to perform the calculation and will promptly return to CCC any tuition refund that must be credited to a financial aid program, both in a timely manner. * Notify CCC of any non-Title IV financial resources made available to this student for specified term. ************************************REQUIRED SIGNATURES******************************* [STUDENT]: Please fill out this section for the term indicated, then SUBMIT IT TO YOUR HOST INSTITUTION FOR PROCESSING. (CCC cannot process without complete host information.) Full Name of Host Institution: Number of credits you are enrolled in and will maintain at CCC (HOME) and at HOST institution. Important: You must submit copy of your registration at HOST institution to CCC for review. “By signing this form, I acknowledge that I have read carefully read, understand, and understood the Roles & Responsibilities as outlined in my programs Student Field Placement Manual and have read and understood my rights and responsibilities in the Student Code of Conduct. I will abide by the policies my responsibilities as outlined, have provided complete and procedures, especially, confidentiality policies outlined by the Placement Organizationaccurate information, and agree not to disclose confidential information obtained from this placement to anyone unless required to do so by law. I will attend my placement for the full term as defined above, and I will promptly inform my Field Liaison if my placement dates need to change. Similarly, I will notify my Field Liaison and Placement Supervisor if I will be absent or late for a placement shift. My professional attire and behaviour will be in keeping with the accepted standards of my placement provider. I will perform my duties to the best of my ability and comply with all reasonable directions given by my Placement Supervisor. I will CCC’s Financial Aid Office immediately inform my Placement Supervisor, Field Liaison and Field Placement Coordinator of any injury or illness at placement and comply with WSIB reporting procedures as directed by Seneca staff. I acknowledge failure change to comply with the above terms may result in my termination from this placement. information.” Student Signature acknowledgment and consent to Parental Consent (If student is under the age of 18): above termsSignature: I consent to participating in placement as stated above. / / / / Signature of Student Date Signature of parent/legal guardian Date 2. PLACEMENT PROVIDER’S AGREEMENT I enter into an arrangement for the above-named student to be placed with me for a meaningful placement experience. Conditions of placementCCC ID: a. I agree that this is an unpaid student placement opportunity. b. I understand my duties as outlined in the WSIB process for reporting any illness or injuries promptly (within 24 hours). c. The hours in placement will be as agreed upon by student (and Field Staff where negotiated) and within program guidelines. d. I agree to inform the student of organizational health & safety, AODA, harassment & discrimination, requirements/policies/protocols. e. The student will work under my supervision, or my designate, and I will inform the student in advance of this designates name and contact. f. I agree to notify the Field Liaison of any unexplained absences by the student. g. I agree to provide consistent supervisory/feedback sessions to encourage the student’s learning and professional growth. h. I agree to complete and sign all required Seneca documents and field visits pertaining to the student’s placement. i. Should the student’s performance/behaviour not improve despite documented feedback, I agree to consult with the students Field Liaison and/or Field Placement Coordinator prior to termination. j. Students require supervision at all times, (especially in the Child & Youth Care program, students cannot be left alone with clients or students under any circumstances). / / Signature of Placement Supervisor Date Privacy Statement The College is collecting information on this form pursuant to section 2 of the Ontario Colleges of Applied Arts and Technology Act for the purpose of administering your field placement. If you have any questions concerning the collection and use of person al information, please contact the privacy office at (000) 000-0000 extension 77846 or email xxxxxxxxxxxxx@xxxxxxxxxxxxx.xx. The mailing address for the Privacy Office is 0 Xxx Xxxxxx Xxx, 0xx Xxxxx, Xxxxxxx, Xxxxxxx, X0X 0X0. Original of completed Agreement to be retained in the school and copies to be kept by signing partiesDate:

Student’s Responsibilities. ACKNOWLEDGMENT As In order for CCC to function as the HOME institution, you must be able to answer “Yes” to all the following: * I am admitted to CCC and the purpose of my enrollment is to complete my declared certificate or degree program [ ]Yes * I will enroll only in courses that are required for the completion of my declared CCC program [ ]Yes * I will maintain at least half-time enrollment (6 or more credits) at CCC… [ ]Yes * I will only accept federal financial aid through CCC for the term specified… [ ]Yes * I understand that, in general, the administrative policies of CCC will be used when processing and monitoring my file (exception: refund on partial withdrawal) [ ]Yes *I am responsible for submitting a Community Services placement copy of my registration at the HOST institution to CCC with this form [ ]Yes * I must successfully complete the term enrollment at my Host institution for consideration of future aid eligibility based on dual enrollment with CCC as my Home institution… [ ]Yes * I am responsible for having official notification of my grade(s) earned at my Host institution submitted to CCC’s Financial Aid Office as soon as possible after term completion or a hold will be placed on future aid [ ]Yes * I understand that enactment of this agreement will only be possible before eligible payment has been made or the end of CCC’s drop period, whichever is later [ ]Yes If you cannot answer “Yes” to all above, you may either pursue aid from CCC for your CCC-only enrollment (no need to complete or submit form), or you may inquire of your HOST institution of your eligibility for them to serve as HOME. CCC’s HOME Institution Responsibilities: * Determine and award eligibility for federal and state aid, disburse eligible aid, monitor satisfactory academic progress and process repayments, as necessary, under the Return of Title IV funds policy. * Retain all required records for the requisite time necessary to maintain compliance with pertinent federal, state, and institutional regulations and procedures. HOST Institution’s Responsibilities: * Ensure that this student does not receive federal or state aid through the host school during the term specified under this agreement. * Upon the request of this student or CCC, or upon the end of the term specified under this agreement, whichever is earlier, provide official notification to CCC’s Financial Aid Office of student, ’s grade(s). * Should this student withdraw from the program listed abovehost institution during the term specified under this agreement, the host institution will notify CCC in a timely manner. In such case as CCC must calculate a Return to Title IV, the host institution shall provide CCC with the information necessary to perform the calculation and will promptly return to CCC any tuition refund that must be credited to a financial aid program, both in a timely manner. * Notify CCC of any non-Title IV financial resources made available to this student for specified term. ************************************REQUIRED SIGNATURES******************************* [STUDENT]: Please fill out this section for the term indicated, then SUBMIT IT TO YOUR HOST INSTITUTION FOR PROCESSING. (CCC cannot process without complete host information.) Full Name of Host Institution: Number of credits you are enrolled in and will maintain at CCC (HOME) and at HOST institution. Important: You must submit copy of your registration at HOST institution to CCC for review. “By signing this form, I acknowledge that I have read carefully read, understand, and understood the Roles & Responsibilities as outlined in my programs Student Field Placement Manual and have read and understood my rights and responsibilities in the Student Code of Conduct. I will abide by the policies my responsibilities as outlined, have provided complete and procedures, especially, confidentiality policies outlined by the Placement Organizationaccurate information, and agree not to disclose confidential information obtained from this placement to anyone unless required to do so by law. I will attend my placement for the full term as defined above, and I will promptly inform my Field Liaison if my placement dates need to change. Similarly, I will notify my Field Liaison and Placement Supervisor if I will be absent or late for a placement shift. My professional attire and behaviour will be in keeping with the accepted standards of my placement provider. I will perform my duties to the best of my ability and comply with all reasonable directions given by my Placement Supervisor. I will CCC’s Financial Aid Office immediately inform my Placement Supervisor, Field Liaison and Field Placement Coordinator of any injury or illness at placement and comply with WSIB reporting procedures as directed by Seneca staff. I acknowledge failure change to comply with the above terms may result in my termination from this placement. information.” Student Signature acknowledgment and consent to Parental Consent (If student is under the age of 18): above termsSignature: I consent to participating in placement as stated above. / / / / Signature of Student Date Signature of parent/legal guardian Date 2. PLACEMENT PROVIDER’S AGREEMENT I enter into an arrangement for the above-named student to be placed with me for a meaningful placement experience. Conditions of placementCCC ID: a. I agree that this is an unpaid student placement opportunity. b. I understand my duties as outlined in the WSIB process for reporting any illness or injuries promptly (within 24 hours). c. The hours in placement will be as agreed upon by student (and Field Staff where negotiated) and within program guidelines. d. I agree to inform the student of organizational health & safety, AODA, harassment & discrimination, requirements/policies/protocols. e. The student will work under my supervision, or my designate, and I will inform the student in advance of this designates name and contact. f. I agree to notify the Field Liaison of any unexplained absences by the student. g. I agree to provide consistent supervisory/feedback sessions to encourage the student’s learning and professional growth. h. I agree to complete and sign all required Seneca documents and field visits pertaining to the student’s placement. i. Should the student’s performance/behaviour not improve despite documented feedback, I agree to consult with the students Field Liaison and/or Field Placement Coordinator prior to termination. j. Students require supervision at all times, (especially in the Child & Youth Care program, students cannot be left alone with clients or students under any circumstances). / / Signature of Placement Supervisor Date Privacy Statement The College is collecting information on this form pursuant to section 2 of the Ontario Colleges of Applied Arts and Technology Act for the purpose of administering your field placement. If you have any questions concerning the collection and use of person al information, please contact the privacy office at (000) 000-0000 extension 77846 or email xxxxxxxxxxxxx@xxxxxxxxxxxxx.xx. The mailing address for the Privacy Office is 0 Xxx Xxxxxx Xxx, 0xx Xxxxx, Xxxxxxx, Xxxxxxx, X0X 0X0. Original of completed Agreement to be retained in the school and copies to be kept by signing partiesDate: