LETTER OF AGREEMENT FOR A FIELD PLACEMENT WITHIN STUDENT’S PLACE OF EMPLOYMENTJune 3rd, 2023
FiledJune 3rd, 2023STUDENT INFORMATION Student name: Student number Practicum term: AGENCY INFORMATION Agency name: Student’s employment role: Focus of new learning activities for field placement: Is this placement paid or unpaid? ☐ Paid ☐ Unpaid If paid, will the agency provide health/safety and liability insurance coverage? ☐ Yes ☐ No Field Supervisor: Telephone number: E-mail: Employment Supervisor:(if different from Field Supervisor) Telephone number: E-mail: