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Wilfrid Laurier University Leaf
December 19, 2014

Canadian Excellence

Forms


MSW Practicum

Agencies - Fall 2015 & Winter 2016 Placement Request Form



The Practicum Office is working to arrange placement opportunities for Fall 2015 & Winter 2016.

For placements starting Fall 2015: Students will be referred to agencies for interviews April/May 2015. Please note that placement end dates vary and depend on the cohort of the student. Dates are provided in the form below.

For placements starting Winter 2016 (if you complete this part of the form): The Practicum Office will contact you inJune 2015 to confirm whether you would still like to offer a placement that starts in January 2016. Students will be referred to agencies for interviews October 2015.



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AGENCY INFORMATION
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Close to public transit?*:
Agency requirements*:
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FALL 2015 PLACEMENTS
1. Availability for placements starting September 2015 (check all that apply):
2. Number of placements you can provide for Laurier students starting placement September 2015:
3. Concentration(s) suitable for placement (for more information about concentrations please visit: https://legacy.wlu.ca/documents/51468/MSW_Concentration_%26_Placements.pdf):
4. Interview requirements (all students will be referred to your agency for an interview unless indicated otherwise):
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WINTER 2016 PLACEMENTS (The Practicum Office will contact you during May to confirm this information)
1. Availability for Placements starting January 2016:
2. Number of placements available for Laurier students starting January 2016:
3. Concentration(s) suitable for placement (for more information about concentrations, please visit https://legacy.wlu.ca/documents/51468/MSW_Concentration_%26_Placements.pdf):
4. Interview requirements (all students will be referred to your agency for an interview unless indicated otherwise):
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updated December 17/14