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Wilfrid Laurier University Leaf
April 24, 2014
 
 
Canadian Excellence

Forms


MSW Practicum

Agencies - Placement Request Form



The Practicum Office is working to arrange placement opportunities for Fall 2014 & Winter 2015

For placements starting Fall 2014: Students will be referred to agencies for interviews April/May 2014. 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 2015 (if you complete this part of the form): The Practicum Office will contact you in May 2014 to confirm whether you would still like to offer a placement that starts in January 2015. Students will be referred to agencies for interviews during August/September 2014. 


 
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AGENCY INFORMATION
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Close to public transit?*:
Agency requirements*:
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FALL 2014 PLACEMENTS
1. Availability for placements starting September 2014 (check all that apply):
2. Number of placements you can provide for Laurier students starting placement September 2014:
3. Concentration(s) suitable for placement (for more information about concentrations please visit: https://www.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 2015 PLACEMENTS (The Practicum Office will contact you during May to confirm this information)
1. Availability for Placements starting January 2015:
2. Number of placements available for Laurier students starting January 2015:
3. Concentration(s) suitable for placement (for more information about concentrations, please visit https://www.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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:
:
:
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updated January 22/14