HANDLING OF MEDICATION. Unless there are exceptional circumstances, students are not to handle or dispense client medications on placement. My signature below indicates that I have reviewed and understood the requirements of this Field Practicum Agreement, and consent to providing the School of Social Work with the information requested, as necessary. This agreement shall remain in effect for the duration of my HBSW placements. NAME (Please print): SIGNATURE: DATE: If you have any questions about this agreement, please contact: Field Education Coordinators School of Social Work
HANDLING OF MEDICATION. Unless there are exceptional circumstances, students are not to handle or dispense client medications on Placement. My signature below indicates that I have reviewed and understood the requirements of this Field Placement Agreement, and consent to providing the School of Social Work with the information requested, as necessary. This agreement shall remain in effect for the duration of my HBSW Placements. NAME (Please print): ___________________________________________________________ SIGNATURE: _____________________________________ DATE: _____________________ YEAR of STUDY: _____________________ (3rd year, 4th year or 1 year program) If you have any questions about this agreement, please contact: Field Education Coordinators Xxxx Xxxxxxxx: xxxxxxxxxx@xxxxxxxxx.xx or Xxxx Xxxxxx: xxxxxxx@xxxxxxxxx.xx School of Social Work Lakehead University, Orillia Campus
HANDLING OF MEDICATION. Unless there are exceptional circumstances, students are not to handle or dispense client medications on Placement. My signature below indicates that I have reviewed and understood the requirements of this Field Placement Agreement, and consent to providing the School of Social Work with the information requested, as necessary. This agreement shall remain in effect for the duration of my HBSW Placements. NAME (Please print): _ SIGNATURE: _ DATE: _ _ YEAR of STUDY: (3rd year, 4th year or 1 year program) If you have any questions about this agreement, please contact: Field Education Coordinators Xxxx Xxxxxxx: xxxx.xxxxxxx@xxxxxxxxx.xx or Xxxxx Xxxxxxx: xxxxxxxx@xxxxxxxxx.xx School of Social Work
HANDLING OF MEDICATION. Unless there are exceptional circumstances, students are not to handle or dispense client medications on placement. My signature below indicates that I have reviewed and understood the requirements of this Field Practicum Agreement, and consent to providing the School of Social Work with the information requested, as necessary. This agreement shall remain in effect for the duration of my HBSW placements. NAME (Please print): SIGNATURE: DATE: If you have any questions about this agreement, please contact: Xxxx Xxxxxxx at (807) 343-‐8556 Or Xxx Xxxxxxxx (807) 766-‐7205 The School of Social Work Lakehead University
HANDLING OF MEDICATION. Unless there are exceptional circumstances, students are not to handle or dispense client medications on placement. My signature below indicates that I have reviewed and understood the requirements of this Field Practicum Agreement, and consent to providing the School of Social Work with the information requested, as necessary. This agreement shall remain in effect for the duration of my HBSW placements. NAME (Please print):____________________________________________________________________ SIGNATURE:________________________________________ DATE:____________________________ If you have any questions about this agreement, please contact: Field Education Coordinators School of Social Work Lakehead University, Orillia Campus Email: xxxxxxxxx@xxxxxxxxx.xx
HANDLING OF MEDICATION. Unless there are exceptional circumstances, students are not to handle or dispense client medications on placement. My signature below indicates that I have reviewed and understood the requirements of this Field Practicum Agreement, and consent to providing the School of Social Work with the information requested, as necessary. This agreement shall remain in effect for the duration of my current Field Practicum. NAME (Please print): SIGNATURE: DATE: If you have any questions about this agreement, please contact: Coordinator of Graduate/Undergraduate Field Education AT: The School of Social Work Lakehead University 000 Xxxxxx Xxxx Thunder Bay, ON
