Declaration of interest in Field placement

Requirements:

Field placement students should enroll in LAJ 499 Field Placement seminar during the same quarter (or the first quarter) they enroll in LAJ 493 Field Placement Experience
The number of credits for LAJ 493 is determined by the number of hours completed at the field placement
LAJ 493 can be repeated for credit up to a total of 12 credits
Field placement students are not required to submit a learning agreement. This would be required for LAJ 490
Field placement students are required to complete sexual harassment training, acquire liability insurance, and participate in field placement orientation prior to beginning their placement
To arrange a field placement, students should contact our field placement coordinator (Email: lajinternships@cwu.edu | Phone: 509-963-3122), at least one quarter prior to the anticipated start of the field placement
Undergraduate Student Handbook

Name *

Date *

Month

Day

Year

Ideally, what agency would you want to do your placement? *

(Add 1st choice, 2nd choice, 3rd choice)

Student ID # *

During what quarter and academic year would you want to complete your field placement? *

How many hours per week would you be able to complete as part of your field placement? *

Have you had any contact with a potential field placement? *

If answered yes to the above question, which agency?

Have you discussed your field placement plans with our field placement coordinator? *

*See requirements above for contact information

Have you completed sexual harassment training? *

Have you acquired liability insurance? *

Have you read the undergraduate student handbook? *

*See requirements above for link

Have you participated in field placement orientation? *

Leave this field blank

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