INSTRUCTIONS FOR FIELD FORMS:
Print Version - This link allows you to print out the form and fill it out by hand.
Online Version - This link allow you to fill out the form on the computer, then print it out for signature.
CALENDARS:
PROFESSIONAL LIABILITY INSURANCE FORM
FIELD APPLICATION FORMS
- AGIFT Application
- First Year Field Application (Revised 6/09)
(print version) (online version) - Second Year Field Application (Revised 8/08)
(print version) (online version) - Student Preference Form for Second Year Field Placement
- Application to Continue Field Placement in Same Agency (Revised 10/07)
(print version) (online version) - Application for Field Elective Course
(print version) (online version) - Advanced Standing Field Application (FP II Only) (Revised 4/8)
(print version) (online version) - Field Placement at Your Place of Employment - Form A
- Field Placement at Your Place of Employment - Form B (CWEP Only)
- Change of Field Placement Form
- Advanced Field Application - Old Curriculum
(print version) (online version)
FIELD EDUCATIONAL CONTRACT FORMS
- FP I: Foundation Educational Contract
(print version) (online version) - FP II: Advanced Educational Contract
(print version) (online version) - FP III: Clinical Practice Educational Contract
(print version) (online version) - FP IV: Clinical Practice Educational Contract
(print version) (online version) - FP III: Leadership, Administration, and Advocacy Educational Contract
(print version) (online version) - FP IV: Leadership, Administration, and Advocacy Educational Contract
(print version) (online version) - Educational Contract for Field Elective Course
(print version) (online version)
FIELD EVALUATION FORMS (For Field Instructors)
- FP I: Foundation Evaluation Form
(print version) (online version) - FP II: Advanced Evaluation Form
(print version) (online version) - FP III: Clinical Practice Evaluation Form
(print version) (online version) - FP IV: Clinical Practice Evaluation Form
(print version) (online version) - FP III: Leadership, Administration, and Advocacy Evaluation Form
(print version) (online version) - FP IV:
Leadership, Administration, and Advocacy Evaluation Form
(print version) (online version) - Evaluation Form for Field Elective Course
(print version) (online version) - Incomplete Grade In Field Practicum (Revised 4/08)
FACULTY FIELD LIAISON FORMS
- Faculty Liaison Field Visit Report -
Part B: Agency Assessment
(print version) (online version) - Faculty Liaison Field Visit Report - Part C: Field Iinstructor Assessment
(print version) (online version) - Faculty Liaison Field Visit Report - Part A: Student Assessment
(print version) (online version)
FIELD EVALUATION FORMS (For Students)
- Field Instructor of the Year Nomination form (coming soon)
- Student Evaluation of Field Instructor/Preceptor
- Student Evaluation of Field Agency
- Student Evaluation of Field Liaison
EVALUATION OF STUDENT PERFORMANCE - OLD CURRICULUM
- First Year Evaluation Form
(printed version) (online version) - Second Year Evaluation Form
(print version) (online version) - Advanced Field Evaluation Form
(print version) (online version)