Social Work Program Agency Affiliation Agreement (Page 4 of 6) in pdf

Social Work Program Agency Affiliation Agreement Page 4

Page 4 of 6

g. The Field Instructor must be committed to completing required paperwork within

the required time frames (i.e., learning contracts and mid-term and final

evaluations, etc.).

Keeping confidential from third parties all student "education records," as defined

by the Family Educational Rights and Privacy Act of 1974, 20 U.S.C. §1232g

(“FERPA”), in its possession. The Agency further agrees that disclosure of

student education records will only be made in accordance with the provisions of

FERPA. The obligations of this paragraph shall survive the expiration of

termination of this Agreement.

2. Student Responsibilities Include:

a. Be at work (i.e., their assigned field experience site) during the assigned work

hours.

b. Telephone the Field Instructor when an absence or tardiness is unavoidable.

c. Be prepared to make up any time missed.

d. Be aware that work assignments must be completed within the established time

frames.

e. Be prepared to complete a minimum of 400 required hours (200 hours each

semester).

f. Be familiar with policies which govern employees within the Agency and comply

with said policies.

g. Accept responsibility for all necessary documentation (i.e., time sheets, travel

logs, case documentation, required Agency documents, required University

documents, etc.).

h. Comply with all rules of confidentiality, both formally written and informally

understood within the standards of ethical practice.

i. Dress professionally and appropriately for the field experience.

j. Take responsibility for personal learning experiences (i.e., use Field Instructor’s

supervision time wisely, comply with time requirements for documentation of the

learning contract, etc.) and actively initiate learning experiences without waiting

for Agency staff to provide all learning needs.

k. Comply with Agency policy and procedures.

l. Complete all assignments listed in the field experience syllabus.

m. Comply with the standards explicitly stated in the student termination policy, as

stated in the Social Work Program Student Handbook and the Social Work

Program Field Education Handbook.

3. University Responsibilities Include:

a. Be at work during the assigned work hours to respond to Agency

communications.

b. Visitation to field placement sites a minimum of three (3) times during the

semester, including, but not limited to: initial visit to confirm the learning

contract; a mid-term evaluation visit; and a final evaluation visit prior to the end

of the semester.

Social Work Program Agency Affiliation Agreement Page 4