PLACEMENT AVAILABILITY FORM

							Renison University College
School of Social Work

                              PLACEMENT AVAILABILITY FORM
                                       (for the 2009 – 2010 academic year)

This form is used to plan placements for the upcoming academic year. It is the understanding of Renison that
placements will be coordinated according to the information completed below and to the availability of an
appropriate student.

A BSW or MSW is required for all Field Instructors. The School of Social Work offers full and part-time
programs. Both require a total of 720 hours of practicum time. Exceptions will be made for part-time students who
receive a positive evaluation following the Reduction for Field Hours process.

This form is also available in the Practicum Manual and on the School of Social Work web site.
http://www.renison.uwaterloo.ca/social-work/field_education/manual.shtml


PLACEMENT INFORMATION

Agency Name: Waterloo Region Crime Prevention Council

Director/Department Head:     Christiane Sadeler      E-mail: schris@region.waterloo.on.ca

Address: 99 Regina St. S.

City: Waterloo              Postal Code: N2J 4V3

Telephone: 519-883-2305 Extension: _____________________

Fax: 519-883-1672           Website: www.preventingcrime.ca


Should someone be designated as coordinator of the field placements and/or agency contact, please complete the
following information if different from above. This person will receive all mail from the College and be identified as
the primary contact person.


Name:    Anthony Piscitelli           E-mail: panthony@region.waterloo.on.ca

Address: 99 Regina St. S.

City: Waterloo                Postal Code: N2J 4V3

Telephone: 519-575-4757 Extension: 5020               Fax: 519-883-1672




     www.renison.uwaterloo.ca/social-work/               1                                    Revised July 2009
Renison University College
School of Social Work

PLACEMENT AVAILABILITY INFORMATION

Is your agency available for student placements during the next (2010-2011) academic year?

Full Time Students:         Yes ( x ) No ( ) If Yes, indicate number of students 1
Part Time Students:         Yes ( x ) No ( ) If Yes, indicate number of students 1
Comments: We probably can’t handle more than one full time or part time student. We may be able to take
one part time student in the winter

Will students be expected to work standard office hours?         Yes ( x ) No (    )
Evenings?                                                        Yes (   ) No ( x )
Flexible hours?                                                  Yes ( x )   No (  )
Be on-call?                                                      Yes (    ) No ( x )
Comments: Occasional evenings may be requested.

Please indicate which of the following requirements you have of students placed in your agency:
Police Check                     Yes ( ) No ( x )
CAS Check                         Yes ( ) No ( x )
Immunizations                    Yes ( ) No ( x )
Health Records                    Yes ( ) No ( x )
Will students be expected to use their own cars in the performance of placement related duties?
(    ) Yes                 ( x ) No

Will they be expected to transport clients/service recipients in their cars?
(     ) Yes                ( x ) No

What are the car insurance requirements of your agency?
Car insurance is required as per the Ontario law. However, a car isn’t required but if a student has one they
may end up using it from time to time.

Is your agency able to accommodate students with special needs with any of the following?

Flexible Work Schedule    Yes ( x )  No( )   Maybe ( )
Please Explain: _________________________________________________________________________

Barrier-free environment Yes ( )    No( )   Maybe ( x )
Please Explain: _________________________________________________________________________

Private Office: Yes ( ) No ( x )
Please Explain: _________________________________________________________________________

Access to Computer and adaptive software: Yes( ) No ( x )
Please Explain: _________________________________________________________________________
______________________________________________________________________________________
Other: ________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
Does your agency have an anti-discrimination policy?                       Yes ( x ) No ( )
Does your agency have a former client policy?                              Yes ( ) No ( x )




     www.renison.uwaterloo.ca/social-work/                 2                                  Revised July 2009
Renison University College
School of Social Work

DESCRIPTION OF PLACEMENT EXPERIENCE

FIELDS OF SERVICE

Rank the top three that best describe the learning opportunities available:
    Addictions/Substance Abuse
    Child Welfare
    Clinical Counselling
    Community Outreach
    Community Development
    Corrections/Community Justice/ Probation and Parole
    Disabilities
    Education
    Family Violence
    Gerontology
    Health
    Indigenous/First Nation Services
    Lesbian, Gay, Bi-sexual, Transgender Services
    Mental Health Services (Children)
    Mental Health Services (Adults)
    Multicultural Work
    Poverty
    Residential Services
    Social Policy/Planning
    Other Social Research

INTERVENTION APPROACHES

Check the intervention approaches commonly used (check as many as are relevant):
    Individuals
    Couples
    Families
    Groups (Therapy and/or Psychosocial)
    Advocacy and outreach
    Social Action
    Community development
    Fundraising
    Social Policy development
    Program evaluation
    Social planning
    Education
    Active committee membership
    Facilitating workshops, seminars
    Research

Primary Theoretical Orientation of Placement Site:

__Community Collaboration for Prevention_____________________________




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Renison University College
School of Social Work

Please answer the questions below to the extent that you are able. We recognize that these are general descriptions
and subject to change.

Narrative Description of Proposed Placement Experience:

The Crime Prevention Council endeavors to make the placement experience for students fit their personal
development goals. In the past this has meant allowing a placements student to focus on developing a
neighbourhood development workshop whereas another focused primarily upon a research project into local
overdose deaths. Given the nature of the BSW Program at Renison we would suggest that most placement students
try and work with different staff in the office to be exposed to different realms of the work that we do in the
community. This could include research projects, neighbourhood development work, policy development and
media campaigns.


Possible Tasks and Projects:

Direct Practice                                         Indirect Practice
The Crime Prevention Council does not typically         We have a number of indirect practice projects
engage in direct practice. On occasion we do            currently in process. We are currently
conduct focus groups or interviews. For example         implementing a violence prevention plan which
we are currently interviewing individuals who have      annually involves identifying an area of concern
been a victim of interpersonal violence to identify     from the plan and working with the community to
service gaps and we are conducting focus groups         research the local issues and then develop policy
with service providers to help identify our strategic   solutions. We are also in the process of developing
direction for the next four years.                      an integrated drug strategy with the community. In
                                                        addition CPC also regularly holds educational
The one area that may be related and of interest is     events with the community and is involved in media
our implementation of a street gang prevention          campaigns to impact public opinion and public
project. This project will also involve some policy     policy.
work as well as direction interventions.

Possible Number and Nature of Practice Assignments:

                      Individuals            Families                Groups (Number      Community
                                                                     of Groups and       Contacts
                                                                     sessions)
Direct Practice       Occasionally we         N/A Could              N/A Could           Crime Prevention
                      conduct research        possibly work          possibly work       Council – List of
                      interviews. We          with community         with community      Sectors Attached
                      could also possibly partners to find an partners to find an
                      work with               opportunity to         opportunity to
                      community partners gain this                   gain this
                                              experience.            experience.
Community             Crime Prevention Council has in the past been involved in neighbourhood
Development           mobilization efforts to address issue identified by local communities.
Projects/Activities
Social Planning       Crime Prevention Council is currently conducting a gap analysis and asset inventory
Projects/Activities   looking at services for victims and offenders in the Region with the hopes of
                      improving service options.
Social Policy         Crime Prevention Council staff are playing a leadership role in developing an
Projects/Activities   Integrated drug strategy for the Region of Waterloo
Administration        Organizing educational events often requires substantial administrative and logistical
                      support. Practicum students may be asked to lead these projects.
Research              Crime Prevention Council engages in a a mix of secondary and primary research.
                      This includes literature reviews, interviews and surveys.


     www.renison.uwaterloo.ca/social-work/                4                                    Revised July 2009
Renison University College
School of Social Work

FIELD INSTRUCTORS AND SERVICE AREA



Field Instructor: Christiane Sadeler                     Service Area: Executive Director

Qualifications: Community Psychology Master and MSW Instructor    E-Mail: schris@region.waterloo.on.ca



Field Instructor: Juanita Metzger                        Service Area: Community Development

Qualifications: Masters in Social Work              E-Mail: MJuanita@region.waterloo.on.ca



Field Instructor: ___________________________________ Service Area: _______________________

Qualifications: ___________________________________      E-Mail: ____________________________



Field Instructor: ___________________________________ Service Area: _______________________

Qualifications: ___________________________________      E-Mail: ____________________________




Please mail/fax/email completed form A.S.A.P. to:

Deborah Clark
Field Education Coordinator
School of Social Work
Renison, University College
University of Waterloo
240 Westmount Road N.
Waterloo, ON
N2L 3G4

Telephone: 519-884-4404 x28656
Fax: 519-884-5135
Email: dclark@renison.uwaterloo.ca
Website: www.renison.uwaterloo.ca




     www.renison.uwaterloo.ca/social-work/          5                                Revised July 2009
Renison University College
School of Social Work

Appendix A: Crime Prevention Council Sector List

Regional Council
Police
Education
Regional Social Services
Public Health
Family & Children Services
Community representatives
Older Adult Services
Youth Services
Newcomer Settlement
Housing
Family Violence prevention
Addiction
Mental Health
Faith Communities
Community Based Justice
Alliance for Children and Youth
Crown Attorney’s
Criminal Duty Counsel
Area Municipalities:
Land & Strategic Planning
Neighbourhoods
Recreation




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