Download Standard Field Placement Agreement

This Agreement made as of the
day of
, 20
.
Between:
The University of Manitoba
Faculty of Social Work
(hereinafter referred to as the "University")
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(hereinafter referred to as the "Field Instruction Site")
Whereas it is in the mutual interest of the University and the Field Instruction Site to further the
opportunities for the development of social work practice through field instruction of the students of
the University, this Agreement witnesses that the parties named above, hereto agree that:
1.
This agreement shall commence on
.
2.
Liaison between the University and the Field Instruction Site shall be by and through the
following persons:
(a)
the Chief Administrator of the Field Instruction Site or his/her delegate, on behalf of
the Field Instruction Site, and
(b)
the Dean of the Faculty of Social Work, or delegate, on behalf of the University;
(collectively referred to as the "Liaison").
The Liaison shall communicate on a regular and planned basis, as required, to facilitate the
student field instruction experience.
3.
The Liaison shall plan in advance of the expected commencement dates of each academic
year, preferably at least two or three months in advance, for the field work program of the
University students at the Field Instruction Site (the "Program"). This will include sufficient
learning opportunities to enable the student to meet the Program requirements as identified in
a "Student Evaluation Document”, which may be amended from time to time, and which is
provided to students annually or at the beginning of their Program, hereby incorporated by
reference into this Agreement. The Liaison shall make any changes relating to the Program
which are required during the course of each academic year.
4.
Prior to the commencement of each academic year, the University and the Field Instruction
Site will confirm the number of students to be placed at the latter during the academic year.
5.
The Field Instruction Site will be responsible for both administrative supervision and field
instruction for the aforementioned students. The staff of the Field Instruction Site (the "Site
Staff") assigned to provide the field instruction shall be determined by mutual agreement of
the Liaison. The specific responsibilities of the Site Staff will be those designated under
sections entitled “The Field Instructor” and “Agency Resource Person” in a document entitled
“Roles of the Key Persons in the Field Instruction Process”, as amended from time to time
and which document is located within a manual which has been provided to the Field Site,
hereby incorporated by reference into this Agreement.
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6.
Prior to the commencement of each academic year, the University will submit to the Chief
Administrator of the Field Instruction Site or delegate the following:
(a)
the number of students and level of Field Program required by each student;
(b)
student time tables, indicating the number of days that the students will be involved
in the Program.
7.
The Liaison will plan and conduct a period orientation to the Program at the commencement
of the academic year of the Program. It is contemplated by the parties that the orientation
period will include the presentation of appropriate current policies, including codes of
professional conduct, as well as such regulations and procedures as the parties deem
appropriate.
8.
The Field Instruction Site will provide for the students without charge to the University:
9.
(a)
such facilities as desks, file cabinets, telephones, utilization of meeting rooms, and
the like, as is feasible and appropriate for the carrying out of responsibilities related
to the Program, as well as
.
(b)
reimbursement for transportation and out of pocket expenses borne by students
consistent with reimbursement practices of the Field Instruction Site for its own staff.
As students under The Workers Compensation Act (Manitoba) (the “Workers Compensation
Act”), students engaged in the Program are covered for injuries in accordance with and
subject to the provisions of the Workers Compensation Act. In the event of an injury during
the Program, the Field Instruction Site Liaison should promptly contact the University
Liaison to ensure that a report and claim can be made to the Workers Compensation Board.
Where the location of the Field Instruction Sites is outside of the Province of Manitoba, and
students engaged in the Program are not resident in Manitoba, the University shall provide to
its students insurance for workplace injury or accident through the Canadian University
Reciprocal Insurance Exchange (CURIE) Student Accident & Injury Coverage Program.
10.
The University shall indemnify and save harmless the Field Instruction Site from every
action, suit or claim in respect of any injury, loss or damage resulting from the grossly
negligent acts or omissions by the University, its employees or agents, when acting within the
scope of their employment or by its students when acting under the direction of the
University, except to the extent that injury, loss or damage is caused by the act or omission of
the Field Instruction Site or any of its site staff, employees or agents.
11.
The Field Instruction Site shall indemnify and save harmless the University from every
action, suit or claim in respect of any injury, loss or damage resulting from the grossly
negligent acts or omissions by the Field Instruction Site, its employees or agents, when acting
within the scope of their employment, except to the extent that injury, loss or damage is
caused by the act or omission of the University or any of its employees or agents.
12.
This Agreement may be terminated any time by either party giving six clear months notice to
the other party, provided however that the Program will not be terminated prior to the
completion of the then current academic year (except where just cause exists in relation to
any individual student’s conduct during the corresponding clinical/fieldwork placement as
reasonably determined by the parties after mutual consultation).
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13.
The parties may amend any provision of this Agreement at any time upon mutually so
agreeing in writing.
14.
All notices to be given by either party to the other under this Agreement will be mailed and
addressed to such other party respectively as follows:
if to the Field Instruction Site:
Attention:
if to the University:
Attention:
15.
Dean of Social Work
The University of Manitoba
Faculty of Social Work
Room 521 Tier Building
Winnipeg MB R3T 2N2
This Agreement may be executed in any number of counterparts and by different parties in
separate counterparts, each of which when so executed shall be deemed to be an original and
all of which taken together shall constitute one and the same agreement. Delivery by facsimile
or by electronic transmission in portable document format (PDF) of an executed counterpart
of this Agreement is as effective as delivery of an originally executed counterpart of this
Agreement.
IN WITNESS WHEREOF the parties hereto have duly executed this Agreement on the day and year
first above written.
THE UNIVERSITY OF MANITOBA
Per:
Dean, Faculty of Social Work
Per:
, Executive Director
F:\LEGAL OFFICE\Precedents\Website Documents\Signing Policy\Standard Field Placement Agreement - Social Work(student not resident in MB) May 2011.doc