By signing this form all parties are in agreement with the terms and conditions stated for facilitating a practicum experience in place of student’s employment.
Memorandum of Understanding
Memorandum of Understanding between Whitney M. Young, Jr., School of Social Work at Clark Atlanta University hereinafter referred to as the “University,” and _______________________________________ thereinafter referred to as the Facility.”
Purpose:
The purpose of this Memorandum of Understanding is to guide and direct the parties respecting their affiliation and working relationship to provide high quality professional practices to students in the Whitney M. Young Jr., School of Social Work while at the same time enhancing the resources available to the Facility for providing services to its clients.
Neither party intends for this Memorandum to alter in any way their respective rights or their legal obligations to one another, to the students and faculty assigned to the Facility, or as to any third party.
General Understanding:
The University shall provide adequate written information to the Facility regarding the number of students needed prior to the beginning of each semester and submit written schedules including the name of applicable students. The number of students designated for participation in the program will be mutually determined by written agreement of the parties and, may at any time be altered by mutual written agreement. All student participants must be mutually acceptable to both the University and the Facility’s staff and either party may withdraw any student from a program based upon perceived lack of competency on the part of the student, the student’s failure to comply with rules and policies of the Facility or the University, or for any other reason where either party reasonably believes that it is not in the best interest of the program for the student to continue.
There shall be no discrimination on the basis of race, national origin, religion, creed, sex, age, disability or handicap in either the selection of students for participation in the program, or as to any aspect of the professional training; provided however, that with respect to disability or handicap, the disability or handicap must not be such as would, even with reasonable accommodation, in and or itself, preclude the student’s effective participation in the program.
The applicable provisions of Executive Order 11246, Section 503 of the Rehabilitation Act of 1973, and the Vietnam Veteran’s Readjustment Assistance Act, and applicable regulations thereunder are hereby incorporated by reference.
THE TERMS OF THIS MEMORANDUM OF UNDERSTANDING ARE AS FOLLOWS:
C. Whitney M. Young Jr., School of Social Work agrees to:
Provide assistance in the development of a student learning experience that is in keeping with the School’s objectives for field instruction and compatible with the services offered by the Facility.
Assign a faculty representative as liaison between the Facility and the School of Social Work.
Share with the Facility information about a student’s background, education, personal qualities, interest, maturity, and learning tasks.
Make a minimum of one (1) Facility visit each term a student is in placement and shall make additional visits as needed or on the request of the Facility.
Be on call in emergency situations involving students.
Provide instructional development for Supervisors who request additional techniques, or training in field teaching.
The Facility Agrees to:
Assist in the development of learning experiences for the student(s) in accordance with the professional and educational objectives of Whitney M. Young Jr., School of Social Work.
Accept Student Training as an integral part of the Facility’s operations.
Provide adequate physical space and clerical assistance for the student (s).
Allow Whitney M. Young Jr., School of Social Work faculty field liaison opportunities to evaluate student reports and records developed at the Facility
Permit the participation of field instructors in periodic University-Facility meetings and conferences.
Comply as an equal opportunity Facility.
Mutual Responsibilities:
Personnel of the Facility and the University designated to supervise the student program shall meet at such times as shall be agreed upon by such personnel, which shall be no less than once per year, for the purpose of conducting an ongoing evaluation of the program and participants. The University shall request all participants in the student program to evaluate
their experience in the program and shall provide the Facility with full information concerning such evaluation.
Unless sooner cancelled as provided below, the term of this affiliation for training shall commence on
______________________and end on ___________________. This working relationship and affiliation may be renewed by mutual written consent of the parties. It may also be cancelled at any time by either party, with or without cause, upon not less than ninety (90) days written notice. Such notice shall be delivered by hand or certified mail-return receipt requested.
This ______day of ________.
UNIVERSITY FACILITY NAME & ADDRESS
Clark Atlanta University
James P. Brawley @Fair Street
Atlanta, Georgia 30314
By: _________________________ By: _______________________
Dr. Darrin E. Wright, LMSW
Director Field Education and Practicum Activities
Whitney M. Young Jr., School of Social Work
Date: ____________ Date: _____________
By: ________________________ By: _______________________
Dr. Vimala Pillari
Dean
Whitney M. Young Jr., School of Social Work
Date: ______________ Date: ______________
By: __________________________________
Dr. James Heffner
Vice-President/ Provost for Academic Affairs
Clark Atlanta University
Date:____________________
Date:____________________
● Whitney M. Young Jr., School of Social Work ● Practicum Office Clark Atlanta University
BSW Student Recommended Practicum Activities & Written Portfolio Report Assignments
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