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ABS Field Placement Request Form
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ABS Field Placement Request Form
First Name
Last Name
Email Address
Which field placement are you currently enrolled in?
Placement 1
Placement 2
What age groups are you most interested inworking with?
Children
Adolescents/Teens
Adults
No Preference
What city would you prefer to complete your placement in?
What different city would you prefer to complete your placement in?
What different city would you prefer to complete your placement in?
What site would you most prefer to complete your placement with?
What different site would be your second choice for completing your placement
What different site would be your third choice for completing your placement?
Field placement typically occurs between the hours of 8:00 am - 6 pm. Some agencies require flexible availability. Please check all additional times you are available.
Weekday evenings
Saturdays
Sundays
None of the above
Do you have access to a vehicle so that you can travel to different locations throughout the day and/or evening?h
Yes
No
Field placements may occur at locations that are not accessible by public transit. As such, students shall be expected to either have access to a car or the ability to supply their own transportation when attending clinical placement activity. Mohawk shall not be responsible for providing students with transportation to clinical placements within or outside of the Hamilton area. Further, no preference will be given to students without vehicle access. With this in mind, some of our placement agencies require students to have access to a vehilce because they may travel to various locations during their shift.
If you are currently employed by an agency that may offer placement opportunities to ABS students, please indicate the agency below.
Is there an agency you are interested in completing your Field Placement with? These requests are suggestions, students are not guaranteed to be placed at a requested agency.
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