Agency Registration - Community Studies

If you would like to become Community partner with Mohawk College for the purpose of hosting one of our students for an unpaid student field placement please complete the following form.

Is this a new registration or an update?

Agency Information

If so what is the name of the organization

Contact Information

List any other people who may wish to be listed as contacts for your agency. Please include a phone number and email address.

Student Placement Agreement/Affiliation Agreement

The Student Placement Agreement/Affiliation Agreement  is the mandatory agreement between your Agency and Mohawk College in order to secure a student with your Agency. The purpose of the agreement is to outline the responsibilities and expectations of both you as a Community Partner, the College and the student. One Agreement covers all student placements.

Do you have an active Student Placement Agreement/Affiliation Agreement with Mohawk College?

WSIB

Students completing an unpaid work placement are covered under either  the WSIB Insurance policy of the College or the College's CHUBB Insurance policy depending on the Placement Employer’s coverage.  If the assigned agency is not covered under WSIB the student will be covered under CHUBB, otherwise, students are covered by WSIB. For more information regarding this process visit: https://www.ontario.ca/page/workplace-insurance-college-and-university-students-unpaid-work-placements

Is your workplace covered by WSIB?

Placement Information

What are your core services and clientele?
Please list any specific programs that you have within your agency/organization.
What are some of the activities that a student might be involved in while on field placement with your agency?
Typical Student Shifts
i.e. Police Check, First Aid etc.
Which Mohawk Programs are you interested in hosting students from?

Thank you

If you are interested in speaking with one of our Field Placement Specialists, please contact one of the following

Autism and Behavioural Sciences 
Anita O'Keeffe anita.okeeffe [at] mohawkcollege.ca (anita[dot]okeeffe[at]mohawkcollege[dot]ca)

Brain Disorders Management
Anita O'Keeffe anita.okeeffe [at] mohawkcollege.ca (anita[dot]okeeffe[at]mohawkcollege[dot]ca) 

Child & Youth Care
Sean Flaherty sean.flaherty [at] mohawkcollege.ca (anita[dot]okeeffe[at]mohawkcollege[dot]ca) 
Ken Brill ken.brill [at] mohawkcollege.ca (ken[dot]brill[at]mohawkcollege[dot]ca) 

CICE
Stacey Money  stacey.money [at] mohawkcollege.ca (stacey[dot]money[at]mohawkcollege[dot]ca)  

Early Childhood Education
Kaela Millar kaela.millar [at] mohawkcollege.ca (kaela[dot]millar[at]mohawkcollege[dot]ca) 
Maria Agro maria.agro [at] mohawkcollege.ca (maria[dot]agro[at]mohawkcollege[dot]ca) 
Melanie Graham melanie.graham [at] mohawkcollege.ca (melanie[dot]graham[at]mohawkcollege[dot]ca)

Educational Support
Stacey Money stacey.money [at] mohawkcollege.ca (stacey[dot]money[at]mohawkcollege[dot]ca) 

Mental Health & Disability Management
Anita O'Keeffe anita.okeeffe [at] mohawkcollege.ca (anita[dot]okeeffe[at]mohawkcollege[dot]ca) 

Social Service Worker
Vicky Webb vicky.webb [at] mohawkcollege.ca (vicky[dot]webb[at]mohawkcollege[dot]ca) 
Lucas Reniers lucas.reniers [at] mohawkcollege.ca (lucas[dot]reniers[at]mohawkcollege[dot]ca)