LakeheadU.ca
  • Thunder Bay •
  • Orillia
Search form
  • Students
  • Faculty & Staff
  • Alumni
  • Give
  • Visit
  • Apply Now
Exceptional and Unconventional
  • Romeo Research
  • Library
  • mySuccess
  • myCourseLink
  • myEmail
  • myInfo
Students
Faculty & Staff
Alumni
  • Programs
    Expand
    Learn More About our undergraduate programs
    • Undergraduate Programs
    • Graduate Programs
    • Academic Departments
    • Choosing A Program
    • Faculties
    • Lakehead-Georgian
    • Continuing Education and Professional Development
    • Other Programs & Studies
  • Admissions
    Expand
    Top 10 Reasons to Choose Lakehead
    • Future Canadian Students
    • Top 10 Reasons to Choose Lakehead
    • Newly Admitted Canadian Students
    • Undergraduate Admission Requirements
    • Graduate Admissions Requirements
    • English Language Centre
    • How to Apply
    • Check My Application Status
    • Scholarships, Awards & Loans
    • Student Central
    • Tuition & Fees
    • Campus Tours
    • Future Student Events
    • Upcoming School Visits
    • Viewbooks
    • School & Educator's Resources
    • Best Foot Forward
  • Campus Life
    Expand
    Virtual TourExplore our campuses
    • Discover Lakehead
    • City of Thunder Bay
    • City of Orillia
    • Residence & Housing
    • Food and Conference Services
    • Getting Involved
    • Athletics & Recreation
    • Student Supports
    • Life After Lakehead: Careers
  • Indigenous
    Expand
    EventsSee our calendar
    • Indigenous Programs
    • Truth and Reconciliation
    • Orange Shirts & Enamel Pins
    • OpenText Indigenous Internship Program
    • Indigenous Initiatives - Orillia
    • Summer Indigenous Institute
    • Indigenous Student Services Centre - Thunder Bay
    • Third Party Sponsorship
    • Indigenous Self-Identification
    • Niijii Indigenous Mentorship
    • Undergraduate Recruitment & Outreach
    • Global Indigenous Speakers Series
    • Indigenous Research & Partnership Awards
    • Indigenous Content Requirement
    • Events
    • News
    • Staff
  • International
    Expand
    Future StudentsBecoming a Lakehead Student
    • International Education Week
    • Applying to Lakehead
    • Future International Students
    • Newly Accepted International Students
    • Current International Students
    • English Language Centre
    • Agents & Partners
    • Global Engagement
    • Student Voices
    • Publications
    • Contact Us
    • china-flag indonesia-flag south-korea-flag thailand-flag turkey-flag vietnam-flag saudi-arabia-flag brazil-flag russia-flag spain-flag
  • Research & Innovation
    Expand
    IngenuityLearn about our programs & services
    • COVID-19 Resources and Updates
    • Vice-President Research and Innovation
    • Undergraduate Research at Lakehead
    • Who Can Help Me?
    • About Research at Lakehead
    • Research Services
    • Ethics & Research Integrity
    • Innovation, Partnerships and Economic Development (IPED)
    • Ingenuity - Business Incubator
    • Businesses & Community
    • Research Centres and Institutes
    • Analytical Services and Laboratories
    • Forms
    • Policies & Procedures
    • Research and Innovation Week
    • Romeo Research Portal
  • About
    Expand
    Campus ConnectionRead the latest News, Stories, and Events
    • Accessibility
    • Branding
    • Campus Connection (News & Events)
    • COVID-19 Information
    • Institutional Rankings
    • Lakehead Orillia
    • Lakehead Thunder Bay
    • Lakehead-Georgian
    • Office of the President
    • Social Media Directory
    • Sustainability
    • Toronto Office
    • University Governance
    • University Policies and Procedures
  • Social Work
    • Mission Statement
    • Faculty & Staff
    • Honors Bachelor Social Work (HBSW)
    • Masters in Social Work (MSW)
    • Important Policies
    • Thunder Bay Field Education Manual & Placement Forms
    • Orillia Field Education Manual & Placement Forms
    • Program Advising
    • Student Association
    • Student Resources
    • Field Supervisor Resources
    • Community Events
Social Work
Lakehead University
  1. Home
  2. Programs
  3. Academic Departments
  4. . . .
  5. Social Work
  6. Thunder Bay Field Education Manual & Placement Forms
Set Campus
Menu
Contact Us
  • Social Work
    • Mission Statement
    • Faculty & Staff
    • Honors Bachelor Social Work (HBSW)
    • Masters in Social Work (MSW)
    • Important Policies
    • Thunder Bay Field Education Manual & Placement Forms
    • Orillia Field Education Manual & Placement Forms
    • Program Advising
    • Student Association
    • Student Resources
    • Field Supervisor Resources
    • Community Events

Thunder Bay Field Placement Forms

Contact Us

Thunder Bay

Hours: Monday-Friday8:30 a.m. - 4:30 p.m.

Address:

RC 3004

Phone: +1 (807) 343-8576

Fax: +1 (807) 346-7727
Email Us

Orillia

Hours: Monday-Friday8:30 a.m. - 4:30 p.m.

Address: 500 University Ave. Orillia, ON L3V 0B9

Phone: +1 (705) 330-4008ext. 2003

EMAIL US

Thunder Bay Field Placement Forms

Planning Forms

  • Field Practicum (3500/4500/4501) Student Agreement Form

  • Practicum Planning Form for SW 3500/4500/4501

  • Practicum Planning Update Form for SW 3500/4500/4501

  • Fourth Year Practicum Planning Form

Learning Contract

  • Student Learning Plan (fillable PDF)

Evaluations Forms

  • Third Year HBSW Field Placement Evaluation Form (fillable PDF)

  •  Fourth Year HBSW Field Placement Evaluation Form (fillable PDF)

  • One Year HBSW Mid-Term Field Placement Evaluation Form (fillable PDF)

  • One Year HBSW End-Term Field Placement Evaluation Form (fillable PDF)

  • HBSW Macro/Community Development/Research Placement Evaluation Form (fillable PDF)

  • HBSW On-site Field Associate Evaluation Form (fillable PDF)

  • HBSW On-site Field Associate MACRO Evaluation Form (fillable PDF)

Placement Insurance Forms

  • Placement Insurance Form - Student Declaration
  • Placement Insurance Form - Letter to Placement Employers

  • Pre-Placement Safety Orientation Checklist (fillable PDF)

  • International, National, or Remote Field Placement Safety Orientation Checklist (fillable PDF)

Other Forms

  • Field Instructor Data Sheet (fillable PDF)

  • Field Placement Reflective Learning Log (fillable PDF)
  • Field Placement Time Sheet
  • Feedback Questionnaire on Field Placement

 Manual

  • Thunder Bay HBSW Field Manual
The Lakehead University logo in white
  • Academic Calendar
  • myCourselink
  • Library
  • myEmail
  • myInfo
  • Directory
  • A-Z Index
  • Contact Us
  • Careers
  • Accessibility

Lakehead University respectfully acknowledges its campuses are located on the traditional lands of Fort William First Nation, Signatory to the Robinson Superior Treaty of 1850 and the Ojibwe, Odawa, and Pottawatomi nations, collectively known as the Three Fires Confederacy.

Map of Thunder Bay Campus
Lakehead Thunder Bay
Campus Status: Open
955 Oliver Rd
Thunder Bay, ON, P7B 5E1

(807) 343.8110
tbay@lakeheadu.ca
Map of Orillia Campus
Lakehead Orillia
Campus Status: Open
500 University Avenue
Orillia, ON, L3V 0B9

(705) 330.4008
orillia@lakeheadu.ca
© 2023 Lakehead University. All Rights Reserved.
  • Instagram
  • LinkedIn
  • Twitter
  • YouTube
  • Facebook
  • Back to Top