Field Education Application Form - Part B

All students are to submit this form by 11:59pm on July 28, 2025

 

It is important for students to note that the use of this "Field Education Application Form - Part B" is for the Field Education Office to review and use the information provided to facilitate the best fit between the student learning goals and agency criteria. This form will not be shared with outside agencies; however, content from it might be summarized and provided. 

 

Late Field Education Application Forms are highly discouraged and the action is considered unprofessional. If a student feels that they have a strong rationale for a late submission, they must submit an Exception to Field Policy Request Form at the same time. The Field Education Office begins the matching process for Winter Term in August and for Summer term in late November/December, and thus students who submit a late form may not have their interests, previous experience, and learning goals considered. 

 

If you require exceptions to Field Education Policies and Procedures outlined in the Field Education Handbook, please submit an Exception to Field Policy Request Form

 

If you require accommodations for Field Education, please speak to the Field Education Coordinator and also contact the Disability Resource Centre to initiate the intake process. Note that students should be descriptive and informative, yet concise in their responses for this form. To ensure students are informed when indicating agency preference, students are encouraged to review the Community Partners List and their websites prior to completing the form.

 

By submitting this form, you are acknowledging that you have read, understood and agreed to the above policies. 

 

If you have questions, please contact the Field Education Office at ask.field@ubc.ca

 

 

Do you require any learning accommodations for field education? For example, extra training time, physical/mobility accommodations, alternate schedule/shift length.
Field Education Course for 2025-2026
Assigned Field Stream for 2025-2026
Areas of interest (check all that apply) 
Do you have a field agency contact that you would like to share with the Field Education Office?

Note: You are not to contact the agency/potential Field Education Instructor. Also, there is no guarantee of this placement being assigned to you. 
 
Is there any additional information that would be helpful for the Field Coordinator to know?

I am aware that violations to governing Codes of Ethics (see Student Handbook and Field Education Handbook) in field education placement can lead to academic integrity charges. *
I agree to follow the School of Social Work's policies and procedures outlined in the UBC Academic Calendar, Student Handbook, and Field Education Handbook while applying and actively engaging in a field education placement. *
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