Documentation is required for all students engaged in clinical training. Timely and accurate completion of the following practicum-related forms for each undertaken practicum is a program requirement and the responsibility ultimately rests on the student to ensure deadlines are met.
|Form||Deadline||Responsibility for Document Submission|
|WSIB Student Declaration||Start Date (1 Form/Degree)||Student|
|COVID_Insurance Addendum||Start Date||Student|
|WSIB Employer Declaration||1 month from Start Date||Student|
|Clinical Placement Learning Contract*||End of the second week of September (except for the summer practicum and other off-cycle placements**)||Student|
|Clinical Placement Student Evaluation (x2)||Placement Mid-Point AND Placement End Date, as specified in the Learning Contract||Clinical Supervisor(s)|
|Clinical Placement Clinical Hours Summary||2 wks after End Date||Student|
|Clinical Placement Feedback (internal use only)||2 wks after End Date||Student|
*For a practicum extension, a revised learning contract must be submitted at least one month prior to the original end date.
**For the MA summer practicum (and any other clinical practica not starting in the month of September), the deadline for the Clinical Placement Learning Contract will be 2 weeks from the placement start date.
Note for Mac Users:
Default settings on a MAC generally open Adobe Acrobat PDF files in “Preview” mode, which does not display or print the encrypted personalized data on your forms properly. You should:
From time to time, the program may sanction certain clinical activities that are outside of the standard practicum experience. Before initiating these clinical activities, students must complete a Program Sanctioned Hours Approval Form, which must be approved by the Program Coordinator and the student's academic supervisor(s). Students should familiarize themselves with the GD-PCS Policy and Procedures on Program Sanctioned Hours, which outlines the criteria and process in full detail.