Embed Size (px)
Citation preview
CYC 247 PLACEMENT SEARCH GUIDE CHILD AND YOUTH CARE
WINTER 2021
1 | P a g e
Contents Placement Logistics ......................................................................................................................... 2
Placement Options – Second year placements (CYC347/57 and CYC447/57) ............................... 3
Contacting a school ......................................................................................................................... 5
Sending a Professional Email ................................................................................................... 5
Response Time and Persistence .............................................................................................. 7
Meet and Greet ............................................................................................................................... 8
Before the Meet and Greet ......................................................................................................... 8
During the Meet and Greet ......................................................................................................... 9
After the Meet and Greet .......................................................................................................... 10
Sample Questions to Ask ........................................................................................................... 10
Sample Questions your Placement Supervisor may ask ........................................................... 10
Sample Placement Activities ......................................................................................................... 11
Approval of the Placement ........................................................................................................... 12
Placement Deadlines .................................................................................................................... 12
Appendix………………………………………………………………………………………………………….……………………..13
Field Placement Agreement Form
WSIB Form
Health Certification Form
Authorization to Collect and Release Personal Information Form
2 | P a g e
PLACEMENT LOGISTICS At Seneca College, students in the Child and Youth Care program conduct placements in their third and fourth semesters and again in their fifth and sixth semesters. Your CYC 347/357 are two days per week for the entire semester. The semester is 12 weeks long, although there are 14 weeks during which they can complete their placement hours as they have a Study Week in the middle of the semester and a Finals Week at the end.
For CYC 347/357 students should aim for a minimum of 14 to a maximum of 16 placement hours per week. You will need to consistently attend your placement. Please refer to the CYC manual for the policy on placement absences.
For CYC 447/457 you are expected to attend placement three days a week, Monday – Wednesday. Students should aim for a minimum of 21 hours and a maximum of 24 hours a week.
All hours are due at the end of each term. Students are not permitted to continue past the last day of the term. Hours also cannot be transferred between courses. Thus, any hours accrued during CYC 347/357 can only account towards CYC 347/357. You will track your hours every week in placement, and give your weekly log form to your Professor in seminar class.
HOURS Note: Hours are not transferable between courses / terms.
Minimum amount of hour required:
CYC 357 – 180 CYC 457 – 275
The hours are a minimum amount only; if you reach the minimum amount you are expected to attend to the last day of the term. You cannot finish early, before the end of the term.
PLACEMENT COURSES: CYC 347 – Seminar Class; CYC 357 – Field Placement CYC 447 – Seminar Class; CYC 457 – Field Placement
The seminar and respective placements are co-requisites; being unsuccessful in one means automatically being unsuccessful in both. i.e. if you do not pass CYC 347, you automatically do not pass CYC 357 and vice versa.
3 | P a g e
PLACEMENT OPTIONS – SECOND YEAR PLACEMENTS (CYC 347/357 AND CYC 447/457)
Your first placement occurs in your second year of the curriculum. CYC students conduct their first placement in an Education / School based environment. Most of these will be with a school board. Each school board has a different process in place. Most school boards have a centralized process that must go through your Field Placement Coordinator.
Your Field Placement Coordinator will visit your CYC 247 classes to explain the process for each board and you will need to submit an Interest Selection Form. Following this form, your request for a school board will be considered and next steps will be provided.
The following school boards have a centralized system that must go through your FPC: • Peel District School Board• Dufferin-Peel Catholic District School Board• Toronto District School Board• York Region District School Board
You should not be contacting any schools individually until you first hear from your FPC in your CYC 247 class on this process.
4 | P a g e
SECOND YEAR PLACEMENT PROCESS CHART Field Placement
Coordinator Visits CYC 247 and reviews
Placement Search Guide
2 -3rd week of class
Student Submits Placement Interest Form
Due by 4 /5 week of class
FPC provides next steps depending on school
board
February/ March
Centralized Process
PDSB/ YRDSB/ TDSB/ DCPDSB
Student attends mandatory session to
complete safety training
April
FPC provides school information
April / May
Student sends a Professional email,
introducing themselves
April / May
Student goes for Meet and Greet at School
Apil / May
Student submits Agreement Form and
WSIB form to FPC
April - June
Decentralized Process
SCDSB / TCDSB / YCDSB
Student researches schools for placement
March / April
Student applies to each individual school
March / April
Student Interviews
March / April
Success! Student signs and submits Agreement Form and WSIB form to
FPCMarch/ April
Student reviews any requirements: VSS, Safety
Training, etc.
March / April
5 | P a g e
CONTACTING A SCHOOL Most school boards that we work with have a Centralized placement application process. This
process means that you must submit your placement request to your FPC, who will in turn work
with the School Board. The FPC will then provide you with the contact information of your
school and placement supervisor. Following this, you will have to email your placement
supervisor to schedule a ‘Meet and Greet’. A ‘Meet and Greet’ is NOT an interview; but it is still a first impression and it is important to approach it professionally.
Most school boards will require the following:
• Online safety training
• Vulnerable Sector Screening
An online safety training session will occur at the end of the CYC 247 term and it will require mandatory attendance to proceed with a school placement.
SENDING A PROFESSIONAL EMAIL Agencies will use your email to evaluate your professionalism. An email is the first part of your
first impression; it is imperative your email is professional, concise, appropriate, and states the required amount of information/ inquiry.
Some things to consider:
• Include salutations. I.e. Hello, Goodbye.
• State your name, program (Child and Youth Care) and purpose (student placement).
• Include the parameters of your placement. What days? When?
• In 2-3 sentences, state the reason why you are interested in this agency.
• Include your contact information and the best way to reach you.
• Send the email from your myseneca email account only.
• Send the email at an appropriate time (i.e. between 7:00 AM – 9:00 PM).
6 | P a g e
Sample Email:
Dear Justin Boudreau,
My name is Keri Graham and I am a student enrolled in the Child and Youth Care program at
Seneca College. Your information was passed on to me from my Field Placement Coordinator to
connect with you about my student placement. My placement is 2 days a week, Monday to
Tuesday, in the Fall term and Monday- Wednesday in the Winter term. My placement begins
September 14th 2020 and continues until April 20th 2020. I am interested to gain experience
working in a School and I have studied it in my program. I want to expand this knowledge and
support this population.
I would like to schedule a time for me to come to the school for a meet and greet to introduce
myself and have some required forms signed. Please let me know a time that is suitable for you
and I will do my best to make that time. The best way to reach me is either by email at [email protected] or telephone at 416-491-5050 ext. 55005.
I look forward to hearing back from you.
Sincerely,
Keri Graham, CYC Student Seneca College
7 | P a g e
RESPONSE TIME AND PERSISTENCE Schools usually operate at full capacity and are very busy. This means that it can take them
some time to respond to your email. Sometimes they may miss your email and not respond at
all. Do not panic if your school does not respond to you; remember, they are busy! As much as
placements are valuable to them, a school will always prioritize completing their work first.
Thus, persistence can be the key to successfully confirming a placement.
Communicating with a School who do not respond:
Send a Professional email
No Response
1 week This is usual. Give them some more time to respond
1.5-2 Weeks
Send follow up Email
Let your Field Placement
Coordinator know
2.5- 3 weeks Call them to follow up
1 Month+
Send follow up Email and phone every week and a half-
Persistence!
Make sure to apply to other agencies!
Response! Set Meet and Greet time!
8 | P a g e
MEET AND GREET Placements with a school board will be a ‘Meet and Greet’ instead of an interview. A ‘meet and
greet’ is meeting your placement supervisor for the first time and introducing yourself. While it
is not an interview, it is still a first impression and it is important to still approach it professionally.
Before the Meet and Greet
Know the School • Look at the school website. Review their mission, vision, values and program offerings• Use Google News to scan for any recent happenings and events in the surrounding school
community
Professional Communication is Key • Create a professional voicemail message for the phone number you provide to the school• Use your Seneca email address when emailing
Practice your Meeting Skills • Introduce yourself in a professional manner and try to establish rapport with your
placement supervisor• Prepare answers beforehand to common questions and main points you want to
communicate about your skills, experience, and interests• Be prepared to express why you are interested in doing your placement at the school. Think
about your learning goals, and how they align with the placement• Think about why you decided to do the CYC program and what makes you ready to enter
the field• Practice by doing a mock Meet and Greet with your Field Placement Coordinator, a friend,
or in front of a mirror
Give yourself Plenty of Time
• Arriving on time is crucial when making your first impression• Map your route beforehand and account for weather, transportation delays such as traffic,
and finding the placement• You want to aim to arrive approximately 10-15 minutes early
Bring necessary documents:
• WSIB Form• Placement Agreement Form• Vulnerable Sector Screening (VSS)• Health Screening• Additional documents such as online safety training
9 | P a g e
Dress for Success
• Plan to wear professional attire that is appropriate for a school setting. It is always better todress ‘up’ then to dress ‘down’. Once you start placement, you will have a better idea of thedress code.
• If you are unsure what is considered appropriate dress attire, contact your Field PlacementCoordinator, Career Services or your CYC Seminar Professor.
• If you are in need of professional attire, Seneca Career Services has an Interview ClothingDrive. Contact 416.491.5050 ext. 22934 for more information.
During the Meet and Greet
First Impressions Count • Be respectful and professional with everyone you meet. Display a confident and friendly
attitude the moment you arrive. Not doing so may impact the school’s decision to host youas a student
• Be prepared to shake hands with your placement supervisor. A smile and firm handshakewill show confidence.
Body Language and Communicate clearly
• Pay attention to any “fidgety” characteristics you may have and try to minimize them• Make eye contact with your placement supervisor when speaking or listening• Speak slowly and avoid words such as “um” and like”.
Demonstrate the Right Attitude
• TURN OFF YOUR PHONE.• Sometimes students may try too hard to “stand out”, and in doing so may give the
impression that they are aggressive, that they “know it all”, or may appear not open tolearn. Strive for balance between readiness to enter the field with an openness to be astudent and learn from the staff at the school
• It is okay to be nervous during the Meet and Greet. Do not worry if you start to stumble. Itmay be easier to just let them know that you are nervous as it can help break the ice for youand for them. They remember being in your shoes!
• Try to convey your excitement and interest in working with the school. Supervisorsunderstand that this is your first placement, and may look for attitude and fit, rather thanextensive work experience
Ask Questions and Finish Strong
• What would you like to know about the placement? Ask questions during and at the end ofthe Meet and Greet that will help you prepare and anticipate what is to be expected atplacement (roles, responsibilities, hours, see below for sample questions)
• Do not ask about the school mission and general services. It is expected that you have doneyour research prior to going to the school. Instead, ask more specific questions aboutprograms and services that demonstrate that you have done some research
• Ask your placement supervisor the best communication methods. i.e. Email, Phone, etc.• Restate your interest in the school and thank your supervisor for meeting with you
10 | P a g e
After the Meet and Greet • Send a follow up email stating it was a pleasure to meet and thank them for their time. In
your follow up email, include 1-2 sentences that you think you are a good fit for theprogram and look forward to starting your placement.
Sample Questions to Ask
• What types of experiences will students be exposed to?• Are any health tests/immunizations required?• What are the hours of operation and what are the expectations regarding the student’s
schedule?• What would my schedule look like?• What is a typical day look like?• What do you find most rewarding about working in this school?
Sample Questions your Placement Supervisor may ask
• Tell me about yourself• Why are you interested in this placement position?• What previous experiences do you have working in a school?
o Agencies understand that many students have not yet worked in the field. If you donot have previous experience, then speak to your knowledge, skills, and abilities thatare relevant to the placement. Remember, volunteer work is considered experience
• Please tell us more about your placement requirements (days, times, hours, evaluation,forms, etc.)
• Prepare yourself for future orientated questions such as:o What are your long-term career goals?o Where do you see yourself five years from now?
11 | P a g e
SAMPLE PLACEMENT ACTIVITIES You can work with your supervisor to develop a list of placement activities. Some sample responsibilities for students in placement could include:
1. Engage in therapeutic relationships with clients and/or families
2. Demonstrate effective intervention strategies that meet the needs and goals of your clients
3. Provide client support
4. Identify and access professional development opportunities that promote professionalgrowth
5. Participate in staff meetings
6. Facilitate peer group
7. Take part in program evaluation
8. Learn about community referrals
9. Observe and facilitate social skills training
10. Work with individuals and groups
11. Conduct behavioural observation and management
12. Complete mock reports
13. Reflect on the implementation of a behavioural modification program
14. Verbal De-escalation
15. Crisis Intervention
16. Analyze the Ontario Association of Child and Youth Counsellors Code of Ethics and therationale for professional participation
17. Navigate applicable and relevant parts of the CFSA, YCJA, EA and MHA18. Identify the different Child and Youth Care services available for children, youth and their
families19. Reflect on a Youth Court Criminal proceeding20. Demonstrate a beginning understanding of one's own self-awareness and social locations
and how one's subjectivity , values, beliefs and practices get articulated in diverse situationsand settings;
21. Demonstrate an ability to identify the skills, knowledge and practices necessary toimplement effective social work and/or child and youth care interventions;
22. Demonstrate the ability to identify and use the principles of an integrative anti-oppression,access and equity framework;
23. Demonstrate the ability to comprehend how systemic barriers shape people's access topolitical, social, material, human rights and personal resources;
24. Demonstrate a beginning understanding of the root causes that perpetuate the socialinequities that are experienced by diverse group of people in Canada.
25. Demonstrate the ability to think critically, act respectfully and practice with sensitivity andawareness;
12 | P a g e
APPROVAL OF THE PLACEMENT SECOND YEAR STUDENTS
Once a student has been provided with the school contact information (if they applied to a board that has a centralized placement process), the student needs to carry out a few important actions:
Contact the Placement Supervisor for a Meet and Greet.
Bring with you to the Meet and Greet your completed online safety training and yourVSS.
Inform the Field Placement Coordinator after the Meet and Greet. You must submityour Placement Agreement Form and WSIB form to the FPC.
When Placement begins, the placement supervisor will be provided with: The field manual The CYC Faculty Liaison contact information The Seneca Field Placement Coordinator contact information
The required forms are attached as appendices to this guide. The Agreement Form and WSIB form must be provided to the Field Placement Coordinator. Failure to do so could result in your placement being suspended and/or not approved.
PLACEMENT DEADLINES The Field Placement Coordinator will support the student in their field placement search process; however, it is imperative the student collaborate with the FPC. It is the expectation that the student has confirmed their placement by the last day of their CYC 247 course (unless school contact information is provided after this). Please note if your course is in the Spring/Summer your confirmation deadline is earlier. In the event you have not confirmed by the dates set in CYC 247, you must communicate this to the FPC and meet for a mandatory meeting.
The FPC reserves the right to suspend a student’s eligibility for placement in the event of the following:
(1) The student does not meet for their mandatory meeting with the FPC(2) The student does not communicate with the FPC in securing their placement in an
appropriate or timely manner(3) The student does not have a confirmed placement two weeks prior to the placement
start date(4) Placement Documentation is not received in a timely matter.
CYC – (FPC: Angelo Vaccaro ext. 55570) SSW King – (FPC: Nancy Sylvain ext. 55616) SSW Gerontology – (FPC: Valerie Vickery ext. 55446) SSW Seneca@York – (FPC: Julius Samaniego ext. 33579) SSW Yorkgate – (FPC: Julius Samaniego ext. 33579) SSW Immigrants & Refugees – (FPC: Ashraf Mansouri ext. 33574)
Child and Youth Care (CYC) Field Placement Coordinator: Keri Graham 416.491.5050 ext. 55004 [email protected]
Save
COMMUNITY SERVICES PLACEMENT AGREEMENT FORM With respect to an agreement to confirm a student in the organization mentioned below, the Seneca Field Staff may first need to verify that this placement experience meets the Learning Objectives of the Community Services field education course and Vocational Outcomes of the student’s program. Seneca reserves the right to terminate a student at any time. The following form captures the tri-lateral partnership between the Seneca student (in the specified program below), placement organization, and Seneca College, however, this contract outlines the parameters of said placement experience but does not take the place of an Affiliation Agreement (AA). Please contact Sasha Ramoutar, Community Services Manager to complete or update an existing AA [email protected] (416)491-5050 ext55522
STUDENT INFORMATION STUDENT PROGRAM INFORMATION: Student Name: Select Program (Field Placement Coordinator (FPC):
Student Email:
Student Telephone:
PLACEMENT INFORMATION Select Placement Year: Name of Organization:
1st YEAR 2nd YEAR 3rd YEAR (CYC ONLY)
Address: Select Term (Check all that apply):
FALL (Sept – Dec) WINTER (Jan-April)
SUMMER (May – Aug) SUMMER (May – June)
Postal Code:
Supervisor Name: Select Placement Days of week:
MON TUE WED THU FRI SAT SUN Supervisor Title/Position:
Placement Start and End dates: This placement will: Start on: End on:
Supervisor Telephone: Extension:
Supervisor Email: Preferred date/time of contact: Job description attached?(mandatory in SSWG) YES NO
1. STUDENT’S RESPONSIBILITIES & ACKNOWLEDGMENTAs a Community Services placement student, from the program listed above, I have read and understood the Roles & Responsibilitiesas outlined in my programs Student Field Placement Manual and have read and understood my rights and responsibilities in the StudentCode of Conduct. I will abide by the policies and procedures, especially, confidentiality policies outlined by the Placement Organization,and agree not to disclose confidential information obtained from this placement to anyone unless required to do so by law. I will attendmy placement for the full term as defined above, and I will promptly inform my Field Liaison if my placement dates need to change.Similarly, I will notify my Field Liaison and Placement Supervisor if I will be absent or late for a placement shift. My professional attireand behaviour will be in keeping with the accepted standards of my placement provider. I will perform my duties to the best of myability and comply with all reasonable directions given by my Placement Supervisor. I will immediately inform my Placement Supervisor,Field Liaison and Field Placement Coordinator of any injury or illness at placement and comply with WSIB reporting procedures asdirected by Seneca staff. I acknowledge failure to comply with the above terms may result in my termination from thisplacement.Student Signature acknowledgment and consent to Parental Consent (If student is under the age of 18): above terms:
I consent to participating in placement as stated above.
/ / / / Signature of Student Date Signature of parent/legal guardian Date
2. PLACEMENT PROVIDER’S AGREEMENTI enter into an arrangement for the above-named student to be placed with me for a meaningful placement experience. Conditions of placement: a. I agree that this is an unpaid student placement opportunity.b. I understand my duties as outlined in the WSIB process for reporting any illness or injuries promptly (within 24 hours).c. The hours in placement will be as agreed upon by student (and Field Staff where negotiated) and within program guidelines.d. I agree to inform the student of organizational health & safety, AODA, harassment & discrimination, requirements/policies/protocols.e. The student will work under my supervision, or my designate, and I will inform the student in advance of this designates name and contact.f. I agree to notify the Field Liaison of any unexplained absences by the student.g. I agree to provide consistent supervisory/feedback sessions to encourage the student’s learning and professional growth.h. I agree to complete and sign all required Seneca documents and field visits pertaining to the student’s placement.i. Should the student’s performance/behaviour not improve despite documented feedback, I agree to consult with the students Field Liaison
and/or Field Placement Coordinator prior to termination.j. Students require supervision at all times, (especially in the Child & Youth Care program, students cannot be left alone with clients or students
under any circumstances).
/ / Signature of Placement Supervisor Date
Privacy Statement The College is collecting information on this form pursuant to section 2 of the Ontario Colleges of Applied Arts and Technology Act for the purpose of administering your field placement. If you have any questions concerning the collection and use of person al information, please contact the privacy office at (416) 491-5050 extension 77846 or email [email protected]. The mailing address for the Privacy Office is 8 The Seneca Way, 7th Floor, Markham, Ontario, L3R 5Y1. Original of completed Agreement to be retained in the school and copies to be kept by signing parties
Field Office Notes:
1
DEFINITIONS WSIB – Workplace Safety Insurance Board WSIA – Workplace Safety Insurance Act Placement Employer – The placement organization where the Seneca Student is completing their unpaid work placement Training Agency – The post- secondary educational institution (Seneca College) Student Trainee – The Seneca student MAESD – Ministry of Advanced Education and Skills Development
WSIB DOCUMENTS Guidelines for Workplace Insurance for Postsecondary Students of Publicly Assisted Institutions on Unpaid Work Placements: http://www.tcu.gov.on.ca/pepg/publi cations/wsib-guidelines-2017.pdf
Letter of Authorization to Represent the Placement Employer: (pg.18 in above link)
WSIB Form 7: http://www.wsib.on.ca/cs/groups/public /documents/staticfile/c2li/mdey/~edisp/ wsib012386.pdf
Postsecondary Student Unpaid Work Placement Workplace Insurance Claim: http://www.forms.ssb.gov.on.ca/mbs /ssb/forms/ssbforms.nsf/GetFileAtta ch/022-13-1352E~2/$File/13- 1352E.pdf
STEP ONE INJURY/DISEASE OCCURS Ensure the student has received first aid and/or call emergency services if necessary. Placement Employer is required to inform Seneca Field Placement Coordinator (FPC) (see Seneca Contacts pg.2), if either of the following occurs; if the unpaid student requires medical attention by a health care professional, and/or lost time from placement. The following steps need to take place within two days of the incident.
NOTE: If the student did not seek health care and no lost time at the placement, then the only form required is the Personal Injury/Accident report (PIA) (please request from FPC), once completed send to Marianne Cunningham, Manager, Accommodation & Disability, and Field Placement Coordinator.
STEP TWO REPORTING
If the Placement Employer is covered under WSIA the following is required: Within two days of learning of a work-related injury/disease the Placement Employer in collaboration with the Training Agency must complete the following three forms:
1. WSIB Form 7: (Employers Report of Injury/Disease) PlacementEmployer to complete all applicable fields then pass on toTraining Agency.
2. Letter of Authorization to Represent the Placement Employer3. Postsecondary Student Unpaid Work Placement Workplace
Insurance Claim*Upon completion of the above three forms email to students Field Placement Coordinator (FPC) (see contacts on page 2). If the Placement Employer is not covered under WSIA the following is required:
1. Postsecondary Student Unpaid Work Placement WorkplaceInsurance Claim* complete all fields.
2. Placement Coordinator to contact Marianne Cunningham tocomplete the CHUBB designated forms.
*Field Placement Coordinator to complete the Letter of Authorization toRepresent the Placement Employer and Postsecondary Student UnpaidWork Placement Workplace Insurance Claim form before passing overto Placement Employer for completion.
REPORTING UNPAID STUDENT WORK PLACEMENT INJURIES
IN THE EVENT OF AN INJURY/DISEASE AT UNPAID WORK PLACEMENT AGENCY
In the event that one of your unpaid work-placement students is involved in a workplace accident or develops a work-related illness. The Placement Employer and Training Agency are jointly responsible for completing the following steps.
SENECA CONTACTS WSIB SENECA – Marianne Cunningham Manager, Disability & Accommodation B: 416.491.5050 ext. 77157 F: 905-948-9375 (Confidential fax) Marianne.Cunningham@senecacolle ge.ca
WSIB SENECA – Terry DeMaeyer, Return to Work Specialist B: (416)491-5050 ext. 77914 [email protected]
Community Services Manager – King/Seneca@York/Yorkgate Campuses Sasha Ramoutar (416)491-5050 [email protected]
Social Service Worker (SSW) – King Campus Nancy Sylvan, Field Placement Coordinator, (416)491-5050 [email protected]
Behavioural Sciences (BHS) – King Campus Angelo Vaccaro, Field Placement Coordinator, (416)491-5050 [email protected]
Child & Youth Care (CYC) – King Campus Keri Graham Field Placement Coordinator, (416)491-5050 ext. [email protected]
Field Placement Coordinator to ensure the Letter of Authorization to Represent the Placement Employer and the Postsecondary Student Unpaid Work Placement Workplace Insurance Claim forms are completed properly prior to sending them along with the Form 7 to Marianne Cunningham [email protected] or Tanya Davis [email protected] (see Seneca Contacts – on the left).
If you have any questions or concerns, please call Marianne Cunningham, Tanya Davis, or the Field Placement Coordinator associated to the students Seneca program (or Community Services Manager if unsure).
Ministry Coverage (WSIA & CHUBB Insurance)
WSIB FIRM # The Form 7 requires a WSIB firm #. There may be hesitation to provide this number as this is what WSIB uses for billing organizations; however, in this particular case the Government of Ontario, through the Ministry, pays WSIB for the cost of benefits it pays to Student Trainees enrolled in an Approved Program at a Training Agency during Unpaid Work Placements with employers who are either compulsorily covered (Schedule 1 or Schedule 2 employers) or have voluntarily applied to have WSIB coverage.
*The Ministry also covers the cost of private insurance with ChubbInsurance for Student Trainees enrolled in an Approved Program at aTraining Agency during unpaid Work Placements with employers thatare not required to have compulsory coverage under the WSIA. TheGovernment of Ontario provides such coverage to encourage theparticipation of employers in providing Unpaid Work Placements toStudent Trainees as part of students publically assisted post- secondary education.
In order to ensure timely submission of documents WSIB has levied fines in the past for late submissions. Please feel free to call us to ensure that each party completes the required steps by the reporting 48-hour deadline.
REPORTING UNPAID STUDENT WORK PLACEMENT INJURIES
IN THE EVENT OF AN INJURY/DISEASE AT UNPAID WORK PLACEMENT AGENCY
STEP THREE
2
Process for Workplace Safety and Insurance Board coverage: The Ministry of Advanced Education and Skills Development (MAESD) has revised the Guidelines for Workplace Insurance for Postsecondary Students of Publicly Assisted Institutions on Unpaid Work Placements, see link here: http://www.tcu.gov.on.ca/pepg/publications/wsib-guidelines-2017.pdf Seneca College (Training Agency) is committed to working with our Placement Partner Organizations (Placement Employer) to implement the process outlined above for students enrolled in an approved Ontario college program completing an unpaid work placement (ie. Field placement) for the purpose of academic credit. In the event of an injury/disease incurred by the Seneca student, the Placement Employer shall inform the corresponding Field Placement staff immediately (within 24 hours) of the incident and is required to complete the forms outlined in the three steps above (page 1 and 2) within 48 hours of the incident. Please note that the MAESD requires both Seneca and the Placement Employer to enter their MAESD - issued Firm Number, this number must be shared with Seneca in order to complete an online claim form. For employers who are not required to have WSIB coverage, MAESD has private insurance from Chubb Insurers in place to cover students on unpaid work placements. Although cost of coverage for all students in an approved unpaid placement is provided by MAESD and not the Placement Employer, MAESD requires Seneca to confirm whether the Placement Employer has WSIB coverage. Please check one of the following:
The Placement Employer has WSIB coverage.
The Placement Employer does not have WSIB coverage.
Placement Employer Declaration The Placement Employer acknowledges; 1) Health & Safety and other relevant training/orientation (and ongoing supervision) to protect the Student from foreseeable hazards shall be provided at the beginning of the placement. 2) For students returning from an injury/disease we will work with Seneca Staff and the Student to implement anyreasonable accommodations to ensure a safe and timely return, and 3) By signature of an authorizedrepresentative, we confirm that we have read, understand the process above and confirm our commitment toreport any workplace injury or disease to Seneca College immediately, as outline above.
Placement Employer (Name of Organization):
First and Last Name: Title:
Signature: Date:
Student Declaration The Seneca Student acknowledges; 1) I will immediately (within 24 hours) inform Placement Supervisor and Field Liaison of any injury or disease incurred at placement and will maintain regular contact with Seneca staff for the purpose of WSIB reporting and informing on any restrictions/accommodations during the course of my injury/illness, 2) Seneca will be required to disclose my personal information in compliance with WSIB or Chubb Insurance reporting. 3) By signing below, I confirm that I have read, understand the process above and confirm my commitment to report any workplace injury or disease to Seneca College immediately, as outline above.
Student First and Last Name:
Student Signature: Date: (For students less than 18 years of age please contact your Field Placement Coordinator for Parent/Guardian form)
A signed copy of this document should be kept by the student and placement employer. A signed copy will be kept on file for the duration of the student’s placement and seven years after graduation. For more info about our WSIB process or privacy policy please contact Community Services Manager, Sasha Ramoutar [email protected]
REPORTING UNPAID STUDENT WORK PLACEMENT INJURIES IN THE EVENT OF AN INJURY/DISEASE AT UNPAID WORK PLACEMENT AGENCY
3
CHILD AND YOUTH CARE PROGRAM HEALTH CERTIFICATE
Please note that Seneca College has provided this form to the student but has not verified the information.
Student Name: Date: Please Print Clearly day/month/year
General Health Statement:
I certify that I am physically able to undertake duties requiring freedom of movement to engage with children and youth in activities and to complete placement related duties.
Immunization Information:
(a) Type Date of Immunization
Diphtheria*
Tetanus*
Polio (primary series)
Measles, Mumps, Rubella*Must have received within last ten years
(b) TB Status – be prepared to have this completed at your placement agency’s request
A chest x-ray or skin test that indicates that the patient does not have active (infectious) tuberculosis:
Date of TB Skin Test: The agency will ask you for medical verification by your health care provider
(c) Meningitis and Hepatitis B vaccination strongly recommended but not mandatory.Please indicate the type and date of these or any additional vaccines including flu shots:Type Date of Immunization
I verify that the above information is true and will provide medical documentation at a placement agency’s request.
Doctor’s Signature or Stamp Date (day/month/year)
Student Signature Date (day/month/year)
V2187
AUTHORIZATION TO COLLECT AND RELEASE PERSONAL INFORMATION
I,_______________________, hereby authorize Seneca College to release and collect information
(check boxes you are giving permission for) concerning my:
Education record ✓
Employment record ✓
Volunteer record ✓
Field Placement experience record ✓
Personal Information as required ✓
Other (please specify - e.g. part-time employment at Seneca)
This information may be released to:
Potential employers ✓
Other educational institutions ✓
WSIB, Ministry of Advanced Education and Skills Development,
Chubb (insurance company)
✓
Other (please specify):
With specific respect to Field Placement terms, I acknowledge that the information collected may be used for the following purposes:
• to release copies of my Academic Record, interim Academic Reports, previous Field PlacementEvaluation/Reports and Resume to placement organizations upon application to placement opportunities;
• to disclose my name concerning my selection by potential placement organizations for placement interviews;
• to disclose information concerning scheduled placement interviews to whomever answers the telephone at thecontact telephone number previously supplied by myself;
• to collect information concerning my Field Placement records from Placement Supervisor/Organization;
• my Field Placement Organization/Supervisor to disclose information concerning my Field Placement to theField Placement Coordinator(s) or their authorized representatives.
• to release my personal information to WSIB and the Ministry of Advanced Education and Skills Development(formerly MTCU) in the event of a workplace injury or illness.
______________________________ ____________________________
Name (please print) Signature
_______________________________ ____________________________
Student I.D. number Date
The College is collecting information on this form pursuant to section 2 of the Ontario Colleges of Applied Arts and
Technology Act for the purpose of administering your coop placement. If you have any questions concerning the collection
and use of personal information, please contact the privacy office at (416) 491-5050 extension 77846 or email
[email protected]. The mailing address for the Privacy Office is 8 The Seneca Way, 7th Floor, Markham,
Ontario, L3R 5Y1.
