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California State University Fullerton
Department of Child and Adolescent Studies

Practicum (Fieldwork) Forms

Download Practicum (Fieldwork) Forms here (PDF)

Download Employment Waiver here (PDF)

All students in their Introductory Practicum and Advanced Practicum will be required to complete site forms. These forms are critical to the student’s successful completion of their practicum hours. All forms will be provided by your Practicum Instructor prior to or on the first day of class (usually on Titanium). These are the common forms you will need to provide your Practicum Supervisor (complete together) and then ultimately submit to your Lecture Instructor:

  • Individualized Learning Plan
  • Standards of Ethical Conduct
  • Supervisor Evaluation
  • Time log
  • Practicum Information form
  • Introduction Letter for Supervisor

Once you receive these forms from your Practicum Instructor you are responsible for the completion and submission of the forms and there may be other forms that are specifically required by your Practicum Instructor so make sure that you complete all the forms and submit them by the due dates as these forms are required and may have points associated with them.

Use of your Employment as a site

If you are currently working with children or families in a paid position you might be able to use your employment as a practicum site. Review the Employment Waiver form at the top of this section for all the requirements. Remember using your employment must be approved by the practicum instructor.

Short List

Also, find below some sites that may accommodate students on a last minute basis. All sites on the short list are approved by CICE.

Additionally, you can find the following forms on this site:

Questions?  chadfieldwork@fullerton.edu


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