Faculty Request to Start a Placement Site

Please describe the potential of the site to have educationally appropriate experiences for our students and how the internship/service learning experience supports the student’s academic study. *

Please include or attach a brief description of the work the students will complete during the experience. Include any special skills or selection requirements. *

Do you perceive any potential risks for the student at the site? For example, will the student be working with clients that pose a high risk or will the student be working with heavy machinery? *

Have you visited this site?

Yes

No

When did you visit the site?

Month

Day

Year

Is this a paid opportunity? *

Have you done a web review of this site?

Yes

No

When did you complete a web review of the site?

Month

Day

Year

Have you previously placed students at this site? *

Yes

No

How long were students placed at this site? *

Faculty Request to Start a Placement Site

Warning message

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—The CalState S4 Team

Faculty Request to Start a Placement Site

Warning message

NOTICE: You may have recently received an email asking you to update your password. Please ignore this email it was sent in error. No action is needed on your part.—The CalState S4 Team

NOTICE: You may have recently received an email asking you to update your password. Please ignore this email it was sent in error. No action is needed on your part.
—The CalState S4 Team