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

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

NOTICE: We may experience high traffic due to the beginning of the semester. If you are having issues with page loading, it is recommended that you try again before 9am or after 6pm on weekdays, or any time on the weekend. Thank you for your patience and understanding!
—The CalState S4 Team

Faculty Request to Start a Placement Site

Warning message

NOTICE: We may experience high traffic due to the beginning of the semester. If you are having issues with page loading, it is recommended that you try again before 9am or after 6pm on weekdays, or any time on the weekend. Thank you for your patience and understanding!—The CalState S4 Team

NOTICE: We may experience high traffic due to the beginning of the semester. If you are having issues with page loading, it is recommended that you try again before 9am or after 6pm on weekdays, or any time on the weekend. Thank you for your patience and understanding!
—The CalState S4 Team