Service Agreement

SOCIAL WORK PROGRAM

SERVICE AGREEMENT

Service agreements basically commit to writing what has been agreed to between the student and the field agency. Specific dates and hours of service, supervisory time, etc. as well as certain specific duties, responsibilities and rights of the student and /or agency expectations should be delineated if not already covered in the CNU Social Work Field Manual. The outline below is suggested, but can and should differ for individual students and agencies. It is merely an example. Service agreements must be signed by the agency field supervisor and the student before turning in to the CNU Faculty Liaison.

a. Date, student name & signature, agency name, Field Instructor name and signature.

b. Dates of service for the semester (i.e. August 24, 2009) through December 4, 2009).

c. Days of the week and hours (must provide for at least 16 hours per week).

d. Agency supervision provided by _____________________. In the absence of supervisor, the student should see _____________________________. Regular supervisory meetings will be held weekly on __________ (day) at _________ (time).

e. Agency orientation will be provided by whom and when?

f. Areas of service within the agency will include … (specify division or department or service with the agency, caseload, type of work to be performed, or any other description of areas of service that will involve the student within this semester.

g. Handling of agency records, policy on confidentiality, including use of case materials for university assignments and the need for clearing of same with the agency.

h. Other areas you or your supervisor wish to contract for such as: mileage reimbursement, use of space, use of secretarial facilities, use of telephone, use of agency vehicles, requirements for training or certification, not doing class work on agency time, time needed for supervisor to clear process recordings or...