SECTION C- PRACTICUM CONTRACT AGREEMENT
MANUKAU INSTITUTE OF TECHNOLOGY
S Te Whare Takiura 0 Manukau
Te
ag
Bachelor of Applied Social Work
paulra- Student Clinton Edwarel Strother
Tin Fl ar}
Agency Fic Fameving Saf Zo
Print Full Name & Designation) (Signature)
Supervisor Name
‘The above named confirms that they are a representative of the said organisation to
which this tauira will undertake their Fieldwork Practicum experience and he/she has
understood the roles, and responsibilities ofall parties,
Agency / Seite. Of Seoroney Tee Tiny Sreires
MAT
‘Print Full Name of Organisation & Address)
MIT Fieldwork ftwora_ Lin
Eaucnsy Pint Fal Name)
Name
MIT Fieldwork
Educator oe 14/ o9f 201s
endorsement Signature of MIT Fieldwork Educator Dated
This agreement is endorsed by Fieldwork Practicum Educator who is a representative of
the Bachelor of Applied Social Work Program, Manukau Institute of Technology.
Tauira Student ( ) V4) 4 y
Signature of Tauira Student Dated
Signature
‘This agreement is signed by the above student who understands and agrees to all that,
is contained within this 60 consecutive days Fieldwork Practicum Leaming Agreement
‘covering the period
Dated From: 29+ of Guly, 201
date To: 17 HhePOeleber aoe Lisaoe
(isthe students eoponeoaty to submit the orginal signed hard copy to ND Bock Recepion a end of pacament)
QO | 725.773 Te Kawa Nahi The Professional in the Organisation Practicum Booklet 2012 Vi:1
FACULTY OF EDUCATION AND SOCIAL SCIENCES