ECE FIELD PLACEMENT STUDENT INFORMATION SHEET

First Name Last Name Student Number

Address: Choose one

street number, street name, unit number (if applicable) Field Placement in Spring/Summer 2023

City

Postal Code Phone number (where we can reach you)

Sheridan student email address: @sheridancollege.ca

username
____________________________________________________________________________________________
Every effort is made to assign students to settings that are accessible by public transit. Students may be placed up to
40km from their home campus. Transportation is the student's responsibility and you must be able to get to the
placement site that is assigned to you. PLACEMENTS WILL NOT BE CHANGED BECAUSE OF DISTANCE.

Previous placement experiences (Field 2 & 3 only):

1. Name of Placement site: Ages worked with: Choose one

2. Name of Placement site Ages worked with: Choose one

List any centre/school where you have worked or volunteered, including secondary school co-op placements:

______________________________________________________________________________________________
Placement Interests:
Please click on your areas of interest for placement experiences (choose as many as you like):
Sheridan College Child Care
School Age Nursery School (Mississauga)
Preschool
Full dayKindergarten EarlyON (parent/child centres) Sheridan College Child Care
Toddler Public School (Oakville)

Infant Full day Kindergarten Catholic School

(Baptismal certificate may be required)

Islamic school (head covering and modest dress may be required)

*WE WILL BEGIN FINDING YOU A PLACEMENT AFTER YOU HAVE RECEIVED A PASS/CONDITIONAL PASS FROM SYNERGY*
The earlier you receive a pass, the more likely you are to have your interests considered
Other Information:
Do you speak any of the following languages?
Do you have access to a car? Choose one
French Mandarin
Do you have First Aid/CPR Level C (valid)? Choose one

If there is any other information that would be helpful in placing you, please add it below. Personal preferences/requests may not be possible.

I am aware that I am responsible for medical and health documents required for placement (covered in the field placement orienation and in the ECE Field Placement Virtual
Community)and that if I do not have them by the beginning of the semester, I may be removed from placement
I understand that I am responsible for creating a Synergy account, for having my documents verified by Synergy, and for keeping my documents updated (valid) in Synergy
I understand that I am required to have originals of all documents (VSC, immunization records, physician's document) to give to my supervisor on the first day of placement