Offer a Placement - Occupational Science & Occupational Therapy

An occupational therapist working with a child.

Placement Details

If your reply is more complicated than filling in the basic fields below, or needs further clarification, please do not fill out this form. Instead, please send an email to Stephanie Gardner, Fieldwork Education Manager at osot.fieldwork@ubc.ca. Please note this form does not autosave, however there is an optional "Save and continue later" option, at the bottom of the form, which will save the information for 30 days before expiring.

Placement date
Placement area*
Briefly state the area of practice for each placement offered, to assist the matching of students to your facility and to inform students in the selections (e.g. acute adult psychiatry; orthopedic rehab; long term care-emphasis seating and technology; community mental health; work hardening and job analysis, adolescent psychiatric day program; private practice; community outpatient neurology, etc.)
Site name*
Address*
Street Address Address Line 2 City Province Postal Code
Name of Student Placement Coordinator/Manager*
First Last
Job TItle
Email
Phone
Placement Information*
There are several scenarios for taking a student. Please choose from the list below. If your placement needs any explanation, please feel free to add comments in the section at the end. If your placement is more complicated than the choices below, please email osot.fieldwork@ubc.ca rather than filling out this form. Thank you!
- We are offering 1:1 placements at our site (1 supervisor to 1 student)
- We are offering shared supervision at our site (2 or more supervisors to 1 or more students)
- We are a role emerging site (Block 3A and 3B only) (no OT on site)
Indicate the number of students that this placement offer includes.*
Is a Driver's License required?*
Is a vehicle required during placement hours?*
Please do not indicate that a car is required for commuting purposes only. The student's commute to and from placement/meeting location is their responsibility.
How would you categorize your placement?*
If you have selected other, please provide more information.
If the placement is a mix of mental health and physical health please include a rough percentage indicating how much of the placement is mental health/physical health (e.g. MH 90%, PD 10%). This information is helpful to us in determining whether the placement offer satisfies the student's mental health placement requirement.
Preceptor information (name / email address)
Please provide the names and e-mail addresses of the preceptor(s). All preceptors are automatically entered into the our Fieldwork Recognition Program (FRP) and this information allows us to contact them with regards to this. If you do not wish to share email addresses all communication regarding FRP will be sent directly to you.
Please indicate who should receive notification of the placement match?
The person indicated here will be notified of a placement match 8 weeks before the placement start date.
Please indicate the name, job title and email address of the person who should be notified of the placement match
Any other comments or information

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