Required Documentation

1. Affiliation Agreement
   • Details the responsibility of the practicum placement agency as well as the University.
   • A single Affiliation Agreement is required for agencies that have multiple locations (sites).
     • For example, Pittsburgh Public Schools has many sites, but only requires a single Affiliation Agreement.
   • The Affiliation Agreement may be revised from time-to-time to allow for changes in educational policies, laws, and other significant factors that may impact practicum placement.
   • The Affiliation Agreement shall be executed every 5 years or earlier when executive personnel in agency/school changes or if the agency is significantly restructured.
   • Questions regarding the Affiliation Agreement should be directed to the Director of Practicum Education, Dr. Tonya Teal Slawinski (tslawin@pitt.edu).
2. Practicum Site Description Form (Qualtrics) 
   • Provides detailed information about the learning opportunities available at the agency. 
   • A Practicum Site Description is required for each location or program that will accept a School of Social Work intern.
     • For example, Pittsburgh Public Schools has many sites and requires a demographic sheet for each school (location/program).
   • Updates to the information provided in the demographic sheet can be made by contacting the Practicum Education Administrator.
   • To access the Practicum Site Description, please contact the Practicum Education Administrator, Andrew Barrett (arb361@pitt.edu)
3. Practicum Instructor Application
   • Provides information about the individual who will be supervising our School of Social Work interns.
     • Practicum Instructors must be individuals with an MSW and two years post-masters experience. See below for more detailed practicum instructor qualification requirements. 
     • Practicum Instructor applications are completed online through Sonia
   • Approved Practicum Instructors will be required to attend a Practicum Instructor Orientation before a student intern begins their practicum placement. 
   • If a practicum instructor changes agency or site and are still interested in providing practicum supervision, they should contact the Practicum Education Administrator in order to update this information. 
   • To access the Practicum Instructor Application, please contact the Practicum Education Administrator
4. Task Supervisor Application
   • Provides information about an individual who will provide day-to-day, on-site supervision for the student intern. 
   • This individual collaborates with the Practicum Instructor to complete the student's Practicum Learning Plan and Evaluations.
   • The assignment of a task supervisor is required if there is not an MSW at the Agency who can fulfill the role of practicum instructor. 
   • A Task Supervisor Application is required whenever a task supervisor is assigned. 
   • To access the Task Supervisor Application, please contact the Practicum Education Administrator

*The Office of Practicum Education does not maintain health records of students. If a practicum placement agency has required students to update immunizations, TB, or other medical tests, the student is responsible for providing the records to the practicum instructor or other staff member identified by the practicum placement agency, as requested.