About Practicum

Local/National Practicum Application

The application process is integral to a robust practicum experience. Prior to answering, please review the questions, check-in with your site supervisor if necessary, and respond thoughtfully.

If you are an international student, submit a copy of your international student study permit and coop work permit to MSCPracticumDirector:@:uwinnipeg.ca immediately after submitting this form.

Required fields are marked with an asterisk (*)

Personal Information
First Name *
Last Name *
Pronouns *
Student ID *	XX-XXXXX
Phone Number *
Email Address *
International *	please check if you're an international student
Academic Information
Declared Major(s) *	CRS (3 year) CRS (4 year) IDS (3 year) IDS (4 year)
Major for which you are completing this practicum *
Other Major / Minor / Discipline *
Cumulative GPA *
If your cumulative GPA is 2.75 or below, please ask an MSC faculty to act as a reference for you.
Reference Name
Expected Month & Year of Graduation *
Credit Hours *	3-credit hours over one semester 3-credit hours over two semesters 6-credit hours over one semester 6-credit hours over two semesters
In order to qualify for a 6-credit hour practicum, clearly outline the connections between IDS or CRS and your practicum assignment in 5-6 sentences. If you are not applying for a six-credit hour practicum, please leave the space blank.
Placement Information
Semester(s) of Practicum Placement *
Placement Organization *
Site Supervisor Name & Contact Info *
Documents the Organization Requires *	Police Record Check / Vulnerable Sector Check Child Abuse Registry Check Security Clearance Application Vaccine Check Other Please Specify: None Unaware
Do you foresee any difficulties in acquiring these documents within the requested timeline? *
	Yes No N/A
Please Explain:
What are the job duties or responsibilities as discussed with your site supervisor? * Minimum 4 duties

Why do you want to work with this organization? *

How does the work of this organization or your work within the organization connect broadly or specifically to your area of study in IDS or CRS? * In one concise paragraph, note the connections between CRS or IDS and the organization or the work you will be doing.

In paragraph format, talk about the skills that you have that prepare you for this practicum placement? * i.e. program evaluation, coding, mediation, CPR, customer service, etc.

What are you hoping to learn from this practicum placement? * Minimum 4 separate points

Security Confirmation

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