CONTRACT

	Women’s Studies Program
	Winona State University
	P.O. Box 5838
	Winona, MN 55987-5838
	(507) 457-5460


Name_____________________________ Semester________________________

Address_____________________________ Phone_________________________

Field Experience Site:_______________________________________________

Address:___________________________________________________________

Phone:_____________________________________________________________

Supervisor:_________________________________________________________

Date of Field Experience: From__________________ To____________________

Number of credits:_______________

1. FIELD EXPERIENCE OBJECTIVES:
What are your personal objectives for this learning experience?

How will your work fulfill or further the mission, goals and objectives of your field experience site?

How do you see this work promoting feminist social change?

List specific Women’s Studies Program and/or Teaching Objectives that you will address in your field experience (see The GOALS and OBJECTIVES of the Women’s Studies Program at WSU attached).

2. FIELD EXPERIENCE JOB DESCRIPTION, ASSIGNMENTS, AND PROJECTS:

3. FIELD EXPERIENCE EVALUATION PROCEDURES:

• Complete required number of work hours and assignments listed in this contract
• Complete a field experience journal each week
• Joint conference(s) with Field Experience Instructor and On-site Supervisor two times during the field experience.
• Final written evaluation from on-site supervisor
• Any other paperwork, portfolio or written work agreed to by student and Women’s Studies Director or Field Experience Instructor specified here:

4. RESPONSIBILITIES OF ON-SITE SUPERVISOR:

• Meet on a regular basis with the student to discuss projects and assignments, job description, and to provide feedback.
• Contact the Field Experience Instructor if problems arise.
• Honor the terms of the contract with regard to job description, assignments, and responsibilities of the student.
• Complete final written evaluation of student, discuss with the student.

SIGNATURES:

Student___________________________________________________ Date________________

On-site Supervisor__________________________________________ Date________________

Women’s Studies Director____________________________________Date________________

Field Experience Instructor ___________________________________Date________________