North Central State College Criminal Justice Student Handbook 2015-2016 Table of Contents: Page Purpose of Practicum/Internship ....................................................................1 General Practicum Requirements ..................................................................1 Additional Practicum Eligibility & Placement Requirements .......................2 Practicum Expectations ..................................................................................3 More Practicum Expectations - Practicum Conduct ......................................4 Reporting to the Practicum Placement Agency/Facility ..........................5 Attendance ...............................................................................................5 Dress & Personal Attire ...........................................................................5 Integrity, Ethics & Professional Conduct ................................................6 Time Logs ................................................................................................6 Safety Issues.............................................................................................7 Seminar Requirement.....................................................................................8 Evaluations ...............................................................................................9 Grading ....................................................................................................10 Acknowledge of Receipt and Understanding ................................................11 Appendix A - CRMJ2190 Practicum Set-up Information .............................12 Appendix B – Placement Sites.......................................................................14 Appendix C – Online Orientation ..................................................................18 Appendix D – CRMJ2190 Student Syllabus .................................................21 Appendix E – Practicum Policy Expectations ...............................................28 Appendix F – Practicum Information Form...................................................29 Appendix G – Liability Insurance Form ........................................................30 Appendix H – Weekly Activity Report .........................................................31 Appendix I – Performance Appraisal ............................................................32 Purpose of Practicum/Internship The purpose of the College’s criminal justice practicum is to provide community and professional based learning opportunities for criminal justice students through exposure to new and challenging field experiences within a criminal justice setting. The practicum is designed to offer opportunities to interface with criminal justice practitioners, clients, and other professionals, in order to observe the application of theoretical concepts and the functionality of criminal justice organizations in the community and governmental environments, as learned in the undergraduate curriculum. The practicum is also an academic learning experience in which students are expected to participate in a seminar and successfully complete written assignments which will provide students the opportunity to apply knowledge acquired in the classroom with practical experience from their practicum placement. The practicum student will complete 210 hours of work experience at the placement site of his/her choosing provided the practicum site also agrees to accept the student. It is the responsibility of the student to choose the site, contact the site supervisor, and schedule an interview for the placement position. (Refer to Practicum Set Up Site Document). General Practicum Requirements All students will need to contact Anne Strouth one semester before the student plans to take course CRMJ2190 (Practicum/Seminar Course) in order to enroll in the practicum course. The practicum course contains a seminar portion which is accessible through North Central State College’s Canvas website. Accessibility to a computer is needed to familiarize the student 1 with Canvas. Tutorial sessions are available to aid students with understanding the functions of Canvas. Reliable transportation to and from the practicum site is a requirement for students participating in the practicum. Some practicum sites may require the student to travel to various other sites to enhance the learning experience, so, again, it is the student’s responsibility to ensure they have access to reliable transportation. Additional Practicum Eligibility & Placement Requirements Undergraduate students applying for the CRMJ 2190 (Practicum/Seminar Course) must be prepared, academically and otherwise, for the practicum experience. Practicum students represent the Criminal Justice Program at North Central State College and therefore must have a strong personal character consisting of maturity, integrity, and high ethical standards. A student may be denied enrollment in the practicum course or removed from the course by the College if the College determines the student has violated North Central State College policies, including, but not limited to, the Student Code of Conduct. In addition, unexcused absences and/or tardiness will not be tolerated. It is mandatory that students meet the eligibility criteria specified by their practicum site. Although criteria varies, practicum sites commonly require students to successfully pass local, state, and federal background screenings as well as drug tests, and polygraph screenings. Students who are not able to secure a practicum placement due to a criminal history or the use of illicit substances will not be able to complete the Criminal Justice practicum course, which will prevent students from graduating. Individuals with a felony and/or domestic violence conviction will 2 experience extreme difficulty finding a practicum site. Students with misdemeanor convictions should seek advice from an advisor in the Criminal Justice program. While criminal justice work can involve heightened risks to your safety and welfare, you must not allow yourself to be placed in any dangerous activity (i.e. carrying a gun, making arrests or participating in any other activity or behavior that is dangerous to yourself or others). If a practicum site supervisor orders you to participate in a dangerous situation, respectfully, but firmly, decline to participate and immediately contact the Criminal Justice faculty. Practicum Expectations Practicum students will be required to do all of the following: Work at a practicum site for a total of 210 hours over the length of the practicum course, approximately 15-16 weeks; Work one-on-one with the student’s placement site to establish the student’s work schedule; Read and voluntarily sign the College’s release and waiver of liability form; Provide the student’s practicum site supervisor with a midterm and a final appraisal evaluation form to be completed by the practicum site supervisor; Be fingerprinted and provide the results from BCI&I and FBI to the student’s practicum site supervisor. Fingerprinting and background checks are conducted in coordination with the College’s Human Resource Office. It is the student’s responsibility to be fingerprinted PRIOR to starting at their practicum site; Dress professionally at the practicum site and during the practicum course at all times; Maintain weekly timesheets that must be verified by the student’s practicum site supervisor’s signature. These are to be turned in weekly to Anne Strouth who also must sign/verify the timesheet; Successfully complete the weekly assignments in the online seminar portion of the practicum course and complete a final eight page project paper related to their practicum placement site; 3 Complete two self-evaluations; one at the midterm of the practicum course and a second at the final of the practicum course; Be proactive in seeking out new learning opportunities and experiences; Adhere to the practicum site’s policies and procedures; Adhere to the College’s rules, regulations and policies, including those contained in the Code of Student Conduct. This can be found under “My NC”; Understand and follow practicum site security precautions and safety protocol; Understand and complete assigned duties and tasks, meet deadlines, and seek direction when needed; Meet regularly, or as often as needed, with the student’s practicum site supervisor; Participate actively in the practicum seminar, and timely complete all required assignments; Understand and protect the confidentiality and privacy rights of practicum site clients and employees; Maintain appropriate professional boundaries with practicum site clients and employees; Report supervision issues, ethical violations, and critical incidents (e.g., threats, injuries, accidents) immediately to the practicum site supervisor and the Criminal Justice Program Coordinator; Seek feedback regarding performance, and accept constructive criticism; and Timely complete and submit all practicum monitoring and evaluation forms, including time logs. More Practicum Expectations - Practicum Conduct During the course of their practicum, the student is representing North Central State College and the Department of Criminal Justice. Therefore, during the performance of their practicum duties the student shall adhere to the following conduct guidelines: 4 1. Reporting to the Practicum Placement Agency/Facility Students should report to their practicum site on the date determined by the Criminal Justice Coordinator, the student, and the practicum site. Typically, this date shall be during the first week of the semester in which the student is enrolled in CRMJ2190. Students may not report to their placement agency prior to the first day of the semester or prior to submitting all required documentation. 2. Attendance If you become ill and cannot attend your practicum site, you must contact your practicum site supervisor and inform him/her that you will be absent and also the practicum coordinator of the Criminal Justice Department. When you are absent, you must consult your practicum site supervisor and obtain permission to make up the work hours missed. Also, tardiness and leaving early are not appropriate professional conduct. Students who engage in such conduct may be terminated from the practicum placement and appropriate action will be taken by the College. 3. Dress & Personal Attire Students should dress in professional attire at all times unless otherwise informed by their practicum site supervisor. If a practicum student has any questions about the appropriateness of certain clothing the student should discuss them with their site supervisor before wearing the item(s) in question. Reporting to the practicum site wearing inappropriate attire will warrant an invitation to leave your practicum and the time will not be counted toward the 210 hours of your practicum. You may be permanently removed from your site if you report to your practicum site a second time wearing inappropriate attire. Students should be aware of personal hygiene, and be clean and well groomed. Men should keep facial hair trimmed and/or shaved. Women should 5 keep hair back in a ponytail, and/or pinned aware from their face for safety purposes. Both male and female students should be aware of not wearing clothing, makeup, or any items that could be viewed as provocative, or draw attention to the student in a way that distracts from the professionalism of the practicum site. All students must adhere to practicum site policy regarding facial piercings and/or tattoos. 4. Integrity, Ethics & Professional Conduct Disclosing privileged information relating to any case or other matter handled by the sponsoring practicum site, about any client, person involved, or staff person for that site, to any unauthorized person either verbally or in writing constitutes a violation of ethics and confidentiality statutes. Therefore, the student cannot discuss specific case information, client/person involved identification data, or anything else that would compromise the practicum site’s professional reputation or credibility in any way. It is the responsibility of practicum students to become familiar with and adhere to all of the confidentiality policies and procedures of the site in which they complete their practicum. If the student has any questions about how to conduct themselves in situations involving confidentiality or anything else, the student should ask their practicum site supervisor about how to respond appropriately. Failure to abide by the policies and procedure of the practicum site could subject the student to criminal charges and prosecution. 5. Time Logs As per the Ohio Board of Regents, the practicum course requires a minimum of 210 hours of placement in a criminal justice agency workplace. The hours may be scheduled in a manner that best suits your academic schedule, work schedule, and other aspects of your personal life. You are 6 to meet with the supervisor of your practicum site and arrange the schedule. This schedule must be provided to Anne Strouth prior to starting at the practicum site. All students will be responsible for maintaining a weekly report. This report will indicate the date and times of your placement, and must be signed by your workplace supervisor. The report shall also indicate various work assignments, cases, incidents or projects you were involved in. Significant events shall also be recorded and you will be responsible for typing a detailed summary of how these events in the practicum site are tied to the academic background you have received as part of the practicum curriculum. These sheets are to be turned in weekly to Anne Strouth’s office. You must type your summary as a Microsoft© Word document and attach it to your time log. 6. Safety Issues During the practicum, students may be exposed to some risks associated with working in the field of criminal justice. Examples of such risks include making home visits, and working with individuals who may behave in an unpredictable manner or have a communicable disease (e.g., HIV, AIDS, Hepatitis). To minimize risk, students are encouraged to familiarize themselves with their practicum site’s security precautions and safety protocol and to discuss any safety concerns with their practicum site supervisor and the criminal justice program coordinator. 7 Seminar Requirement In addition to working at your practicum site, you will also have a seminar. Because this is an online course students will not meet as a class on campus. Therefore, the seminar replaces traditional lecture. The seminar will be conducted online using Canvas. You will be assigned weekly assignments via Canvas. All assignments will have a due date and late work will not be accepted. Check your assignment tab located on the left of your screen within Canvas weekly for these assignments. You will be asked to research and discuss events, incidents and issues that have taken place in your criminal justice practicum placements. You may also be asked other questions as they pertain to your knowledge, views, and participation in the criminal justice placement. In addition, you may be asked questions that you will need to take back with you to your placement site to be answered. These answers must be typed in summary format. These activities/assignments are count as part of your participation. The Canvas assignments must be a minimum of 300 words. Any assignment under 300 words will not be graded and the student will receive a “0” for that assignment. Each student is required to provide “1” (one) response to another classmate’s posting per assignment as stated. This response must be a minimum of 150 words. Any postings under 150 words will not be graded and the student will receive a “0” for that assignment. Students may choose to respond to more than one student to reach the minimum word requirement. Each assignment is weighted at minimum, 10 points, and each response is weighted at 10 points. 8 **REMEMBER** the class sessions simulate meetings and discussion among co-workers in the practicum setting. To respect the rights of all, please: Show respect to your classmates by using positive feedback within the discussion rooms and email. Negative feedback will not be tolerated. You will receive a warning for the first time. Further use of negative feedback will result in a “0” grade for that assignment. If negative feedback is used on a third occasion, you may be removed from the class. You will also be required to complete an 8 page project paper which will be due the 15th or 16th week of the semester. This project paper could be in the form of a written policy, subject, program, or project which you would like to implement at your placement site. Prior to the midterm of this course, there will be an assignment related to this project paper. More information about this project will be provided as the student participates further in this course. The assignment should cover the following: (1) The name of the project or program; (2) The purpose; (3) Goals and objectives; (4) Implementation procedures; (5) Budget; and (6) Desired outcomes. 1. Evaluations Practicum students are required to submit a Mid-Term Evaluation and a Final Evaluation completed and signed by their practicum site supervisor. These evaluations are intended to provide feedback to the student and the Criminal Justice Program Coordinator regarding the student’s performance and achievement. Students must also submit a Mid-Term and Final Self Evaluation. 9 2. Grading Below is the practicum course grading scale: NUMERIC 93–100 90–92 87–89 83–86 80–82 77–79 73–76 70-72 67–69 63-66 60-62 00-59 GRADE A AB+ B BC+ C CD+ D DF POINTS 4.00 3.67 3.33 3.00 2.67 2.33 2.00 1.67 1.33 1.00 0.67 0.00 DEFINITION Superior Superior Above Average Above Average Above Average Average Average Below Average Below Average Below Average Poor Failure *This class is graded as pass/fail. (Students must receive a 74% or higher in order to receive a pass (P) as a grade for this course). * Other specific grading details are located in the student syllabus for course CRMJ2190. 10 Acknowledgement of Receipt and Understanding After reviewing the North Central State College Criminal Justice Practicum Handbook, please sign the acknowledgement below and return this page to Anne Strouth. Please maintain your copy of the handbook for your records. I, ________________________________________________, have read and I have received a copy of the Criminal Justice Program Practicum Handbook. I understand that I have been given an ample opportunity to review this Handbook and seek clarification and/or answers to questions I have regarding the policies and procedures discussed in this Handbook. I further understand and agree that I am required to adhere to the policies and procedures detailed in this Handbook. Signature & Date 11 Appendix A CRMJ2190 Practicum Set-up Information: (to be taken during the last semester of the student's degree program) Criminal Justice Students It is imperative that you read this document thoroughly as it is your guide to your placement in your capstone course CRMJ2190 Practicum and Seminar Class. Step One: Begin thinking one semester before you plan to take the course where you would like to conduct your practicum at. You must work for 15 weeks for 14 hours a week totaling 210 hours. This is a lot of time so you must consider your academic schedule!! ! Step Two: Contact Anne Strouth via email ([email protected]) and advise her which field/area/position you would like to perform your practicum in and in which semester you would like to do it in. Send the email at least a half of a semester before you plan on taking the course. Placement can take up to 6 weeks. You MUST be "working" at the site by the 2nd week of the semester that you are enrolled in. Step Three: You must have been fingerprinted at our Human Resource Office prior to starting at your site. Make an appointment or stop in during open fingerprinting hours. (This office is across from the cashier's office). A copy of the results must be given to the site supervisor at the beginning of the interview. Step Four: Once you have shared your placement ideas with Anne, she will contact agencies for your placement. Anne will send you an email with the name and number of the site supervisor. HOWEVER, it is up to the student to contact the placement site and arrange an interview. All students are required to be interviewed by the placement site to determine if the student is a "good" fit for the agency. Anne does not make recommendations. She only determines if spots are open and informs the agencies that an NCSC student will be making arrangements for the interview. Proper attire must be worn at these interviews. Step Five: If the agency agrees to accept you, send Anne Strouth an email indicating such. Anne will then confirm the placement with the site. Once confirmation has been made, Anne will open the course up for the student to go online and register for the course. Registration for the course is not permitted until the student has a confirmed site placement. Step Six: Look for an email from Anne Strouth that contains documents that are required to be filled out by the student prior to working at their placement site. 12 Appendix A NOTES: If a student wishes to find a site on their own, they are permitted to do this. However, the student may not state "Anne Strouth recommended me." If the student chooses to initiate contact at a site, the student needs to inform the site that they are an NCSC Criminal Justice student and would like to conduct their 210 hour practicum at their agency. If a student chooses this route, the student must send Anne an email indicating the agency's name, phone number, and the name of the site supervisor or the name of the person that granted the student permission. Anne will confirm the placement and follow the steps previously stated. The site MUST be Criminal Justice Related. There are many Human Service Sites that can qualify as criminal justice placement sites. If you would like this list (HSMV or CRMJ), please email Anne and request a copy. It is up to the student to ensure that the site they choose from this list is criminal justice related. If students find a site that is NOT on the CRMJ list or HSMV list, the student must immediately send an email to Anne Strouth and inform her of the site's information. No student is permitted to work at a site unless NCSC has a signed site agreement. This process could take 5-8 weeks. If a student chooses this route, it is the responsibility of the student to contact Anne Strouth in enough advance time so that she can initiate the contract process. Again, begin thinking about your placement location a semester in advance so there is enough time for placements. 13 Appendix B List Updated 9-6-2013 Agency Address City Zip Phone Contact person Contract Updated 2013 Yellow Indicates Contracts in Process Abraxas 2775 St. Rt. 39 Shelby 44875 419-747-3327 Amy Close Amvets Career Center/Americorps 1395 East Dublin Granville Rd. Columbus 43229 614-431-6990 Robert Spreng Appleseed Child Care Center 255 Hedges Street Mansfield 44902 419-774-4298 Debra Loyd Area Agency on Aging 780 Park Avenue West Mansfield 44906 419-522-4144 Teresa Cook 2013 Ashland City Schools 416 Arthur St. Ashland 44805 419-289-9534 Dr.Douglas Marrah 2013 Ashland County Cancer Association 380 E. 4th Street Ashland 44805 419-281-1863 Ashland County Board of DD 1256 South Center St. Ashland 44805 419-289-0970 Ashland County Headstart 527 E. Liberty St. Ashland 44805 419-281-8001 Ashland County Help Me Grow 1260 S. Center St. Ashland 44805 419-289-3847 Darlene Woodward 2013 Ashland County Juvenile Detention Center 1260 S. Center St. Ashland 44805 419-289-3988 Duane Botdorf 2013 Ashland County Mental Health/Recovery 1605 County Rd. 1095 Ashland 44805 419-281-3139 Steve Stone 2013 Ashland FCFC 1605 Cty. Rd., 1095 Ashland 44805 419-289-1212 Diane Karther 2013 Ashland City Police Department 211 E. Main St. Ashland 44805 419-289-3639 X 1010 Capt. Marcelli 2005 Ashland County Sheriff's Department 1205 East Main St. Ashland 44805 527 E. Liberty St. Ashland 44805 419-281-9009 ext.2550 419-281-8001 Beth Jackenheimer Sarah Fairchild 2013 Ashland Salvation Army KROC Associated Charities 121 South Street 2013 2013 Carolyn Akakpo 2013 2013 2013 Ashland 44805 419-281-6061 Rosemarie Donley BHP of Central Ohio Inc. (Mound Builders) 8402 Blackjack Road Mt. Vernon 43050 740-397-0442 Robin Lupher Big Brothers Big Sisters - North Central Ohio Big Brothers Big Sisters - Central Ohio 380 N. Mulberry St. Mansfield 44902 419- Jim Nicholson 1855 E. Dublin-GranvilleRd. 1st Floor Columbus 43229 614-839-2447 Kerry Wears 2013 Brethren Care, Inc. 2000 Center Street Ashland 44805 419-289-1585 Larry White 2013 Bucyrus City Schools Board Office 170 Plymouth St. Bucyrus 44820 419-562-4045 K P Kimmel 2013 Bucyrus Police Department 500 South Sandusky Ave. Bucyrus 44820 416-562-1006 Capt. Koepke Catholic Charities 2 Smith Avenue Mansfield 44902 419-524-0733 Rebecca Owens 2013 Central Ohio Diabetes Association 1100 dennison Columbus 43210 614-884-4400 Roy Bobbit 2013 Center for Ind & Family Services 741 Scholl Road Mansfield 44907 419-756-1717 Tamara Baldridge 2013 Child Care Choices 601 South Street Galion 44833 419-468-5764 Dawn Fraizer 2013 2013 14 Appendix B Agency Address City Zip Phone Contact person Christian Children's Home of Ohio (New Beginnings) Christie Lane Industries 2685 Armstrong Road Wooster 44691 330-347-7949 Stephanie Cooper 306 South Norwalk Road Norwalk 44857 419-668-8840 Holly Brinkley Colonial Manor II 747 South Mt. Vernon Avenue Loudonville 44842 419-994-4191 Community Action - Richland County 597 Park Ave. East Mansfield 44905 419-589-2520 Jennifer Jennette Community Counseling Services Inc. 2458 Stetzer Road Bucyrus 44820 419-562-2000 Thomas J. Saccenti Community Health Access Project (C.H.A.P.) Country Court Nursing Home 35 N. Park St. Suite 132 Mansffield 44902 419-525-2555 Bethany Bell 1076 Coshocton Avenue Mt. Vernon 43050 740-397-4125 WilliamLevering Jr. Crawford County Help Me Grow 1520 Isaac Beal Road Bucyrus 44820 419-562-4667 Cindy Engel/Pam Kalb 419 562 5771 Nelred Kimerline Contract Updated 2013 2013 2013 2013 Crawford County Court of Common Pleas 2013 Crawford County Juvenile Court East Mansfield St. Bucyrus 44820 419 562 1896 Rhonda Neal Crawford County Sheriff's Office 3613 Stetzer Rd Bucyrus 44820 419 562 7906 Major Castor Crestline Police Department 100 N. Seltzer Rd. 1159 Wyandotte Ave. Crestline 44827 Crystal Care Center Mansfield 44906 419-683-2222 419-747-2666 Lori Blanton Domestic Violence Shelter P.O. Box 1524 Masnfield 44902 419 774 5840 Jill Donnewirth Empowering and Strengthening Ohio's People (E.S.O.P) Fairway Waycraft Industries 2 Smith Avenue, Suite 236 Mansfield 44905 419-989-6349 Patrice Chrisman 1650 E. Southern Ave. Bucyrus 44820 419-562-3321 Charles Frabose Fredericktown Primary/Fredericktown High 111 Stadium Drive School Freedom Center 106 E. Gamble St. Fredericktown 43019 740-694-2781 Emily Furston Mt. Vernon 43050 740-397-2660 Georgette Burnith Galion City Schools 472 Portland Way North Galion 44833 419-468-6500 Sandra Powell/Kathy Jenney Galion Police Department 301 Hardingway Road Galion 44833 Galion Pointe Nursing Home (Village Care) Good Shepherd 925 Wagner Avenue Galion 44833 419 468 5255 419-468-1090 Capt. Siegenthal Miriam Walters 622 Center Street Ashland 44805 419-289-3523 Brooke H.R. Choices 9 W. Main Street Lucas 44843 Donna Herr Harmony House 124 West 3rd Street Mansfield 44902 419-892-2938 or 419892-2930 419-522-2273 Mary Lacey 2013 Help Me Grow (Ocie Hill) 445 Bowman St. Mansfield 44903 419-524-2660 Sherri Jones 2013 Hillside Acres Nursing Home 370 East Howard Willard 44890 419-935-0148 Tracy Head 2013 2013 2013 2013 2013 2013 2013 15 2013 2013 Appendix B Agency Address City Zip Phone Contact person Contract Updated Homecare Matters Home Health & Hospice Hospice of Knox County P O Box 327 1220 N. Market St. Galion 44833 419-468-7985 Bertha Maglott 17700 Coshocton Road Mt. Vernon 43050 740-397-5182 Glenda Toth Huron County Adult Probation 12 East Main Street, 2nd Floor Norwalk 44857 419 668 8610 ext.114 Andrea Cooke Huron County Sheriff's Office Norwalk 44857 Kid's Connection 255 Shady Lane Rd PO Box 2580 Mansfield 44906 419-610-8045 Anne Seifert 2013 Kingston of Ashland 20 Amberwood Parkway Ashland 44805 419-289-3859 Nathan Carder 2013 Knox County Board of DD 2013 2013 2013 11700 Upper Gilchrist Road Mt. Vernon 43050 740-397-4656 Steven Oster Knox County Juvenile Probation 111 East High Street Mt. Vernon 43050 740 393 6831 Joe Mazzari, Director Learn and Play 243 South Bever Street Wooster 44691 330-263-5214 Amber Shearer Lexington Police Department 44 West Main Street Lexington 44904 419-884-1032 Chief Pauley Liberty Center Connections (Every Woman's House) Mansfield Memorial Homes 104 Spink Street Wooster 44691 50 Blymer Avenue Mansfield 44903 419-774-5100 Brenda Wachtel 2013 Mansfield Municipal Courl 30 N. Diamond St. Mansfield 44902 419-755-9617 Janice Wood 2013 Mansfield Municipal Court Probation 30 N. Diamond St. Mansfield 44902 419-755-9494 Paul Hutchinson Mansfield YMCA 750 Scholl Road Mansfield 44906 419-775-2500 Velma Bond 419-526-8017 Paul Johnson McElvain Residential Home 634 McBride Road Mansfield 44905 419-545-1665 Kathy McElvain 2013 Micki's Creative Options 327 Park Avenue West Mansfield 44906 419-526-4254 Michele Stambaugh 2013 Mid-Ohio Educational Services 890 West 4th Street, Suite 200 Mansfield 44906 419-774-5520 Christy Roqueplot 2013 Mifflin Care Center 1600Crider Road Mansfield 44903 419-589-7611 Bille Rice, RN Mill Creek Nursing and Rehabilitation 900 Wedgewood Circle Galion 44833 419-462-0173 Jenifer Kofer NCSC TRIO 2441 Kenwood Circle Mansfield 44906 419-755-9015 N.E.C.I.C. 199 N. Main Street Mansfield 44901 New Beginnings Counseling Center 1756 Park Ave. W. Ontario 44906 Nuhop 1077 Twp. Rd. 2916 Perrysville 44864 Ann Bell Oakgrove Manor 1670 Crider Rd. Mansfield 44903 419-589-6225 Ocie Hill Center PO Box 1986, 445 Bowman Street Mansfield 44903 419-524-2626 Sherri Jones 2013 Olentangy Woods (Rosewood Manor) 935 Rosewood Dr. Galion 44833 419-468-7544 Grace Rawlins 2013 Ontario Commons (Infinia Health Care) 2124 Park Ave. West Mansfield 44906 419-529-6447 Jamie Adkins Orchard Park Assisted Living 500 Wedgewood Court Bucyrus 44820 419-562-6080 Erin Eichhorn Lara Ginsburg 2013 Med Central Mansfield Security 16 2013 2013 Ashley Benson Shanican Pender 2013 419-289-2227 2013 2013 Appendix B Agency Address City Zip Phone Contact person Contract Updated Raemelton Therapeutic Equestrian Center 569 S Trimble Road Mansfield 44906 419-756-0040 Tara Corringan 2013 Richland County Childrens Services 731 Scholl Road Mansfield 44907 419-774-4109 Valerie Rust 2013 Richland Newhope 314 Cleveland Avenue Mansfield 44902 419-774-4200 Shawna Hooks Richland County Red Cross 39 N. Park St. Mansfield 44902 419-524-0311 Katy Davis 2013 Richland County Sheriff Department 55 E 2nd Street Mansfield 44901 419-774-3569 Maj. Dale Fortney 2013 Richland Correctional Institute 1001 Olivesburg Road Mansfield 44903 419-526-2100 Carla Bernard Rotary Adult Day Care (Msf. Memor. Homes) Salvation Army-Mansfield 50 Blymer Avenue Mansfield 44903 419-774-5177 Karla Hale 47 S. Main St. Mansfield 44902 419-525-2912 Ashanti Ginn 2013 Southern Care Hospice 775 Lexington Avenue,Suite M Mansfield 44907 419-774-0555 Christina Littleton 2013 Starting Point Outreach Center 117 Myrtle Avenue Willard 44890 419-933-4100 Donald Peeler 2013 Success Unlimited 171 Park Avenue East Mansfield 44902 419-774-5455 Dan Dickman 2013 Sycamore Run Nursing Home 6180 St. Rt. 83 Millersburg 44654 330-674-0015 Angela Willard 2013 The Domestic Violence Shelter P O Box 1524 Mansfield 44901 419-774-5840 Trisa Allen 2013 The Village Network Third Street Family Health Services P O Box 518 600 W Third Street Smithville Mansfield 44677 44906 330-202-3866 419-522-6191 Patty Hamblin Jared Pollick 2013 2013 Tomorrow Center School 103 W. High St. PO Box 216 Edison 43320 419-946-1900 ext. 4010 Michael Heath 2013 UMADOAP 400 Bowman Street Mansfeild 44903 419-522-3525 Denise Baker 2013 Volunteers of America of Greater Ohio Kristin Weaver/Latacia Moore 2013 921 N. Main Street Mansfield 44901 419-524-5013 Volunteer of America Transitional Housing 921 N. Main Street Mansfield 44903 419-525-0389 Wayne County Children's Services Wooster 44691 330-345-5340 Robin Joyce 2013 Wayne County Municipal Court Probation 215 N. Grant St. 2534 Burbank Road Wooster 44691 Wayne County Red Cross 244 W. South St. Wooster 44691 330 287 5676 330-264-9383 Jim Defelice, Chief of Probation Margi Green 2013 Wedgewood Estates 600 South Trimble Road Mansfield 44906 419-756-7400 Abby Granger 2013 Willard Mercy Hospital 110 East Howard Street Willard 44890 419-964-5115 Julie Landoll/Lynn Detterman 2013 Winchester Terrace Nursing Home 70 Winchester Road Mansfield 44907 419-756-4747 Kathleen King 2013 Wynford Local Schools 3288 Holmes Center Road Bucyrus 44820 419-562-7828 Steve Mohr 2013 Your Human Resource Center 2587 Back Orrville Road Wooster 44691 330-264-9597 Ralph Hunn 2013 17 Appendix C CRJ-Online Courses – CRMJ2190 Seminar Class – Online Practicum- in the field Orientation/Notification and Directions Welcome to your Criminal Justice Online Course. This document will explain the requirements and processes for successful completion of this course. We will be using Canvas for this course so you must be familiar with its components and functions. To do this you must complete the following: 1. Step 1 - Complete the orientation rules- read your email from me. Once you have been permitted to enroll, I will send you an email with directions. The email will be sent to your ncstate email account (that email is listed below so that you will know what to look for) 2. Step 2 - Read All Tutorials to understand how to navigate and use Canvas http://guides.instructure.com/m/8470 3. Step 3 - Read the Student Course Syllabus. 4. Step 4 - Email the instructor with any questions and email the instructor indicating when you have completed the orientation. You need to log into your NC Student email account and send the email. Please do not use the in-box in canvas for this piece of communication. 5. **FAILURE TO View the Orientation and post your Week 1 post on time May RESULT IN YOU BEING DROPPED FROM THE COURSE.** Week one work is located under your assignment tab. Be sure to look at your due dates. (Below is the email that will be sent to you) Orientation/Rules and Notification: The following explains the requirements and processes for successful completion of this course. We will be using Canvas for this course so you must be familiar with its components and functions. To do this you must complete the following: 1. Log onto the North Central State College Website and then Click on the canvas tab. 2. Complete the tutorials that are available so that you understand the functions and components of Canvas. http://guides.instructure.com/m/8470 3. Once you log on into the course, you will find on the left side of your page, several tabs that we will be using for this course. Click on the Home tab or Module tab to get started in this course. Once there, click on Welcome to our Course. The assignment tab (on the left side of your screen, NOT the top of the screen) is where ALL of your work for this course will be located. The Announcement page is used to communicate weekly items to you. Please read the announcements weekly. 4. You should have been given information as to the minimum computer requirements and programs for this course. If you are not sure, please contact the Student Success Center. Please also read "Required Technologies and Skills Needed tab. You can access this by clicking next or click on home or click on module to the left of your screen. Once there, you will see the page that was referred to. 5. Your assignments need to be submitted in a Microsoft Word 2003 or newer program in order for me to be able to open and grade. If you do not have word, there are some options for you. See Below: (If your documents are saved as .doc .docx or .rtf, I can open them.) 18 Appendix C NEEDED TECHNOLOGIES: ESSENTIAL TO ENSURE THE BEST CANVAS EXPERIENCE: 1. Make sure you have the latest version of your Web Browser (all are FREE) o o o o Mozilla Firefox: http://www.mozilla.org/en-US/firefox/update/ (Links to an external site.) Google Chrome: https://www.google.com/intl/en/chrome/browser/ (Links to an external site.) Safari (Mac): http://www.apple.com/softwareupdate/ (Links to an external site.) Internet Explorer: http://windows.microsoft.com/en-us/internet-explorer/download-ie (Links to an external site.) 2. Make sure you have the latest version of FREE Flash Plug-In: http://get.adobe.com/flashplayer/ (Links to an external site.) _____________________________________________________ OTHER NEEDED TECHNOLOGIES: FREE PDF Reader Adobe Reader will be needed to view some course materials http://get.adobe.com/reader/ (Links to an external site.) Office - Word Processor, Powerpoint & ExcelMicrosoft Word or equivalent program that can save documents in Word (.doc) or Rich Text format (.RTF); Powerpoint or equivalent that can create or view PowerPoint (.ppt) files & Excel to view/save .Excel files (.xls): FREE for ALL Enrolled NCSC STUDENTS: Office 365 ProPlus for Student o Free full version of Word, Excel, Outlook, Access, PowerPoint, One Note, and Lync for Windows or MAC for as long as you are attending NC State College. • You can install Office 365 ProPlus on up to 5 devices including mobile devices. • NOTE: Your account will be deactivated if you do not attend NC State for a semester. For how to obtain your FREE Office, visit: www.ncstatecollege.edu/help/ (Links to an external site.) 6. You must send me an email indicating that you have completed the orientation, and that you understand the course requirements PRIOR to the start of class. 8. Although your grade book tallies your points for this class, it may not be completely accurate based upon what the instructor has or has not entered. Do not rely solely upon what the student screen displays as your total points vs. total class points. You can tally your grade based upon the entire grade book view which displays each column/assignment. 19 Appendix C 9. You must read the announcement page weekly or each time you log into Canvas. This is the avenue I will use to communicate very important information with you. 10. The assignment and announcement tabs are your most important tabs in this course. Let's have fun!!! 20 Appendix D - E MASTER SYLLABUS 2015-2016 A. Academic Division: Education, Professional & Public Services B. Discipline: Criminal Justice C. Course Number and Title: CRMJ2190 Practicum and Seminar D. Course Coordinator: Anne Strouth, Associate Professor, A.A.S., B.S., M.S. Assistant Dean: Craig Ali Instructor Information: Name: Office Location: Office Hours: Phone Number: E-Mail Address Anne Strouth 95F By Appointment 419-755-4839 [email protected] E. Credit Hours: 3 Lecture: 1 hour Practicum: 14 hours F. Prerequisites: By permission of CRMJ Faculty G. Syllabus Effective Date: Fall, 2015 H. Textbook(s) Title: None I. Workbook(s) and/or Lab Manual: None J. Course Description: This course involves placement of the student into an actual work environment within a setting in the Criminal Justice field. The work experience includes job tasks and assignments providing exposure of the functions of the various Criminal Justice fields. The student will complete 210 hours of work experience at the placement site. This work experience provides the foundation for developing the student into a competent criminal justice worker. This course further involves discussions of the operations, issues and events of the placement of the student in a Criminal Justice work environment. This course is graded as Pass (P) or No Pass (NP). K. College-Wide Learning Outcomes 21 Appendix D - E College-Wide Learning Outcomes Communication – Written Communication – Speech Intercultural Knowledge and Competence Critical Thinking Information Literacy Assessments - - How it is met & When it is met “Project Action Paper” - Written Communication VALUE Rubric - week 15 Culture Video Activity Exercise – Intercultural VALUE Rubric – week 9 “Project Action Paper” – Critical Thinking VALUE Rubric Project Action Paper” – Information Literacy VALUE Rubric Quantitative Literacy L. Course Outcomes and Assessment Methods: Upon successful completion of this course, the student shall: (all assessments will be conducted) Outcomes 1. Describe the practicum experience through his/her weekly log sheet and relate the experience to the knowledge obtained from the core criminal justice courses 2. Discuss the practicum experience and explain the different functions of a criminal justice agency 3. Describe the various procedures which can be used at a practicum site for operations 4. Incorporate the Criminal Justice course objectives into his/her practicum experience 5. Contribute to the classroom learning experience by providing concrete feedback based upon data/facts 6. List and describe the ways used by personnel to solve legal, ethical and procedural problems which may arise out of the day-to-day operations of a criminal justice agency 7. Identify and describe the cultural barriers/issues that are prevalent in the criminal justice field 8. Demonstrate good work habits and attitudes through: arriving to the site as scheduled, showing initiative, adapting to change, respecting staff, respecting clients, maintaining professionalism, dressing appropriately, keeping appropriate records, accepting and responding to directions as well as respecting confidentiality. 9. Develop skill in self-evaluation through: judging personal strengths and weaknesses, participating in evaluation conferences, making personal development plans, and by completing on-going self-evaluations M. Topical Timeline (Subject to Change): 1. Establishment of the practicum site 22 Assessments – How it is met & When it is met Weekly Journal/log assignments – weeks 1-15 Weekly scenario assignments, discussion question worksheets Journal/log assignments in canvas and final project paper – weeks 1-15 Final action paper, Journal/log assignments, weekly canvas scenario assignments, discussion question worksheets – weeks 1-15 Evaluation rubric (midterm & final) – week 8 and week 15 Weekly scenario assignments, discussion question worksheets and responses in canvas – weeks 1-15 Weekly scenario assignments, discussion question worksheet and responses in canvas and final project paper, ethic rubric – weeks 1-15 Cultural activity (video, response) – week 9 Site supervisor evaluation, student selfevaluation, weekly log book/time sheets – weeks 8 and 15 Site supervisor evaluation, student selfevaluation, weekly log book/time sheets – weeks 8 and 15 Appendix D - E 2. 3. 4. 5. 6. 7. 8. 9. Establishment of the practicum site schedule Ethical issues related to the field Relationship of practicum site to other agencies and functions of the criminal justice system Functions and procedures of a Criminal Justice Agencies Legal and procedural issues Cultural barriers Professionalism Judgment Calendar: Weeks 1-15: Work 14 hours a week at the approved site Weeks 1-15: Complete the weekly coursework as assigned in Canvas Weeks 1-15: Complete the weekly time sheets/activity reports N. Course Assignments: 1. 2. 3. 4. 5. 6. 7. 8. 9. O. Completion of 210 hours in the field at the approved practicum site Weekly assignments, reports and scenarios via Canvas Class discussion/activities via Canvas Project Action Paper Discussion Question Worksheets Scenario Evaluations Video Activity Self- Evaluations Employer Evaluations Recommended Grading Scale: NUMERIC 93–100 90–92 87–89 83–86 80–82 77–79 73–76 70-72 67–69 63-66 60-62 00-59 P. GRADE A AB+ B BC+ C CD+ D DF POINTS 4.00 3.67 3.33 3.00 2.67 2.33 2.00 1.67 1.33 1.00 0.67 0.00 DEFINITION Superior Superior Above Average Above Average Above Average Average Average Below Average Below Average Below Average Poor Failure Grading and Testing Guidelines: Grading will be based upon the following: a. Submission of completed weekly sheets – submitted weekly (This includes the detailed typed written summaries of your activities) b. Evaluations by your workplace supervisor c. (2) Attendance and adherence to your schedule d. Self Evaluations (2) 23 Appendix D - E e. Online assignments and final project paper 1. During the online class, you will be asked to discuss and research events, incidents and issues that have taken place in your CRJ Practicum placements. You may also be asked other questions as they pertain to your knowledge, views and participation in the CRMJ placement. You may also be asked questions that you will need to take back with you to your practicum site to be answered. These questions must be typed in summary format. These will count as participation. 2. You will be required to complete a project paper due the last week of the semester. This project paper will be a policy, subject, program, or project, which you would like to implement at your internship site. There is an assignment within your course as you get further in this course that includes more information about this project. It will be a minimum of 8 pages, APA format and should cover the following: a. The name of the project of program b. The purpose c. Goals and objectives d. Implementation procedures e. Budget/Cost f. Desired outcomes 3. This class is graded as pass/fail. This is a P NP course therefore, you are required to have a 74% or higher in order to receive a P as a grade 4. Your paper will be due the last week of the semester. A date will be posted in the online classroom assignment tab. For summer sessions, it is imperative to understand that your semester is only 10 weeks in duration and not the normal 16. Please take this into consideration as you attempt to complete your 210 hours in 10 weeks along with your online 10 week course. 5. All correspondence for this course will be done via your student email account (not the inbox in Canvas!!!!). You must make sure that you set up this account. All weekly assignments for this course will be answered in the Canvas discussion room and via the assignment tab to the left of the screen….NOT at the top of the screen. All assignments will have a due date. Late work will not be accepted. Check your assignments weekly. Because this is an online course, we will not meet as a class on campus. See the announcement page as it gives you directions on how to view your assignment page. PLEASE read the announcement page BEFORE you attempt any assignment. Also….you need to check the announcement page WEEKLY. 6. All assignments will state the due date. Answers to discussion assignment must be a minimum of 300 words. Any assignments under 300 words will not be graded and the student will receive a “0” for that assignment. Each student is required to post “1” (one) response to another classmate’s posting per discussion assignment. This response must be a minimum of 150 words. If you cannot find enough substance to discuss with one student, you may choose another student to engage with for your 150 word response. Any postings under the word requirements will not be graded and the student will receive a “0” for that assignment. Each assignment is weighted at 10 points and each response is weighted at 10 points. Why 300 and why 150? In order to simulate the classroom learning experience, conversation is our method. Having a minimum word requirement will drive you to elaborate and converse thereby, creating an environment of learning from one another. 7. You should ensure that you have a VALID Ohio driver’s license. Some sites may require you to drive or operate a vehicle and most sites if not all will conduct an OHLEG check. This check will reveal if you have a warrant, your license is under suspension, or if you have been arrested and have a record. Some sites will 24 Appendix D - E not accept you as a practicum student if you fail to possess a valid Ohio driver’s license or if you have a criminal background. Placement at the practicum sites is at the discretion of the practicum sites. Q. Examination Policy: See Letter P R. Class Attendance and Homework Make-Up Policy: See Letter P and Letter S. All work is to be submitted through Canvas. All assignments are due by Sunday 6pm. All responses are due by Monday 6pm. Each week you must submit your timesheet (signed by your supervisor) and a TYPED written activity log with each timesheet. Refer to the timesheet for directions for this work. Time sheet and activity summary may be emailed to the professor or hand delivered under the professor’s office door. NO LATE work is accepted within this specific course S. Classroom Expectations: You MUST wear appropriate business attire or the attire your supervisor informs you to wear while at your practicum placement site. If you are reported as showing up to your site wearing inappropriate attire, you will be asked to leave. That time will not be counted toward your 210 hours. You may be permanently removed from your site if you show up to your site a second time wearing inappropriate attire. You will be responsible to give your supervisor two performance evaluations. They will be at mid term point and the last 2 weeks of the semester. The forms are listed under the weekly assignments. You can find the form under your file tab. As per the Ohio Board of regents, this course requires a minimum of 210 hours of placement in a criminal justice agency workplace. The hours may be scheduled in a manner that best suits your academic schedule, work schedule and other aspects of your personal life. You are to meet with the supervisor of your placement and arrange the schedule. This schedule must be provided to your instructor for this course. You will be responsible for maintaining a weekly report. This report will indicate the date and times of your placement and be initialed by your workplace supervisor. The report shall also indicate various work assignments, cases, incidents or projects you were involved in. Significant events shall also be recorded and you will be responsible for typing a detailed summary of how these events in the workplace are tied to the academic background you have received as part of your North Central State College, CRMJ curriculum. These sheets are to be turned in weekly to your instructor’s office or emailed. You must type your summary as a word document and attach it to your form. Do not use the space that is located on the form. You must describe your events, ideas, and experiences in as much detail as possible. Again, if you are not on campus, you may email the time sheet and summaries. However, the time sheets must have the correct signatures or it will not be accepted. Remember, the class sessions simulate meetings and discussion among co-workers in the workplace. To respect the rights of all, please: Show respect to your classmates by using positive feedback within the discussion rooms and email Negative feedback will not be tolerated. You will receive a warning for the first time. Further use of negative feedback will result in a “0” grade for that assignment. If negative feedback is used on a third occasion, you may be removed from the class. 25 Appendix D - E T. College Procedures/Policies: Attendance Requirements: All students are required to attend all scheduled classes and examinations. Each faculty member has the right to establish regulations regarding attendance that he/she considers necessary for successful study. Students who do not attend classes may be administratively withdrawn from those classes. However, failure to attend classes does not constitute withdrawal, and students are expected to process a formal withdrawal though the Student Records Office in Kee Hall. Student engagement requirements: Student engagement is based on the “active pursuit” of learning which can be measured by class attendance, class participation (in class or online), taking required quizzes/examinations, and submission of work assignments or papers. Student engagement consists of a student attending at least 60% of the class sessions (there should be attendance throughout the term) and/or completing 75% of the assignments listed on the syllabus at the midpoint in the term. Exceptions can be made when there is on-going communication between the student and faculty member. The communication must be documented and the faculty member and student must be in agreement regarding the exception. Students not meeting the expectation will be administratively withdrawn from class. If a student believes he/she was administratively withdrawn in error, he/she may file an appeal. Being administratively withdrawn may have program and financial aid implications. Academic Misconduct is any activity that tends to compromise the academic integrity of the college, or subvert the educational process. Examples of academic misconduct include, but are not limited to: 1. Violation of course or program rules as contained in the course syllabus or other information provided to the student; violation of program requirements as established by departments and made available to students. 2. Plagiarism including, but not limited to, submitting, without appropriate acknowledgment, any written, visual or oral material that has been copied in whole or in part from the work of others (whether such source is published or not) even if the material is completely paraphrased in one’s own words. This includes another individual’s academic composition, compilation, or other product, or a commercially prepared paper. Plagiarism also includes submitting work in which portions were substantially produced by someone acting as a tutor or editor. Such practices constitute plagiarism regardless of motive. Those who deny deceitful intent, claim not to have known that the act constituted plagiarism, or maintain that what they did was inadvertent are nevertheless subject to penalties when plagiarism has been confirmed. 3. Cheating and dishonest practices in connection with examinations, papers and projects, including but not limited to using unauthorized notes, study aids or information on an examination; obtaining help from another student during an examination; taking an exam or doing work for another student; providing one’s own work for another student to copy and submit as his/her own; or allowing another student to do one’s work and then submitting the work as one’s own. Also included would be altering a graded work after it has been returned, then submitting the work for re-grading; or submitting identical or similar papers for credit in more than one course without prior permission from the course instructors. 4. Fabrication including but not limited to falsifying or inventing any information, data or citation; presenting data that were not gathered in accordance with defined appropriate guidelines, and failing to include an accurate account of the method by which data were collected. 26 Appendix D - E 5. Obtaining an Unfair Advantage including, but not limited to stealing, reproducing, circulating, or otherwise gaining access to examination materials prior to the time authorized by the instructor; unauthorized collaborating on an academic assignment; taking, hiding or altering resource material; or undertaking any activity with the purpose of creating or obtaining an unfair advantage over another student’s academic work. 6. Aiding and Abetting Academic Dishonesty including, but not limited to providing material, information or other assistance to another person with the knowledge that such aid could be used in any of the violations stated above, or providing false information in connection with any inquiry regarding academic integrity. 7. Alteration of Grades or Marks including but not limited to, action by the student in an effort to change the earned credit or grade. In addition, cases of academic dishonesty may involve photocopied materials. Materials used may fall under the Copyright Act. Violations of said Act may subject the user and/or the College to sanctions. Statement on Disabilities: Any student who requires reasonable accommodations related to a disability should inform the course instructor and the Coordinator of Specialized Services (Room 138 in Kee Hall; phone 419-755-4727). Students who encounter difficulty in any of their courses are encouraged to visit the Tutoring Resource Center (Room 119 in Fallerius Technical Education Center) for tutoring assistance, and the Student Success Center (Room 136 in Kee Hall) for academic assistance, advising services, referrals for personal counseling and Learning Disability (LD) Testing. Statement on Withdrawals: As a student, you are expected to attend class. If you are unable or choose not to attend class, or if for whatever reason you are unable to keep up with the requirements of a course, you need to officially drop the class at the Student Records Office. Refund dates and withdrawal dates will vary slightly from term to term. Contact the Student Records Office for applicable dates. Additionally these dates are posted on the academic calendar available on the college’s website, www.ncstatecollege.edu, under the Academics heading on the home page and are available at the Student Records Office in Kee Hall,. Students should go to the Student Records Office (Room 142 in Kee Hall) to process their withdrawal from any class. If you choose to walk away from your class without officially withdrawing from it, the faculty member teaching the class must grade your classroom performance on the material available to him or her. This normally results in an "F" grade. An "F" grade can lower your grade point average considerably depending on the total credits accumulated. 27 Appendix D - E Practicum Policy Expectations In accordance with the internship requirements, the student is required to do all of the following: 1. Work at total of 210 hours over 15-16 weeks. 2. Students are to work one on one with the placement site in regards to their work schedule. 3. The student must sign a release of liability form. 4. The student will provide the supervisor of the site with a midterm and a final appraisal evaluation form. 5. The student must be fingerprinted and must provide the results from BCI&I and FBI to the site supervisor. This is conducted by NCSC’s Human Resource Office. It is the student’s responsibility to be fingerprinted PRIOR to starting at their site. 6. The student is expected to dress professionally at all times. 7. The student is required to maintain weekly timesheets that must be verified by the site supervisor’s signature. These are to be turned in weekly to Anne Strouth who also must sign/verify the timesheet. 8. The student is required to complete the weekly assignments in the online seminar class and complete a final 8 page project paper related to their placement site. 9. The student must complete 2 self-evaluations; midterm and final. Anne Strouth NC State College Associate Professor, Criminal Justice Police Academy Commander Criminal Justice Program Coordinator 419-755-4839 [email protected] 419-755-4520 Fax 2441 Kenwood Circle, Mansfield Ohio 44901 28 Appendix F PRACTICUM INFORMATION Student Name: Student Address: Student Telephone number: (Home/Cell) Internship Site Name: Name of Organization (if different): Full Address: Site Supervisor Name: Title: Site Telephone Number: Site Fax Number: _________________________________________________________ Internship Schedule Days and Times: 29 Appendix G NORTH CENTRAL STATE COLLEGE PROFESSIONAL EXPERIENCE The undersigned student acknowledges and agrees that: 1. He or she has undertaken clinical/practicum/directed practice at a site (or sites) assigned by the College during the student’s enrollment at North Central State College (NC State College), and that this experience is a requirement of the program. 2. a. The student IS NOT covered under worker’s compensation attributable to NC State on account of the program or the experience. b. The student IS NOT covered by medical insurance attributable to NC State on account of the program or the experience, other than for diagnostic testing of infectious diseases from direct or indirect contact with bodily fluids, or those infectious diseases transmitted by air. c. The student IS covered by professional liability insurance attributable to NC State on account of the program or experience with limits and exclusions as noted below: 3. 1. The purpose of this insurance is to provide coverage for sums you may become legally obligated to pay as “damages” because of injury to which this insurance applies caused by a “medical incident.” 2. A “medical incident” means any act or omission in the furnishing of professional services by you as it relates to your activities in the area of medical professional educations and clinical experience. 3. Coverage limits are: 4. This information is not a substitute for policy language. Actual terms, conditions, coverages, and limits of the current policy in force will apply. A complete copy of the coverage form is available upon request. $1,000,000 $3,000,000 each medical incident aggregate While NC State has no knowledge of any condition with respect to the employment which could cause injury to the student while exercising reasonable care, NC State makes no other representations of any kind involving the experience. I acknowledge that I have received and understand the Student Professional Release of Liability Form. Date: ________________________________________________ Signature: ________________________________________________ Printed Name: ________________________________________________ Student Date of Birth and Student ID _____________________-_________________________ crj\liability-form.docx\apr’10\kme 30 Appendix H NORTH CENTRAL STATE COLLEGE Criminal Justice Practicum Weekly Activity Report Student Name: Practicum Location: Practicum Supervisor: TO BE SUBMITTED WEEKLY TO THE PRACTICUM FACULTY MEMBER Attendance DATE DAY TIME-IN TIME-OUT HOURS SUPERVISOR’S SIGNATURE Weekly Work Assignments/Projects: Brief Outline Do not write here!! Add to your typed Summary Weekly Significant Events Issues: Brief Outline Do not write here!! Add to your typed Summary Attach (Staple) the following information to this timesheet: Provide me with a typed summary which includes all of your activities that you completed/participated in during the week. Include within the summary, your daily assignments, your personal opinion of your workload, as well as any significant events that may have occurred. The purpose of this report is to advise me of everything that you did at your site for each week and what you thought about it. You can also scan and email your time sheet with your summary. Student Signature North Central State Instructor: 31 Appendix I PERFORMANCE APPRAISAL North Central State College Criminal Justice Practicum Student Information: Name: Date : Work Site: Address: Work Site Supervisor: Phone: 1. Knowledge of work (How well does the intern know his/her position? Consider prior or onthe-job training, experience, familiarity with position, etc.): a. b. c. d. e. Serious gaps in knowledge of fundamentals. Requires considerable assistance. Adequate knowledge, requiring occasional assistance. Knowledge to work without assistance. Outstanding knowledge of all phases of position. 2. Quality of work (How well does the intern perform? Consider how his/her work measures up to the organization=s standards for accuracy, neatness, consistency, etc., regardless of volume): a. b. c. d. e. Work unreliable because of repeated errors. Somewhat more than normal number and kinds of errors. Quality meets organizational standards. Frequently exceeds organizational standards. Well exceeds standards. 3. Quantity of work (How closely does the amount of acceptable work accomplished meet the requirements for the intern=s position?): a. b. c. d. e. Fails consistently to maintain adequate volume. Must be pushed occasionally to maintain volume. Consistently maintains volume required of position. Frequently exceeds departmental standards. Errors rare and of a kind difficult to avoid. 4. Reliability (Rate his/her record of attendance and tardiness at intern site): a. b. c. d. e. Unacceptable attendance record. More instances of tardiness or absenteeism than normal. Satisfactory attendance record. Vary rarely absent or tardy. Has never been absent or late for work. 32 PERFORMANCE APPRAISAL North Central State College Criminal Justice Practicum Page 33 5. Attitude & Cooperation (How well does the intern get along with personnel and supervisor? Consider willingness to help others, attitude toward supervisor): a. b. c. d. e. Does not work well with others. Uncooperative. Some difficulty in getting along and cooperating. Gets along well under normal conditions. Good team worker, goes out of way to help others. Outstanding in work with others. 6. Initiative (How well does the employee make good decisions and take steps to complete work within limits of the position? Consider amount of supervision required, new ideas proposed): a. b. c. d. e. Fails to show initiative and accept responsibility. Inadequate in some situations. Satisfactory initiative and sense of responsibility. Above average initiative and sense of responsibility. A self-starter, excellent decision making abilities. 7. Public Relations (How well does the intern interact with the public? Consider tact and the ability to express self effectively): a. b. c. d. e. f. Handles relations poorly. Inclination not to consider relations at all times. Satisfactory handling of relations. Handles relations very well, assists clients. Outstanding ability to understand and assist clients at all times. Not applicable. 8. Professional Appearance (Rate the intern=s efforts in maintaining standards of appearance. Consider consistency in professional clothing, personal grooming, & hygiene): a. b. c. d. e. Consistently fails to maintain appearance standards. Inclination to fail to maintain standards. Satisfactorily meets standards of appearance. Usually exceeds appearance standards. Exceeds standards for appearance at all times. 33 PERFORMANCE APPRAISAL North Central State College Criminal Justice Practicum Page 34 Additional Comments: Work Site Supervisor College Supervisor Date: Date: Student Date: 34
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