Placement Agreement No Entries Found Placement - Agreement Form Student Name * Student FOL Email * Please use the student's FOL email address Confirm Student FOL Email * Please confirm email address Placement Agency * Placement Supervisor * Please include first and last name Supervisor Email * Supervisor Phone Schedule * The following describe a number of our core learning competencies for Fitness and Health Promotion. Fitness assessment: Student utilizes best practice for pre-screening (e.g. PAR-Q, consent, and resting HR and BP) and assessment (e.g. aerobic, musculoskeletal, and body composition). Student properly interprets and shares health ratings with client. Exercise prescription: Student properly integrates assessment results within program design. Student prescribes suitable aerobic, resistance and flexibility exercises. Student includes a warm-up, cool-down and appropriate exercise progressions and regressions. Behaviour Change: Student uses motivational language appropriate for client’s stage of change. Student uses open ended questioning and active listening to develop rapport with client. Student creates a positive environment for change. Personal training: Student demonstrates and executes (including proper spotting and safety practices) exercises within client’s program. Student is motivating and engaging. Group fitness: Student demonstrates good energy during class. Student presents clearly. Student provides exercise progressions and regressions to accommodate varying abilities within class. Student demonstrates safety best practices. Health Promotion: Student displays an appreciation for the personal, social, economic and environmental factors which determine the health status of individuals or populations. Student contributes to a cause or event which positively impacts the health and well-being of a population or group. Business Practices: Student contributes to basic marketing (e.g. newsletter creation, website upkeep and/or email communication) and sales. Student demonstrates introductory knowledge related to fees, budgeting and policy. Health and Safety: Student implements safety and risk management best practices including: cleaning and infectious disease prevention, quality assurance equipment checks, documentation, confidentiality and incident reporting. Using the core learning competencies/areas of specialization, please identify 3 goals, with anticipated completion timelines, the student will complete through this placement Goal 1 Goal 1 * Action Item 1A Complete By Jan 6 - 10 Jan 13 - 17 Jan 20 - 24 Jan 27 - Jan 31 Feb 3 - 7 Feb 10 - 14 Feb 17 - 21 (reading week) Feb 24 - 28 Mar 2 - 6 Mar 9 - 13 Mar 16 - 20 Mar 23 - 27 Mar 30 - Apr 3 Apr 6 - 10 Apr 13 - 17 Apr 20 - 25 (Final exams) Action Item 1B Complete By Jan 6 - 10 Jan 13 - 17 Jan 20 - 24 Jan 27 - Jan 31 Feb 3 - 7 Feb 10 - 14 Feb 17 - 21 (reading week) Feb 24 - 28 Mar 2 - 6 Mar 9 - 13 Mar 16 - 20 Mar 23 - 27 Mar 30 - Apr 3 Apr 6 - 10 Apr 13 - 17 Apr 20 - 25 (Final exams) Goal 2 Goal 2 * Action Item 2A Complete By Jan 6 - 10 Jan 13 - 17 Jan 20 - 24 Jan 27 - Jan 31 Feb 3 - 7 Feb 10 - 14 Feb 17 - 21 (reading week) Feb 24 - 28 Mar 2 - 6 Mar 9 - 13 Mar 16 - 20 Mar 23 - 27 Mar 30 - Apr 3 Apr 6 - 10 Apr 13 - 17 Apr 20 - 25 (Final exams) Action Item 2B Complete By Jan 6 - 10 Jan 13 - 17 Jan 20 - 24 Jan 27 - Jan 31 Feb 3 - 7 Feb 10 - 14 Feb 17 - 21 (reading week) Feb 24 - 28 Mar 2 - 6 Mar 9 - 13 Mar 16 - 20 Mar 23 - 27 Mar 30 - Apr 3 Apr 6 - 10 Apr 13 - 17 Apr 20 - 25 (Final exams) Goal 3 Goal 3 * Action Item 3A Complete By Jan 6 - 10 Jan 13 - 17 Jan 20 - 24 Jan 27 - Jan 31 Feb 3 - 7 Feb 10 - 14 Feb 17 - 21 (reading week) Feb 24 - 28 Mar 2 - 6 Mar 9 - 13 Mar 16 - 20 Mar 23 - 27 Mar 30 - Apr 3 Apr 6 - 10 Apr 13 - 17 Apr 20 - 25 (Final exams) Action Item 3B Complete By Jan 6 - 10 Jan 13 - 17 Jan 20 - 24 Jan 27 - Jan 31 Feb 3 - 7 Feb 10 - 14 Feb 17 - 21 (reading week) Feb 24 - 28 Mar 2 - 6 Mar 9 - 13 Mar 16 - 20 Mar 23 - 27 Mar 30 - Apr 3 Apr 6 - 10 Apr 13 - 17 Apr 20 - 25 (Final exams) Supervisor Signature Clear I have read the placement overview, agreement and feedback forms and agree to implement and support the recommendations and guidelines provided. Submit