Clinical Practicum Handbook & Forms
Clinical Practicum Handbook for Audiology
The complete clinical handbook is available here.
Clinical Practicum Handbook for Speech-Language Pathology
The complete clinical handbook is available here.
Audiology
- A-1 Clinical Settings in Nova Scotia
- A-2 Clinical Settings Outside of Nova Scotia
- B-1 Faculty of Health Statement Regarding Criminal Records Check
- B-2 Clinical Education Checklist
- B-3 Practicum Site Request Form
- B-4 Student Placement Profile
- B-5 Dalhousie University's Guidelines for Students Participating in International Activities
- B-6 Privacy, Security, and Confidentiality
- B-7 Guidelines for Placement
- B-8 Criminal Records Check, Child Abuse Registry & Immunization Records Waiver
- C-1 Clinical Education Contract
- C-2 Student Clinical Competensies - Sheltered Practicum - Fall & Winter - Year ll
- C-3 Student Clinical Competensies - Internshipo - Summer - Year ll
- C-4 Student Clinical Competensies - Externship - Winter - Year lll
- C-5 Student Evaluation Form
- C-6 Student Feedback to Clinical Educator
- C-7 Clinical Practicum Hours
- C-8 Assisting the Struggling Studen tin a Practicum Placement
- C-9 Clinical Educator Tool
- C-10 Student Self-Evaluation Form
- C-11 Clinical Skill Weekly Feedback Form
- D-1 Student Acknowledgement
- Appendix E - Infectious Disease Preclinical Requirements
- E Supporting Handbook Documents & Forms
Complete Handbook
Forms
- A-1 Clinical Settings in Nova Scotia
- A-2 Clinical Settings Outside of Nova Scotia
- B-1 Faculty of Health Statement Regarding Criminal Records Check
- B-2 Clinical Education Checklist
- B-3 Practicum Site Request Form
- B-4 Student Placement Profile
- B-5 Dalhousie University's Guidelines for Students Participating in International Activities
- B-6 Privacy, Security, and Confidentiality
- B-7 Guidelines for Placement
- B-8 Criminal Records Check, Child Abuse Registry & Immunization Records Waiver
- C-1 Clinical Education Contract
- C-2 Student Clinical Competensies - Sheltered Practicum - Fall & Winter - Year ll
- C-3 Student Clinical Competensies - Internshipo - Summer - Year ll
- C-4 Student Clinical Competensies - Externship - Winter - Year lll
- C-5 Student Evaluation Form
- C-6 Student Feedback to Clinical Educator
- C-7 Clinical Practicum Hours
- C-8 Assisting the Struggling Studen tin a Practicum Placement
- C-9 Clinical Educator Tool
- C-10 Student Self-Evaluation Form
- C-11 Clinical Skill Weekly Feedback Form
- D-1 Student Acknowledgement
- Appendix E - Infectious Disease Preclinical Requirements
- E Supporting Handbook Documents & Forms
Speech-Language Pathology
- 2023-2024 A1 PRACTICUM SITE REQUEST FORM
- 2023-2024 A2 STUDENT PLACEMENT PROFILE
- 2023-2024 A3 STUDENT ACKNOWLEDGEMENT FORM
- 2023-2024 A4 CRIMINAL RECORD CHECK CHILD ABUSE REGISTRY AND IMMUNIZATION RECORDS WAIVER
- 2023-2024 A5 FACULTY OF HEALTH STATEMENT REGARDING CRIMINAL RECORDS CHECK
- 2023-2024 A6 PRIVACY, SECURITY, AND CONFIDENTIALITY
- 2023-2024 A7 GUIDELINES FOR STUDENTS PARTICIPATING IN INTERNATIONAL ACTIVITIES
- 2023-2024 B1 CLINICAL EDUCATION CHECKLIST
- 2023-2024 B2 CLINICAL EDUCATION CONTRACT SPEECH-LANGUAGE PATHOLOGY
- 2023-2024 B3 GUIDELINES FOR FALL & WINTER PRACTICUM PLACEMENTS
- 2023-2024 B4 GUIDELINES FOR INTERNSHIP PLACEMENT
- 2023-2024 B5 GUIDELINES FOR EXTERNSHIP PLACEMENT
- 2023-2024 B6 STUDENT CLINICAL COMPETENCIES FALL PRACTICUM PLACEMENT – PRACTICUM I FALL II
- 2023-2024 B7 STUDENT CLINICAL COMPETENCIES WINTER PRACTICUM PLACEMENT – PRACTICUM II WINTER II
- 2023-2024 B8 STUDENT CLINICAL COMPETENCIES INTERNSHIP - PRACTICUM III SUMMER II
- 2023-2024 B9 STUDENT CLINICAL COMPETENCIES EXTERNSHIP – PRACTICUM IV WINTER III
- 2023-2024 B10 STUDENT EVALUATION FORM – FALL & WINTER PRACTICUM
- 2023-2024 B11 STUDENT EVALUATION FORM - INTERNSHIP & EXTERNSHIP PRACTICUM
- 2023-2024 B12 STUDENT FEEDBACK TO CLINICAL EDUCATOR
- 2023-2024 B13 CLINICAL PRACTICUM HOURS
- 2023-2024 B14 PRACTICUM PLACEMENT FEEDBACK FORM
- 2023-2024 B15 S-LP CLINICAL SKILLS CHECKLIST
- 2023-2024 B16 S-LP CLINICAL SKILLS SESSION FEEDBACK FORM
- 2023-2024 B17 S-LP CLINICAL SKILLS WEEKLY FEEDBACK FORM
- 2023-2024 B18 STUDENT SELF-EVALUATION FORM
- 2023-2024 B19 ASSISTING THE STRUGGLING STUDENT IN A PRACTICUM PLACEMENT
- 2023-2024 B20 CLINICAL ACTIVITY IDEAS FOR FALL & WINTER PRACTICUM STUDENTS - PLACEMENTS WITH PEDIATRIC POPULATIONS (PRESCHOOL AND SCHOOL AGE)
- 2023-2024 B21 CLINICAL ACTIVITY IDEAS FOR FALL & WINTER PRACTICUM STUDENTS - PLACEMENTS WITH ADULT POPULATIONS
- 2023-2024 B22 CLINICAL AND PROFESSIONAL ACTIVITY IDEAS FOR INTERNSHIP AND EXTERNSHIP STUDENTS
- 2023-2024 E1A CLINICAL CERTIFICATION AND PROVINCIAL REGISTRATION DOCUMENT REQUEST FORM
- 2023-2024 E1B SUMMARY OF CLINICAL PRACTICE HOURS SPEECH-LANGUAGE PATHOLOGY
Complete Handbook
Forms
- 2023-2024 A1 PRACTICUM SITE REQUEST FORM
- 2023-2024 A2 STUDENT PLACEMENT PROFILE
- 2023-2024 A3 STUDENT ACKNOWLEDGEMENT FORM
- 2023-2024 A4 CRIMINAL RECORD CHECK CHILD ABUSE REGISTRY AND IMMUNIZATION RECORDS WAIVER
- 2023-2024 A5 FACULTY OF HEALTH STATEMENT REGARDING CRIMINAL RECORDS CHECK
- 2023-2024 A6 PRIVACY, SECURITY, AND CONFIDENTIALITY
- 2023-2024 A7 GUIDELINES FOR STUDENTS PARTICIPATING IN INTERNATIONAL ACTIVITIES
- 2023-2024 B1 CLINICAL EDUCATION CHECKLIST
- 2023-2024 B2 CLINICAL EDUCATION CONTRACT SPEECH-LANGUAGE PATHOLOGY
- 2023-2024 B3 GUIDELINES FOR FALL & WINTER PRACTICUM PLACEMENTS
- 2023-2024 B4 GUIDELINES FOR INTERNSHIP PLACEMENT
- 2023-2024 B5 GUIDELINES FOR EXTERNSHIP PLACEMENT
- 2023-2024 B6 STUDENT CLINICAL COMPETENCIES FALL PRACTICUM PLACEMENT – PRACTICUM I FALL II
- 2023-2024 B7 STUDENT CLINICAL COMPETENCIES WINTER PRACTICUM PLACEMENT – PRACTICUM II WINTER II
- 2023-2024 B8 STUDENT CLINICAL COMPETENCIES INTERNSHIP - PRACTICUM III SUMMER II
- 2023-2024 B9 STUDENT CLINICAL COMPETENCIES EXTERNSHIP – PRACTICUM IV WINTER III
- 2023-2024 B10 STUDENT EVALUATION FORM – FALL & WINTER PRACTICUM
- 2023-2024 B11 STUDENT EVALUATION FORM - INTERNSHIP & EXTERNSHIP PRACTICUM
- 2023-2024 B12 STUDENT FEEDBACK TO CLINICAL EDUCATOR
- 2023-2024 B13 CLINICAL PRACTICUM HOURS
- 2023-2024 B14 PRACTICUM PLACEMENT FEEDBACK FORM
- 2023-2024 B15 S-LP CLINICAL SKILLS CHECKLIST
- 2023-2024 B16 S-LP CLINICAL SKILLS SESSION FEEDBACK FORM
- 2023-2024 B17 S-LP CLINICAL SKILLS WEEKLY FEEDBACK FORM
- 2023-2024 B18 STUDENT SELF-EVALUATION FORM
- 2023-2024 B19 ASSISTING THE STRUGGLING STUDENT IN A PRACTICUM PLACEMENT
- 2023-2024 B20 CLINICAL ACTIVITY IDEAS FOR FALL & WINTER PRACTICUM STUDENTS - PLACEMENTS WITH PEDIATRIC POPULATIONS (PRESCHOOL AND SCHOOL AGE)
- 2023-2024 B21 CLINICAL ACTIVITY IDEAS FOR FALL & WINTER PRACTICUM STUDENTS - PLACEMENTS WITH ADULT POPULATIONS
- 2023-2024 B22 CLINICAL AND PROFESSIONAL ACTIVITY IDEAS FOR INTERNSHIP AND EXTERNSHIP STUDENTS
- 2023-2024 E1A CLINICAL CERTIFICATION AND PROVINCIAL REGISTRATION DOCUMENT REQUEST FORM
- 2023-2024 E1B SUMMARY OF CLINICAL PRACTICE HOURS SPEECH-LANGUAGE PATHOLOGY