Placement Site Forms
Agency Update Forms
If you would like to update your placement site listing for our Field Placement Directory or if you are a new agency, please complete the following form (a fillable PDF), scan and send in an attachment or print and return by mail or fax.
If you are in need of an evaluation form, print the appropriate form below.
- Internship (120-Hour) Mid-term Evaluation Form (Fillable PDF)
- Internship (120-Hour) Final Evaluation Form (Fillable PDF)
- Advanced Internship (280-Hour) Mid-Term Evaluation Form (Fillable PDF)
- Advanced Internship (280-Hour) Final Evaluation Form (Fillable PDF)
Please make three copies of the signed and completed form (student, instructor, agency) and return the original to the following address:
Annette Larie, Field Placement Director
Human Services Leadership Field Placement Office
800 Algoma Boulevard
Oshkosh, WI 54901-8660