Field Site Partner Request Form | Wheelock College of Education & Human Development

Name of Site/Program*

Site Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Site Phone*

Site Website

Does your site specialize in a specific area (e.g., arts, STEM)?

Does your site have language specific requirements?

Are there Boston University or Wheelock College alumni at your site? How many? Will students have opportunities to work with them? Briefly explain.

Who is the best point of contact for follow up?

Name*

First Last

Position/Title*

Email*

Phone*

Type of organization (Please check all that apply)*

If you chose Other for type of organization, please list here:

Population served by your site (Please check all that apply)*

If you chose Other for population served, please list them here.

List your site/program services.*

List any scheduling requirements such as orientation, mandatory meetings, and specific internship days.*

List student qualifications, noting which are required and which are desired.*

What is required from the prospective BU Wheelock student (cover letter, resume, site specific application, CORI check, fingerprint, etc.)? Is there a particular timeframe in which you accept applications?*

Is your site MBTA accessible?*

Yes
No

If your site is MBTA accessible, please indicate the train or bus route.

Do students need a car for this placement?*

Yes
No
No, but a car is preferred

In the space below, you can add detail as needed.

Is parking available at your site?*

Yes
No

In the space below, please add relevant parking specifics or requirements.

Is your site appropriate for undergraduate students, graduate students, or both?

Is there any other information that would be helpful for us to know? For example, are you an alum (college/year); have you partnered with us before (explain)?

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