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.


Evaluation Forms

If you are in need of an evaluation form, print the appropriate form below.



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





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