Placement Contract Placement Contract 1. Full Name of Clinical Psychology Trainee* 2. Email of Clinical Psychology Trainee* 3. Name of Clinical Supervisor:* 4. Email of Clinical Supervisor* 5. Submission Type* New submission Revised submission (for trainees receiving comments from Clinical Supervisor / Placement Teacher) HiddenThis revised submission is to address the comments from:* Clinical Supervisor Placement Teacher 6. Placement Settings* Adult Psychiatry Child and/ or Adolescent Medical / Rehabilitation Social Services Forensic Police 7. Placement Block:* Block I Block II Block III Block IV Block V 8. Start Date:* YYYY dash MM dash DD 9. Tentative Mid-Placement Evaluation Date:* MM slash DD slash YYYY 10. Tentative End Date:* MM slash DD slash YYYY 11. Placement Objectives:*12. Possible Passing-Out Components:*13. Tentative Time, Frequency and Duration of Supervision:*14. The followings would be included in supervision (e.g. direct client contact, reflections, discussions regarding theory/models, modelling and role play, group supervision, etc.):*15. Tentative Caseload/Workload (type, size and range):* Print