Human Services – Work Experience
Instructor: Donette Steele, M.A.
71 AD – 2 Unit/ 72
AD – 3 Unit/73 AD – 4 Unit
Text Book: Required -
FIELD INSTRUCTION ROYSE – 6th Edition
Course Description: Course consists of discussions regarding WE in Human Services. The course also involves
vocational learning experience through an employment/internship directly related to Human Services.
Course Requirements include:
HS 71 includes 1 unit of field work for a total of 60 hours of Volunteer work (75 Paid) for a
total of 2 units
HS 72 includes 2 units of field work for a total of 120 hours of Volunteer work (150 Paid) for
a total of 3 units
HS 73 includes 3 units of field work for a total of 180 hours of Volunteer Work (225 Paid) for
a total of 4 units.
All Students Must be Declared Human Services or Drug and Alcohol
Studies Majors (Mandatory)
All Students Must have approved Job Site Placements
Hours can only be counted after all paperwork
has been completed and submitted to the Instructor
Bring a small three ring binder with separators
to second class meeting /05/2013 – Discuss how to complete Official WE Office Application (Green) d Objective
Form (Pink) and indicate on top of the Official Application your
Email paperwork to Instructor
by 2/10/13 for feedback and change paperwork as directed by Instructor.
2/19/2013 - Turn in the following Paperwork:
Failure to submit these documents will result
in student being dropped from class. (Discuss with Instructor any issues related to problems with submission of paperwork)
Employer/Supervisor Letter (WE District/Employer Agreement)
Student Applications (green)
Instructor Permission Statement with Permission Number indicated
Student's class schedule (print-out)
Learning Objective Agreement (pink)
Ten Things You Do at Your Job
NO - WE Hours may be counted until Application
Form and Objective Form are completed by student and signed by Supervisor.
NO – WE Hours may be counted before
the second week of the class 2/12/2013 and/or your completion of assigned paperwork (hours may not be counted until paperwork
is submitted, any late submissions will delay counting of hours until that date.)
Students must have work hours for each week
of the semester or no credit will be issued for class. (If you complete your
WE hours early you must still continue at your site placement – a minimum of one hour per week until the semester ends.)
of all Application Form and Objective Form for Class
2/19/13 Must be complete, signed and
dated by supervisor and student.
to submit by this date will result in student being dropped from class.
All paperwork complete with correct information, all objectives complete, all supervisor’s
and student’s signatures must be in place. Paperwork needs to be approved
by the Instructor on this date. Failure to have completed paperwork on this date
with Instructor’s approval will result in student being dropped from the class.
IMPORTANT ASSIGNMENTS SUMMARY
Completion of all Initial Paperwork with copies for Portfolio.
Read Chapters before class meets and be prepared to discuss topic from chapter. Complete Exercises from textbook as assigned weekly by Instructor.
A Presentation on Agency see syllabus for dates.
Attendance at a Twelve Step Meeting of your choice. See
syllabus for dates
Completion of a Sober Living House Survey. See syllabus
Completion of Portfolio with all information included.
Mock Interview and Resume.
At the end of the semester you will be required to submit copies of all work completed for the
semester. A small three ring binder is required.
The required paperwork will consist of and be placed in folder in the following order and submitted
at Final Class Meeting
1. All Paperwork completed by you:
a. One month Calendar showing class times and work times
b. Time Cards (original signed)
c. Employer/Supervisor Letter (WE District/Employer Agreement) Orginial signed
d. Student Application (green) orginial signed
e. Instructor Permission Statement
f. Student's class schedule (print-out)
g. Learning Objective Agreement (pink)
h. Student Performance Evaluation
j. Sober Living Survey
k. Printed copy of Presentation / Powerpoint slides
l. Workbook Assignment in order by week
All Paperwork must be kept in Folder
All assignments must be turned in by submission date. Work
book assignment will be submitted each week (late assignments graded as follows 50% reduction in grade for one week late,
75% reduction in grade for two weeks late, no Workbook assignments accepted three week late and 0% will be recorded for that
Student Lead Mentors will accept assignments during the semester.
2/05 - Week One- Initial Meeting/ Discuss Paperwork requirements
2/12 - Week Two Bring in Application Form (aka Green Sheet) and Objectives Form (aka Pink Sheet)
2/19 - All paperwork due by this date including
Objectives Form with all signatures (must be signed and dated by supervisor prior to 2/12 )
2/26 - Week Three Chapter 1 Exercises – 1.1, 1.2
3/ 05 - Chapter 2 Exercises – 2.2, 2.4
3/ 12 - Chapter 3 Exercises - 3.2, 3.3, 3.4
3/12 - Chapter 4 Exercises – 4.1, 4.2, 4.3
Assign attendance at one Twelve Step type Meeting
and Questionnaire to be completed
3/26 4.5 and 5.1, 5.2 (only questions
#3 and #4 in 5.2) Agency Presentations
4/02 - No Class
4/09 - Chapter 5/6 Exercises – 5.4, 6.1 Agency
4/16 - Chapter 6 (cont.) 6.2, 6.3 Agency
4/23 - Chapter 6 Exercises 6.5, 6.6 Agency Presentations
Sober Living House Survey Due
4/30 - Chapter 7 – 7.1, 7.2, 7.3, 7.4 Agency Presentations
5/07 - Chapter Chapter 8 - 8.1 Agency Presentations.
5/14 - Chapter 9 – 9.1 Mock
5/21 - Submit Portfolios
Mock Interviews/ Resumes
5/ 28 Submit
all Paperwork (Original timecards etc.)
Final Date to be announced – Turn in Student Folder / Portfolio with all completed assignments.
Students will complete and present a PowerPoint Presentation on their Work Site Placement.
Topics to be discussed.
Student Learning Outcomes:
1. Formulate three work-related objectives; the content
and nature of those objectives will vary by student, and demonstrate these objectives during the work experience process.
2. Evaluate job specific skills and responsibilities so as to enhance employment options.
3. Critique a simulated
job interview through a role-play scenario.
4. Create Power Point Presentation on Work Site
will be based on the following criteria:
completed correctly – 300 points
per exerciseExercises in Textbook weekly as indicated. Late submissions will be given
no credit. 10 points = 260
Questionnaire/ Survey = 120 (not completed = -200 points)
correctly, sufficient number of hours and correct signatures with copy for Instructor turned in monthly – 50 points
per month / 200 points total
Employer – 300 points possible depending on rating.
10 points per class = 100 points (missing more than three classes you will automatically be dropped by Instructor) Attendance
bonus – 50 points for no absences.
of Power Point - 200 points
and Resume = 250
Absent for any
Student Presentation = -100 points for each class
Portfolio - 500 points possible – deductions for missing information or assignments
90 to 100% of
points = A
80 to 89% of points = B
70 to 79 % of points = C
60 to 69% of points = D
Below 60% of points = F
OFFICE HOURS: I will be available in the classroom after
class. I am also available by appointment.
I can also be reached at (562) 8568122. Leave a return number and the
best times to reach you. I will not return calls if you have any type of call
blocking on your line as I will not release my home number. My email address
is firstname.lastname@example.org I will return email promptly.
EMAIL: Email will not be opened by the Instructor unless the subject line includes your name,
name of the college and course name. Email me at email@example.com. Do not email at the Cerritos.edu email address as I do not frequently check this. Do not call the college with messages for the instructor as the Department does not
accept messages. Do not call me with a message that you will not be in class,
this is your responsibility and not mine. Again, do not the email address at
the college. My email address is firstname.lastname@example.org
ASSIGNMENTS: Do not call me and ask what the assignments are OR what chapter we are on OR when your
presentation is or what group you are in. Get group information and work with
them. Do not ask me, if you miss class, if you missed anything important as it
is all IMPORTANT.
All original time cards must be brought to class on date indicated on syllabus
The same supervisor as indicated on Objective Sheet (aka PINK SHEET) is the only person allowed
to sign time cards. Complete names must be signed (no nick names or initials)
TIME CARD REVIEW
NAME: __________________ CLASS (indicated
71, 72 or 73 AD) _______Instructor_________
DO NOT USE FRACTIONS SUCH AS ½ ON YOUR TIME CARDS OR ON THIS SHEET USE DECEMICALS
½ = .5 ¾ = .75
WEEK ONE : NA
WEEK ONE ________
WEEK TWO: NA
WEEK THREE: _______
WEEK THREE _______
WEEK FOUR ________
TOTAL FOR FEB. __________
FOR MARCH ________
MAY. WEEK ONE________
WEEK ONE _________
WEEK TWO _______
WEEEK TWO ________
WEEK FIVE ________
WEEK FIVE _________
TOTAL FOR APRIL. ________ TOTAL FOR MAY. _______
CLASS # HS_____ (71, 72, or 73) which equals ____________HOURS
TOTAL HOURS I NEED TO COMPLETE COURSE____________Indicate
V or Paid____________
TOTAL HOURS I HAVE COMPLETED _____________
Work Experience Hours / Paperwork Student Responsibility
_____________________, Student #_________________ have completed the following
Number of hour’s _________ for Work Experience. To
receive credit for this course I need to
complete ________ hours. I am a PAID/ VOLUNTEER
WORKER (circle one). I certify that I have
completed the minimum number of hours necessary to received Credit in this course. I
understand that it is my responsibility to insure I have completed the necessary number of hours
to complete this course. I am also responsible for
any mistakes in addition on my time cards that
may result in less than the number of hours needed to complete this course. I understand that I
will not receive credit for this course if my time cards do not accurately reflect or meet the
of hours necessary to complete this class. I also understand that my supervisor, as designated
by my Application (aka Green Sheet) and Objective (aka Pink Sheets), must sign each time card
and that no other person may do so. My Supervisor will also be required to sign
and rate my job performance using an evaluation sheet based on my completion of objectives and work record. My Supervisor’s name must be signed, on the time cards, in the same way my Supervisor signed
my Objective Sheet,
Supervisor’s Letter Sheet, and Evaluation
Sheet. Any time cards or paperwork signed differently (do not use nicknames or
initials) will be not considered valid. I also understand that I will not receive any credit based on incorrectly signed time cards. I understand this may lead
to not completing/ or receiving the number of hours needed to pass this class. I
understand all timecards/paperwork submitted must be original and no photocopies
are accepted. No whiteout, erasure or crossed out, rewritten timecards or paperwork will be accepted. All paperwork
is due on . I understand paperwork is due at that time and failure to have all paperwork turned in and completed may lead
to my not receiving credit in the course.
It is my responsibility to review materials for accuracy and I understand any problems with paperwork
may lead me to failing or receiving no credit in the course.
____________________________________(Print your name)