ࡱ> K bjbjpp A8i8i @@@@@TTT8tT090;0;0;0;0;0;0$f36_0@_0@@4t0XXX^@@90X90XX,.ըd4-%0000-\666(.6@. X_0_0Z06 X :  INCLUDEPICTURE "/media/8965/inline-compact.png?width=521&height=135&mode=max" \* MERGEFORMATINET  SLT Student Information for Practice Educators Students should complete this form and give it to your Practice Educator/s on your first day of placement. Student Details Student Name Matriculation No ProgrammeMaster of Speech and Language Therapy (MSLT) (undergraduate)BSc (Hons) Speech and Language Therapy (undergraduate)MSc Speech and Language Therapy (postgraduate)Level (e.g year 2) Placement Number123456 (UG only) Non-clinical experience (e.g. volunteering, previous employment) Please detail the settings, your role, duration and experiences gained that may be relevant to SLT practice Clinically related experience prior to commencing this programme (e.g. during volunteering or employed work, case types observed when finding about SLT)  Academic modules completed so far (Insert new rows or delete rows as applicable) Module codeModule title Start dateEnd date Academic modules currently under completion (Insert new rows or delete rows as applicable) Module codeModule title Start dateEnd date      ӽ紫ý SLT pre-clinical placements to date (Insert new rows or delete rows as applicable) NB: Do not name a specific location and/ or person Setting Client Group/s DurationFormat (e.g in person/remote)   ӽ紫ý SLT clinical placements to date (Insert new rows or delete rows as applicable) NB: Do not name a specific location and/ or person Setting Client Group/s DurationFormat (e.g. in person/remote)   Assessment Experience (Insert new rows or delete rows as applicable) List the experiences of SLT assessment you have had. These can be formal or informal. These experiences may have taken place on placement or in independent/classroom study. Note whether you observed only, carried out part or all of the assessment, interpreted the results with support or interpreted the results independently. AssessmentClient GroupBrief additional notes (e.g. observed only, carried out in part/in full, interpreted with support, interpreted independently)    Intervention Experience (Insert new rows or delete rows as applicable) List the experiences of SLT intervention you have had. Remember that SLT intervention can be direct (e.g. working with a client and/or families) or indirect (e.g. working with school teachers, other AHPs) Use the notes section to summarise whether you observed only, delivered the intervention with support or independently. InterventionClient GroupBrief additional notes (e.g. observed only, carried out with/without support, evaluated)    Training/undertaken on placement (Insert new rows or delete rows as applicable) List any formal or informal training/ courses you may have completed on placement (e.g. Sign-a-Long) Date Certificate available? (Y/N)Training/Course (and description if required)    Other knowledge and skills Please detail any additional knowledge and skills that might be relevant to a clinical setting (e.g. knowledge of sign language, fluency in another language, other academic qualifications)  Additional information for your Practice Educator Consider any additional information your Practice Educator may find helpful to know. This may include information on a disability, health, your Individual Learning Plan (ILP) etc.  Personal learning goals for this placement Consider your own learning goals for this placement and note them here. This may include those recommended following discussion with previous Practice Educators.  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