Registration Form

If paying by credit card ( we take Visa, Mastercard & Discover ) submit these forms and call us at 

1-260-471-4888 to process payment 


If paying by check, make payment to Rowlett & Laker, Inc. for the amount of $575.00     and mail to 


Rowlett and Laker, Inc. 

PO Box 11453

Fort Wayne, IN 46858 


No refunds after 2 weeks from the start date


click here          for a full information pack


Let us know if we can be of any further assistance. Call 1-260-471-4888

                                                                                                 


SPECIAL NOTICE


The minimum Academic Education Standards for this course is a High School Diploma or GED. I’m verifying that my High School Diploma or GED is from 


Please notify us if there is a name, address, or phone number change after submitting this form.

                                                                                                 


Dear Practicum / Internship Supervisor,


Thank you for agreeing to advise our MEPAP student about practicum experience assignments. You are giving him/her the opportunity to grow personally under the guidance of an experienced, trained health specialist. It is a true sign of your own professional caring.


Projects are assigned to teach the practical application of concepts taught in the Modular Education Program for Activity Professionals. They are designed to enhance practitioner performance, activity department productivity and regulatory compliance.



Practicum  / Internship Supervisor Responsibilities


• To meet / communicate with the instructor and the student at the beginning and end of the practicum placement.

To provide the initial orientation to the agency structure, program

and policies and procedures, including the mission of the agency and the history of its development.


• To develop a varied learning experience for the student, including opportunities to work with individual, groups and /or the wider community.


• To meet individually with the student periodically throughout the course, to provide supervision and assessment on an on-going basis, as well as be reasonably available for informal questions as the need arises.


• To help the student develop and understand the network of human service agencies in the community and how it relates the elders served.


• To assist the student with developing basic skills in interviewing and counseling, observation, record keeping, leadership, working with diverse populations, affecting social change, and developing his/her professional identity.

 

Provide ongoing observation and feedback on overall performance of student.


• To complete the final evaluation form for submission to the instructor. This should be done jointly with the student.