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Wilfrid Laurier University Faculty of Science
October 31, 2014
Canadian Excellence

Leadership/Activity Procedures & Forms

Practicum Requirements

Hello KPE Undergraduate students,

It has become a larger problem recently with students submitting forms for volunteer hours after those hours have long been completed.  This simply cannot continue from a liability perspective.  You have until Nov 15th to submit forms covering hours that have already been completed.  After that date, such forms will not be accepted.

I have asked for this cooperation in the past.  I have tried to be understanding, but the current management of these forms by an increasing number of students cannot continue given liability issues.    

There is no reason why these forms cannot be completed (Form 1 and any necessary Health and Safety forms) before the opportunity commences and very shortly after their completion (Form 2 and letter from the supervisor).  I understand that there can be delays in accessing a confirmation letter from a supervisor.  Please follow the directions that are clearly delineated on the KPE web page.  To those students who have managed this process as requested in the past, I express my appreciation.


Stephen Wenn



In order to graduate, every KPE student must gain a minimum of 96 hours of community related leadership/activity experiences.  These shall be obtained by participating in between 2-4 different applied experiences related to their studies in Kinesiology with no less than 16 hours for any one experience.  These experiences shall be leadership oriented, have an applied educational component and involve participation in some form of volunteer or paid activity in the community.  These activities shall involve the student in some form of leadership, administrative, instructing, or service capacity related to the wide scope of kinesiology, physical activity, recreation or applied health. 

All leadership/activity experiences must be approved prior to their commencement by the department’s Undergraduate Advisor (forms should be handed into Tricia Lutz in the main office or emailed to .  Appropriate verification of participation must be submitted by the student in order to complete this requirement.

ALL Kinesiology and Physical Education Students intending to graduate must submit completed Leadership Activity Forms. Contact Tricia Lutz for details.

Please note: Students cannot use CSL hours and/or KP421 volunteer hours towards their leadership hours.


Leadership Activity Requirements document - click here






You are required to complete two forms for each experience: a Proposal Form and a Completion Form.

FORM 1 - Proposal/Approval Form and a FORM 2 - Experience Completion Form for each Leadership/Activity Experience must be submitted as well as an official signed letter from your placement supervisor (peer to peer not admissable).   Form 2 and official letter should be submitted as soon as activity has been completed.

NOTE:  The proposed activity must be APPROVED PRIOR to the commencement of the activity.

These forms can be downloaded below.  

Both forms are WORD interactive and students are to type their Leadership Activity forms on screen and save before printing off and submitting them to the KPE office. 

Forms may be submitted in person to the KPE office BA501 for approval from the Undergrad Academic Advisor.  Forms may also be submitted via email attachment or faxed to 519-747-4594./>

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For more indepth guidance, you may contact the KPE Undergraduate Academic Advisor:
Dr. Stephen Wenn via e-mail

To check on the status of a submitted form or accumulated leadership hours, please contact:  Tricia Lutz  via e-mail  



Work Education Placement Agreement Forms (WEPA)


Students who volunteer  in their placement as part of their practicum experience need to have  their volunteer placement supervisor complete the attached forms below unless the placement is on campus.  

These forms MUST be handed in to the KPE Office PRIOR TO the commencement of any volunteer posting associated with KPE Leadership Activity requirements.

Unpaid Work Placement Procedure

The Government of Ontario, through the Ministry of Training, Colleges and Universities (MTCU), pays the Workplace Safety and Insurance Board (WSIB) for the cost of benefits provided to Student Trainees enrolled in an approved program at Laurier and participating in a compulsory unpaid work placements with employers who have WSIB coverage. If a student sustains a workplace injury, in a facility that is eligible for WSIB coverage, the student will receive WSIB coverage through the MTCU's firm number. Accident costs are not the responsibility of the Placement Employer.

MTCU also covers the cost of private insurance with ACE-INA for Student Trainees enrolled in an approved program at Laurier and participating in a compulsory unpaid work placements with employers which are not required to have compulsory WSIB coverage under the Workplace Safety and Insurance Act. If a student sustains a workplace injury, in a facility that is not eligible for WSIB coverage, the student will receive private insurance coverage provided by MTCU. Accident costs are not the responsibility of the Placement Employer.

The Government of Ontario provides such coverage to encourage the participation of employers in providing unpaid work placements for Student Trainees required as part of Ontario's publicly assisted postsecondary education and training programs.

Prior to the commencement of an unpaid work placement, students must complete a Student Declaration of Understanding, and submit it to their Laurier placement coordinator.

Also prior to the commencement of an unpaid work placement, placement employers must provide the student trainee with health and safety orientation training and must read and sign the Letter to Placement Employers.




For available volunteer and paid opportunities - click here.


Related Information Title Type
2006 Leadership/Activity Experience Form 1: PROPOSAL Document
2006 Leadership/Activity Experience Form 2: COMPLETION Document
2006 Leadership/Activity Requirements Document