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Field Education Application

NAME
LOCAL ADDRESS
HOME ADDRESS
PHONE
E-MAIL
SWK QPA
OVERALL QPA

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Successful Field Education:

  • is built upon a knowledge base reflected in the required courses;
  • is an opportunity to practice Social Work at a beginning level in the Social Work field under weekly individual supervision
  • provides a 12-credit hour, 4000-level course requiring a high degree of self-direction and personal initiative. 

Approval for Field Education includes the submission of this application to the Field Director and acceptance for Field by the Social Work Faculty Evaluation Committee. This application will be evaluated on the following four components. Each component is worth 10 points. A minimum score of 30/40 is required.

  • quality of application
  • record of grade achievements in practice courses (attach the program evaluation)
  • articulation of professional goals and growth
  • evidence of commitment to the NASW Code of Ethics

Students must satisfactorily complete all required Social Work courses prior to entering  Field Education. Please include a resume and the current Program Evaluation from Web Advisor.  Students who have any grade below a “C+” in the required Social Work practice courses (SWK 3350, 3351, 3352, and 3353) are required to address the deficits with the Director of Field.  Field sites may be restricted for students with any grades below “C+”. * FYI: Student QPA’s can be found on Web Advisor.

If faculty have concerns regarding a student’s ability to function in a Social Work practice setting, these concerns will be shared with the student by the Field Director.  A decision will be made in a timely manner by the Social Work Faculty Evaluation Committee and notification given regarding the application and readiness for Field Education.

Prior to Field Education students must have demonstrated an ability to communicate clearly both orally and in writing for the purpose of being able to provide proper documentation and to establish a worker/client relationship in the Social Work setting.  A student’s proficiency in communication will be considered by the Faculty Evaluation Committee in reviewing this Application for Field Education.
Students must have personal qualifications appropriate for Social Work practice such as commitment to Social Work values and ethics, ability to establish and sustain a relationship, an understanding and concern about social and economic justice, and an understanding and appreciation of diversity.

Professional Commitment and Participation
Please type the requested information.
    1. Where was the SWK 2247 interview & agency tour conducted?
    1. Where was the SWK 2248 agency study conducted?
    1. Where was the SWK 2249 Shadow Placement conducted?
    1. Please describe any additional volunteer experience in a social service setting.
    1. What is one skill developed in a practice classes that will be most beneficial in Field Education?
    1. What has been learned in practice classes that has enhanced a continued commitment to the National Association of Social Worker’s Code of Ethics?
    1. Will the existence of a criminal record impact an ability to intern in certain Field sites? If so, please indicate the charges or record.
    1. (Optional) In order to match students with appropriate Field Education sites, it is critical to understand each student’s needs and how best a specific placement would be of benefit. If there is information that will help the Field Director to explore Field Education options, please feel free to discuss this with the Field Director or note it below. Examples of this information may be physical limitations, learning disabilities, transportation problems, or specific concerns that should be considered.
    1. Discuss qualifications for practice including the ability to establish and sustain a relationship, deal with diversity, and show an understanding and concern about social and economic justice.
    1. Personal goals: Write a brief description about the type of agency in which there is the most interest. In five years what personally will the student be doing in the field of Social Work?
    1. Is there anything else useful to know that would be helpful in finalizing the Field Education site?
      A minimum score of 30/40 is required for acceptance in Field Education

Faculty use only: Rating Scores

 Application:          /10

 QPA:               /10

 Goals/Growth:             /10

NASW:            /10

 

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