County area
ELIGIBILITY REQUIREMENTS:
internship completed after ALL coursework – 7000 level courses – for the MSW degree has been completed except for SOWK 7157, 7158, 7159, 8356, 8256, 8257) – 3 eight-week terms totaling a 24-week period
7157 +
If you have completed other Social Work internships, identify the agency and when completed?
BSW:
MSW Foundation:
As a student in the MSW Online Program, you are responsible for identifying an eligible site to complete your Field Education. This can be a lengthy process so please adhere to announced deadlines and procedures. Failure to do so may hinder your ability to begin Field Education in a timely manner and could delay graduation.
ELIGIBILITY REQUIREMENTS:
1. Minimum GPA of 3.0; and
2. Completion of required coursework (see #2 below); and
3. Have not exceeded allowable number of ‘C’ grades (see MSW Student Handbook)
3. Will you be requesting ADA accommodations for Field Education? If yes, you are required to register with OLLU Disability Services. Once your request has been processed, ADA needs verified, then needed accommodations will be sent in a letter to you to share with those you are requesting accommodations from.
Yes No
4. Do you plan on applying for a work-based placement? If yes, complete items below. For requirements, read the MSW Field Education Manual.
Yes No
e. Name of potential LMSW/LCSW Field Instructor (Cannot be employment supervisor or supervised by your supervisor):
i. Explain the differences between your employment responsibilities and the proposed field experiences?
j. Given your responses to Items “g, h, and i,” what aspects of your proposed field placement will provide new opportunities for applying knowledge and skills gained in the classroom to this practice setting?
k. URL/Website address for Item “f”:
l. What is the relationship of your work supervisor and the potential LMSW/LCSW field instructor? Please indicate if one supervises the other.
m. What is your relationship with the potential LMSW/LCSW Field Instructor?
n. I have sent a single email addressed to my current employment supervisor, my prospective Field Instructor, and the Worden Field Education Office ([email protected]) to receive written support and approval of this request. Insert date email sent:
*Submit your job description & organizational chart as “AP FA14 WORK SUPP your first & last name”
5. Identify populations with which you would like to work or are curious about and why, for instance, specific age groups, social issues (e.g. homelessness, domestic violence, substance abuse, mental health, probation, HIV/AIDS, teen pregnancy, etc.), settings (e.g. school, hospital, community center, etc.), or specific agencies with which you would like to work? More information is better than less.
6. Identify people, ages, problems or settings with which you prefer NOT to work? Explain why not?
More information is helpful.
7. Explain any issues/special conditions/limitations/circumstances which you think should be considered in fulfilling your field placement.
8. Identify and describe the strengths you will take into social work field placement.
9. List the pre-screened contact information of the LMSW/LCSW who has tentatively consented to serve as your Field Instructor:
Potential Field Instructor’s Phone Number w/Area Code
Summarize your conversation with the Potential Field Instructor in the box below. Include key points and information that may be relevant to the Field Education Office when they make contact with the agency.
10. Is there any information pertinent to your field placement that has not been identified in this application, including requests for field placement where you or a family member have received services?
Yes No
A response of yes may signal a dual relationship that could result in an ethical dilemma. If you responded yes, please discuss the information with the MSW Online Field Education Coordinator or provide a written discussion here:
You may not start Field Education until the below mentioned documents have been read and
your understanding of these are acknowledged in this application. Yes No 11. Have you ever been convicted of or charged with a crime in any state or country, the
disposition of which was other than acquittal or dismissal? If yes, please explain:
12. Field placement sites often require fingerprinting and completion of a criminal history background check. I acknowledge the need to discuss this with the MSW Online Field Education Coordinator. Do you acknowledge your understanding that placement may be delayed for a term until another placement can be confirmed should you choose non-disclosure that impacts a referral or results in the loss of a placement?
13. Have you read the current NASW Code of Ethics? Do you agree to abide by the NASW Code of Ethics in your field placement?
14. Are you aware that violations of the NASW Code of Ethics in field placement can lead to termination from Field Education courses and, if warranted, termination from your degree program?
15. Have you read the Worden School of Social Service Student Code of Conduct? Do you agree to abide by it in field placement?
16. Are you aware that violations of the Worden School of Social Service Student Code of Conduct in field placement can lead to termination from Field Education courses, and if warranted, termination from your degree program?
17. I understand that all computer hardware, software, network access, information and data provided to me as a social work student intern is the property of the agency in which I will be placed and should be used for official agency purposes only. I will not use the agency computer systems for personal or non-agency business related purposes. Do you agree to adhere to agency policy?
18. Field Education requires you to have access to a computer having minicamera
functionality so your Faculty Liaison can conduct required face-to-face field placement site visits (using Skype) with you and your Field Instructor. I understand that I must have this capability ready by the time I start Field Education.
19. The MSW concentration is practice with Hispanic children and families. I understand that if the agency I have identified cannot afford opportunities to gain culturally
competent knowledge, skills, and values through practice with Hispanic clients that it will not be approved as a field placement site.
20. Furthermore, if Hispanic populations do not exist in my community, I understand that I may need to commute or relocate at my own expense to meet Field Education
21. I understand that Field Education is limited to locations in the United States or DoD jurisdictions which adhere to the NASW Code of Conduct.
22. I understand that Field Education must be completed under the supervision of a Field Instructor who has earned an MSW degree from a CSWE-accredited program, has two years of post-MSW direct practice experience, and is social work licensed or certified by the state in which I will complete Field Education.
23. Digital Signature: By typing my name in the box below, I attest that I have completed this form, agree to the time length and hour commitment, and confirm my digital signature.
Name: Date:
If you do not follow the checklist below, your application will be returned for correction.
CHECKLIST OF DETAILS: Watch for Engage Field Education Workgroup posted deadlines & Q&A webinars
Proofread that all items have been completed.
Use the table below to name the application documents.
Per Question 3, if applying for ADA accommodations, letter from Disability Services (See table below)
Per Question 4, if applying for Field Education at your workplace, create a file having both your current job description and workplace organizational chart (See table below)
WHERE TO SUBMIT APPLICATION DOCUMENTS
MSW Online Students, in a single email to [email protected], with email subject line reading
“Application Term (designate term, e.g. SP14 Term B)” attach the documents noted in the table below. Do not send multiple emails.
DOCUMENT DOCUMENT FILE NAME
1. Application Ap Term (designate term, e.g. SP14 Term B) your first &
last name 2. Unofficial transcript (download from
WebAdvisor)
Transcript your first & last name
3. If applicable, workplace supplement file Ap Term (designate term, e.g. SP14 Term B) SUPP your first & last name
4. If applicable, ADA accommodation
letter from OLLU Disability Services ADA Letter your first & last name
If you do not follow these detailed instructions, documents will be returned to complete or rename as prescribed.
Questions? Contact the Worden School of Social Service Field Education Office at [email protected] or Professor Patricia Galan-Cisneros, Coordinator of Field Education for the MSW Online Program,
at 210-434-6711