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Department of Social Work

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BSW Field Education Application Form A

Field Education is a key component of Angelo State University’s social work program. The application for Field Education, MUST be completed prior to admission into Field Education.

Field Students must submit Application Part A and Application Part B.

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I. Personal Information:

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Name, Phone and Relationship
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II. Volunteer and Work Experience:

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Including name of social service organization, dates of involvement, and types of responsibilities you were involved with:
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(25 MB max)
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Write a one page summary telling the field director why you would be the best candidate for this agency.
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III. Potential Field Education Interest

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Many students have a particular population or setting in which they are interested in gaining experience. Please number your top five areas of interest. Your top area of interest will be #1, your second will be #2, and so forth:.
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Please provide any additional information that would be helpful in making your field education placement assignment (i.e., employment during semester, travel, financial limitations, etc.):
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FEEL FREE TO LIST BELOW ANY AGENCIES IN WHICH YOU HAVE AN INTEREST OR WOULD LIKE TO DISCUSS:
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IV. LIFE ISSUES, PERSONAL, AND PROFESSIONAL DEVELOPMENT:

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I certify that my answers are correct and complete to the best of my knowledge,
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