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Angelo State University
Department of Social Work

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BSW Field Education Application Form B

In a well-written format, please address each of the following questions:

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Please address the following questions:

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(Please include any physical limitations/challenges you may have which might affect your placement in certain Field Education settings.)
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For which you have not sought treatment?
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What influence has this had on you today?
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And how have they affected you?
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(such as family, friends, or other relevant social systems)?
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How do you respond when stressed and what coping mechanisms do you use?
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What your expectations are, and what most concerns you about this Field Education experience:
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Involving your personal values and the social work professional values:
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FIELD EDUCATION REQUIREMENTS AND STUDENT COMMITMENT:

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By checking the boxes below, you are indication you meet the stated requirements.

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TERMS OF ACCEPTANCE

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