Global Practice Concentration Application

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Global Practice Concentration Application
Information contained in this application may be shared with representatives of the hosting organization.
Name:
Last
Gender: Male q
First
Female q
Current Address:
No.
Middle Initial
Age:__________
Street
City
Date of Birth: ___________
State
Zip
Country
Telephone: Home_______________________ Work
Cell___________________
(Circle which number is best to reach you)
E-Mail Address: ____________________________________________________________________
Please list all the languages you speak with a rating of how well you are able to communicate. This
information will be taken in to consideration in determining your placement. There will be a verification
process.
Language: ____________
Speaking:
Writing:
❏ Excellent
❏ Excellent
❏ Very Good
❏ Very Good
❏ Good
❏ Good
❏ Weak
❏ Weak
Language: ____________
Speaking:
Writing:
❏ Excellent
❏ Excellent
❏ Very Good
❏ Very Good
❏ Good
❏ Good
❏ Weak
❏ Weak
Please Indicate:
Clinical ❏
Macro ❏
Are you a citizen of the United States of America?
Yes q No q
If not, please specify country of origin:
_____________________________________
Please provide the following information
Name of Field Supervisor:
_____________________________________
Name of current Advisor:
_____________________________________
Please make certain the following are included in this application:
I. Responses to the questions
II. Two letters of reference from current Advisor and Field Supervisor
(You may provide an additional professional reference in support of your application)
III. Resume or CV
q
q
q
CORI CHECKS:
Some countries may require a work permit or other long term visa requirements to work/live internationally. The
work permit often includes a Criminal Offender Record Information (CORI) or a police clearance certificate from the
last 7 places the student resided. Applicants with a criminal record should be aware that they may be precluded
from the international field placement because they can not receive a work permit/visa. The School cannot
guarantee an international field placement for students with a record of a criminal offense.
Student Signature: ______________________________________
Date: ________
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Supporting Essay Questions
1. Write a statement about how participation in the Global Practice Concentration contributes to your
current learning goals and how it fits with your long term career goals.
2. Based on your previous experience, what knowledge and skills would you be able to offer the
hosting organization?
3. What professional knowledge and skills are you hoping to acquire from the Global Practice
program?
4. Describe your experience in cross cultural settings or bicultural environments. (What countries have
you lived/worked/volunteered in and for how long?)
5. What do you think will be the most challenging aspects of conducting a professional internship in a
cross cultural setting?
6. Describe a challenge you may have encountered in a work/volunteer setting. Tell us how you managed
the situation and where you turned for help.
7. Is there any setting or field of practice within which you feel you cannot work? If so, specify and
indicate your reasons.
8. Have you spoken to your family, close friends and/or significant other about this program, specifically
about the international field placement? How have they responded?
9. Please provide any further information which should be taken into consideration. Attach
additional pages, as needed.
Boston College School of Social Work
Eileen Ihrig, Director of International Programs
126 McGuinn Hall
140 Commonwealth Avenue
Chestnut Hill, MA 02467
Email: ihrig@bc.edu
Phone: 617-552-1612
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