Social Work Field Application (DOCX)

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Gordon College
Social Work Program
APPLICATION
FOR
FIELD PRACTICUM
JUNIOR SW STUDENTS
Due to Professor Sybil Coleman, Practicum Coordinator
Name:
-
Phone:
First Choice Semester for Practicum:
First Week of Spring Semester
Your Advisor:
Fall
_Spring
Year
What particular aspect of the generalist practice are you most interested in?
Micro
Mezzo
Macro
List your first and second choice for general field practicum location:
North Shore
Urban (Boston, Lynn, San Francisco) ___International
Please respond to the following questions on the next page: (no more than 2 pages)
Do you have an area of social work practice you are most interested in for your practicum?
(medical, schools, child welfare, advocacy, community development, etc)
What SW course has most inspired you? What course outside your major?
What is your greatest asset for social work practice? Greatest concern?
What issues are you particularly passionate about?
What skills would you like to acquire at your practicum site?
Can you give an example of the type of learning environment you might enjoy?
(large/small agency, highly structured position/ independent position)
Do you have a specific population you would like to work with at your practicum site?
Do you have a second language? Are you interested in a placement in that language?
Do you have cross cultural/international experiences not included on your resume?
What are your vocational interests? Where do you hope to work five years from now?
Do you have any special needs (emotional, physical, cognitive) to be considered or limitations
that could impact your assignment (transportation, housing issues, etc)
Signed
Date_
Please upload a Resume. (The Cooperative Education and Career Services office can
assist you with resume writing and review; however you can submit a draft.)
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