/~socwork/new/documents/basw_application_2007.doc

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Bachelor of Arts in Social Work (BASW) Program Application Form

In determining the eligibility of an applicant for admission to the program, the admissions committee will consider:

Only completed application packets

All college/university work completed with emphasis on the prerequisite courses

Documented exposure to the field of social work/human services in a community service/volunteer or work setting

Suitability and fit for the profession

Resume, if available

PLEASE SEND TRANSCRIPTS FROM ALL SCHOOLS ATTENDED WITH

YOUR APPLICATION

(Note: You must be admitted to the University before you can be accepted into the BASW program)

Date _____________________________ Applying for Fall ________(year)

Name _____________________________

Address _____________________________

_____________________________

Date of Birth ______________________

Home phone

Other phone

________/_____________

_________/____________

Transfer Student? Yes______ No__________

From Where? ______________________

Class Status ______________________

Overall GPA: ______________________

I. PERSONAL STATEMENT OF ACADEMIC AND CAREER GOALS

A three to four page typewritten, double spaced paper is required.

Please address the following topics in your statement. All information is confidential and is only used to evaluate your potential for professional social work practice.

Experiences and/or relationships that have influenced your selection of social work as your professional career (family, education, volunteer involvement, employment, receipt of social services, relationships with social service agencies, etc)

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The values that are intrinsic to the profession of social work (e.g. service, acceptance of others, diversity, willingness to learn) and personal/life experiences that demonstrate your understanding and acceptance of such values

Your understanding of the responsibilities of the social work profession

Your experience with people of diverse backgrounds, cultures, and lifestyles; please include internship, course work, and experiences with service to others

Your reasons for selecting SFSU’s BASW program

Please put your name on the first page of your statement and attach it to this application

II. POTENTIAL FOR PROFESSIONAL PRACTICE

Community Service/Volunteer/Work Experience

(Please include service to others; internships; and course work experiences)

Community Service/Volunteer/ Work Experience is defined as formal and informal paid or non-paid helping situations and experiences. These include: experiences of helping family members, neighbors, and others, e.g. driving people to appointments, helping someone fill out documents, listening to others, etc.

Community Service/Volunteer/Work Experience : Beginning with your most recent first, list all volunteer experience you have had in human services within the past two or three years.

Dates HRS/WK Organization Position/ Title

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APPLICANT'S NAME________________________________________________

TO THE (COMMUNITY SERVICE/VOLUNTEER/WORK) REFERENCE:

The above individual is an applicant to the Bachelor of Arts in Social Work (BASW) Program at San Francisco

State University and has selected you as a reference. Please assist us in our evaluation of this candidate by providing a personal evaluation of his/her experience and qualifications for baccalaureate study. Please note that, by law, this information is available to the applicant unless s/he waives this right in writing.

_____ I waive my right to review this material

_____ I do not waive my right to review this material

Your observations and opinions about the applicant's potential to become a professional social worker are very important criteria in the School's admissions process. We appreciate, therefore, your full and frank assessment of the applicant's strengths and limitations. Our review of this candidate cannot begin until we receive your reference. The reference letter must be in a sealed envelope, signed across the back flap by the recommender.

Applications MUST be in the School of Social Work office by 5:00 pm on February 1, 2008. If you need more space, please attach an additional sheet.

Thank you for your assistance.

The School is not responsible for furnishing copies of this reference.

_________________________________ ____________

Signature of Applicant Date

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LETTER MUST BE TYPED OR PRINT

(PLEASE ATTACH ADDITIONAL PAGES AS NECESSARY)

1. How long and in what capacity (e.g. employer, teacher, friend, etc.) have you known the applicant?

2. If you have known this person in a work capacity (paid or community service/volunteer experience) how would you evaluate the quality of his/her performance? Specify the applicant's title and job responsibilities.

3. What is your assessment of the applicant's personal qualifications? (e.g. motivation, intellectual capacity, maturity, willingness to learn, flexibility, self-reliance, etc.)

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4. Our program emphasizes social work with oppressed/disadvantaged individuals and communities.

Comment on what you know about the applicant's experience working with such populations and his/her knowledge of and commitment to such groups.

5. What leadership roles has the applicant exercised in work, community, political or school activities?

6. Please indicate how you would rank this applicant in comparison to other students/colleagues you have known?

_____Top 1-2% _____Top 10% ____ Top 25% _____Top 50% _____Other

7. Please add any other information concerning the applicant, which you feel the Committee should consider.

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Signature:__________________________ Date: __________________

Title: _______________________ Name:____________________________

Address: _________________________________

_________________________________

Phone Number: _________________

Agency:

________________________________________

THIS FORM MUST BE SUBMITTED TO THE SCHOOL OF SOCIAL WORK OFFICE BY 5:00 PM

ON FEBRUARY 1, 2008.

(Letters post marked on February 1, 2008 will NOT be accepted.)

MAIL TO: SAN FRANCISCO STATE UNIVERSITY

SCHOOL OF SOCIAL WORK HSS 207

BASW Program Admissions

1600 HOLLOWAY AVENUE

SAN FRANCISCO, CA 94132

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