Field Education
MSW Field Instructor Credentials
All Field Instructors are required to have earned an MSW degree from a social work program accredited
by the Council on Social Work Education, to have had a minimum of 2 years post-MSW practice
experience with client systems of a variety of sizes, and to be licensed. Please confirm this through
providing us with the information requested below:
Name: ________________________________________________________________
Agency Affiliation: _______________________________________________________
Agency Phone Number: __________________________________________________
Licensing (i.e. LMSW, LCSW etc):
____________________________________________________
Agency email address:
__________________________________________________
Personal email address: __________________________________________________
Educational background:
Institution
Dates attended
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Degree conferred
Post MSW Professional experience:
Employer
Dates
Position
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Field instruction experience: (list institutions, number of students supervised)
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In addition please sign that you are in agreement with the following:
I value the educational process for graduate level students and in this light agree to:
 Expose students to learning opportunities that include diversity.
 Assist students in developing assessment and intervention skills that address a bio-psycho-socialspiritual-cultural and environmental context.
 Differentiate with students between student learning and employee expectations.
 Assist students in gaining a strength-based perspective in practice.
 Provide students assigned to my agency with a minimum of one hour of individual supervision per
week for 34 weeks, provide ongoing feedback to students, address performance issues with the student
and field liaison if needed should they arise.
 Attend the Field Instructor Orientation, and gain continual information by participation in seminars,
meetings, and written information organized by the Director of Field Education.
 Participate in the student and program evaluation process.
 Adhere to Binghamton University’s program mission.
 Adhere to the NASW Code of Ethics and professional values.
 Have an LMSW or LCSW
 Be licensed
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Field Instructor Signature
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Date
In order to receive library access we need the following information:
Your Home Address (Street, City, Zip):
Your Social Security #: _________________________
Date of Birth:
Visa Status, if any:
Please Return to:
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Binghamton University
P.O. Box 6000
Department of Social Work,
Binghamton, NY 13902-6000
Att. Sophia Resciniti, Director of Field Education