Master of Social Work/Child Protective Services Stipend—EMPLOYEES ONLY $2,000 per semester Title IVE application Deadline for application is March 31st The Texas Department of Family and Protective Services and the University of Texas-Pan American offers a $2,000.00 stipend for each semester to Texas Department of Family and Protective Services’ employees. The employee contracts to do their field placements with Child Protective Services and continue to work full time for the agency after graduation for four (4) calendar months for each academic unit/semester that the student received a stipend. Please discuss the affect that this stipend would have on your financial aid package when considering your application. Name Social Security # Mailing address Physical address E-mail address Phone numbers GPA (must be 2.5+) Date when employee will begin program Unit, supervisor, and program director of employee Walter Lukaszek will review your statement of commitment, letters of reference, and transcripts that are submitted with your application to the Social Work Department. The Department of Family and Protective Services will make a determination if you have worked for two or more years, have a meeting job requirement or better annual evaluation, are not under corrective action, and verify that your program director and program administrator approve your participation in the stipend program. Return this form to Walter Lukaszek, UTPA Social Work Department, 1201 W. University Drive, Edinburg, Texas 78539. Interviews will be arranged with the Texas Department of Family and Protective Services to determine the award of a Title IVE stipend, if applicable. If you have any questions, contact Walter Lukaszek (wlukaszek@aol.com 381-3575) or Lydia Arizmendi (Lydiaa@panam.edu 381-2571) in the UTPA Social Work Department. www.panam.edu site index “S” Social Work MSSW Degree Program Prospective Applicants Application for the Graduate School (on line; print; mail) Application for the Social Work Department (on line; print; mail) Application for the stipend (request from Wlukaszek@aol.com )