Bachelor of Social Work Practicum Application (BSW)

SUU Bachelor of Social Work Practicum Application

On-Campus Students
If your information listed changes before beginning your field education/practicum placement process, you will need to resubmit this form no later than March 1st for Spring Practicum and November 1st for Spring Practicum.
Applicant Name

First NameLast Name
Applicant Email
example@example.com
T-Number
Current Place of Employment
Will you continue this employment during your practicum?

YesNo
Is there anything that would cause you to not pass a background check?

YesNo
Please discuss with the practicum director.
Which term are you planning to complete practicum?
Which year are you planning to complete practicum?
Will you have completed all prerequisite done by the beginning of the semester?

YesNo
Prerequisites are: SW 2100, 3100, 3200, 3300, 3350, 3370 and 4500

If no, prior approval needed to take concurrently
What are your current career interests?
Are there any populations you prefer NOT to work with?

YesNo
If yes, please provide a brief explanation
Supporting required documentation:
- Resume with educational, professional, and volunteer experience relevant to a career in social work that includes agency name, supervisor name, dates worked, and how many hours worked per week/month as well as a total number of hours for volunteer and professional experience
Practicum Applications

Browse Files

Cancelof
Is there anything else the field education faculty needs to be aware of regarding your potential practicum placement?
Practicum Preferences:
Assigned Practicum Site:
Assigned Field Education Faculty:
Date Approved:
Date and method student was informed of Practicum Assignment
Additional Comments if any
Should be Empty:

SUU Bachelor of Social Work Practicum Application