Please note that you will not be able to save this application and come back to it later.  Your work will not be saved.

As you complete your application, keep in mind that you are writing for two audiences. The first audience is the Field Education Office who will review your application and help determine the Field Site that will be the best fit for your Field Education. The second audience is the individual(s) at the potential Field Site who will interview you for consideration of a Field Placement with their organization. Your application will be shared with the Field Site to facilitate their preparation to interviewing you for Field Education.

Components of the Field Education Application:

• Identifying Information
• Fields of Practice
• Uploads required:
  • One document that contains your current resume AND three field of practice essays
  • Photo of yourself
• Factors Considered in Assigning Field Placement
• Personal and Professional Information

First Name *

Last Name *

Pronouns *
- Select Option he/him/his she/her/hers they/them they/she they/he

Please enter your G-number *

Email *

Phone *

Country *
- Select Country Afghanistan Aland Islands Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua and Barbuda Argentine Republic Armenia Aruba Australia Austria Azerbaijan Azores Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia and Herzegovina Botswana Bouvet Island Brazil British Virgin Islands Brunei Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile China Christmas Island Cocos Colombia Comoros Congo Cook Islands Costa Rica Cote D'Ivoire Croatia Cuba Cyprus Czech Republic Denmark Djibouti Do Not Use Do Not Use Do Not Use Dominica Dominican Republic East Timor Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Falkland Islands Faroe Islands Fiji Islands Finland France French Polynesia Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guernsey Guinea Guinea-Bissau Guyana Haiti Honduras Hong Kong Hungary Iceland India Indonesia Iran Iraq Ireland Isle of Man Israel Italy Jamaica Japan Jersey Jordan Kazakhstan Kenya Kiribati Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macau Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia Moldova Republic of Monaco Mongolia Montenegro Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands Netherlands Antilles New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island North Korea Northern Mariana Islands Norway Oman Pakistan Palau Palestinian Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Island Poland Portugal Puerto Rico Qatar Reunion Romania Russia Rwanda S Georgia Sandwich Islands Saint Helena Saint Kitts and Nevis Saint Lucia Saint Pierre and Miquelon Saint Vincent The Grenadines San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Slovak Republic Slovenia Solomon Islands Somalia South Africa South Korea Spain Sri Lanka Sudan Suriname Svalbard Swaziland Sweden Switzerland Syria Taiwan, Rc Tajikistan Tanzania Thailand The Bahamas The Congo Togolese Republic Tokelau Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Turks and Caicos Islands Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United States of America Uruguay Uzbekistan Vanuatu Vatican City Venezuela Vietnam Virgin Islands (British) Virgin Islands (US) Wallis and Futuna Western Sahara Western Samoa Yemen Zambia Zimbabwe

Local Address *

City *

State/Province *
- Select State Alabama Alaska American Samoa Arizona Arkansas Armed Forces Afr/Can/EU/ME Armed Forces Americas Armed Forces Pacific Baker Island California Colorado Connecticut Delaware Federated State of Micronesia Florida Georgia Guam Hawaii Howland Island Idaho Illinois Indiana Iowa Johnston Atoll Kansas Kentucky Kingman Reef Louisiana Maine Marshall Islands Maryland Massachusetts Michigan Midway Islands Minnesota Mississippi Missouri Montana Navassa Island Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Northern Mariana Islands Ohio Oklahoma Oregon Palau Palmyra Atoll Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Trust Territory of Pacific Utah Vermont Virgin Islands Virginia Wake Island Washington Washington D.C. West Virginia Wisconsin Wyoming - Select Province Alberta British Columbia Manitoba New Brunswick Newfoundland and Labrador Northwest Territories Nova Scotia Nunavut Ontario Prince Edward Island Quebec Saskatchewan Yukon

Zip/Postal *

Geographic Location Preference for Field Education (please check all that apply) *
Grand Rapids/Kent County
Allegan
Holland
Ionia
Lansing
Muskegon
Not listed Please specify a value for Geographic Location Preference for Field Education (please check all that apply)

Provided below is a list of Social Work fields of practice. From the list, select 3 fields of practice in which you would like to complete your Field Education.
 

Fields of Practice:

• Administration                                                             
• Aging/Gerontology                                                     
• Child Welfare                                                             
• Community Planning                                                 
• Criminal Justice                                                         
• Developmental Disabilities                                         
• Domestic Violence                                                   
• Family Services                                                         
• Group Services
• Health
• Housing
• LGBTQIA2S+
• Mental Health
• Program Evaluation
• Public Assistance
• Refugees
• Rehabilitation
• School Social Work
• Social Policy
• Substance Use
• Veterans

First Choice *

Second Choice *

Third Choice *

Please upload one document that includes your up-to-date resume and your 3 field of practice essays. This document will be sent to the prospective field placement site.  Please place your resume as the first page of your document.  Ensure your resume includes your name!  The proceeding pages should be your three one-page essays, one for each of the three fields of practice you wish to be considered for your Field Education. The essays will serve as a sample of your writing for the person who will interview you at the field site, therefore they should reflect your best written work. In each essay please address the following:

1. What do social workers do in this field of practice?  Who do they work with?  What settings might they work in?  Answer these questions by identifying the various roles and positions a Bachelor level social worker might hold within this field of practice, such as engaging with individuals, families, groups, organizations and/or communities.
2. Share your interest and suitability for this field of practice.  Why do you want an internship in this field of practice? What makes you a suitable candidate for an internship in this field of practice?

Each essay must be typed and no more than 1.5 pages in length.  Use course texts, reputable web sites, and/or journal articles to support your research. Appropriately cite sources where necessary.  A cover page is not needed, but please label the field of practice at the top of the essay.

Please upload your resume and essays in one document *
Please upload a file with the extension .doc, .pdf, .rtf, .docx, .pub, or .txt with a maximum size of 10 MB (10240 KB)

Please upload photo *
Please upload a file with the extension .bmp, .gif, .jpeg, .jpg, .png, or .tiff with a maximum size of 1 MB (1024 KB)

Are you fluent in a second language other than English? *
- Select Option Yes No

If yes, list the language below *

Levels of proficiency *
Bilingual
Conversational
Beginner

Are you fluent in a third language other than English? *
- Select Option Yes No

If yes, list the language below *

Levels of proficiency *
Bilingual
Conversational
Beginner

Please rate your computer skills (check one) *
- Select Option Not Proficient Proficient Advanced

Do you have a valid driver's license? *
- Select Option Yes No

Will you have access to a car on days when you will be at your field agency? *
- Select Option Yes No

You are required to meet your own transportation needs to and from the field agency. Do you anticipate any transportation problems or limitations i.e. no license, no car, etc.? *
- Select Option Yes No

If yes, explain: *

Do you plan to work 30 or more hours during the semesters you are enrolled in field education? *
- Select Option Yes No

Do you have availability to complete your hours of field education during regular business hours? i.e. 8:00 a.m.-5:00 p.m. *
- Select Option Yes No

Are you able to accept a Field Education Placement that provides Field Education hours beyond the standard work day? i.e. during evening hours *
- Select Option Yes No

Are you able to accept a Field Education Placement that offers weekend hours? *
- Select Option Yes No

What are your preferences as to the kind(s) of populations or issues with which you would like to work with in Field Education? Please explain why. *

What kind(s) of populations or issues would you not be comfortable working with in Field Education? Explain why. *

Please explain how you learn best. For example, do you learn best by doing or do you prefer to observe before doing? Do you prefer a self-directed, flexible environment or structured & predictable environment? Fast-paced or slower pace? *

Please identify where you will complete, plan to complete, or did complete 45 volunteer hours for SW 348. *

Is there anything else you would like the BSW Field Education Coordinator to know and/or take into consideration when placing you? (Your answer will not be shared with the potential Field Site.)

Most Human Service Agencies require student interns to submit to a criminal history background check. It is therefore critical that you are informed of how a criminal history background may impact your Field Education. Please carefully read the statements below.

• I understand that any past, current or pending felonies, criminal charges, listing on the central registry, convictions, and/or penalties against me in any jurisdiction may make me ineligible for Field Education Placement.
• I understand that I am required to disclose any past, current, or pending felonies, criminal charges, convictions, listing on the central registry, and/or penalties in this application.
• I understand that failure to disclose any past, current, or pending felonies, criminal charges, convictions, listing on the central registry, and/ or penalties in this application may result in disciplinary action by Grand Valley State University School of Social Work.
• I understand that along with the rest of my Field Education Application, the “Criminal History Background Information” portion of my Field Education Application, will be made available to Field Sites that I will interview with for Field Education Placement.
• I understand that even though the “Criminal History Background Information” portion of my Field Education Application will be made available to Field Sites, I am required to disclose all past, current, or pending felonies, criminal charges, convictions, listing on the central registry, and/or penalties when I interview for Field Education Placement with a Field Site.
• I understand that failure to disclose any past, current or pending felonies, criminal charges, convictions, listing on the central registry, and/or penalties when I interview for Field Education Placement with a Field Site will result in disciplinary action by Grand Valley State University School of Social Work.
• I understand that it is my responsibility to inform the Field Site and the School of Social Work’s Field Education office at Grand Valley State University of any new felonies, criminal charges, listing on the central registry, convictions, and/or penalties that occur after I have begun Field Education Placement. Failure to disclose such new felonies, criminal charges, convictions, listing on the central registry, and/or penalties can result dismissal from the Field Site and disciplinary action by Grand Valley State University School of Social Work.
• I am aware that it is my responsibility to educate myself on how past or pending felonies, criminal charges, convictions, listing on the central registry, and/or penalties may affect my ability to be licensed as a social worker.

Do you understand and agree to the previous statements? *
Yes, I do

Do you have any past, current or pending felonies, criminal charges, convictions, listing on the central registry, and/or penalties in any jurisdiction? *
- Select Option Yes No

If yes, please briefly explain: *

I have completed this application as accurately as possible and understand that it will be used to determine the Field Placement Site to which I will be assigned, and one that best meets my educational needs.  I agree to the release of information from my academic file for the purpose of arranging Field Education placements and evaluating practicum progress.