BRIDGEWATER STATE UNIVERSITY

MASTER OF SOCIAL WORK PROGRAM

APPLICATION FOR FOUNDATION YEAR PLACEMENT

Name: ______

Address: ______

Phone: (day) ______(evening) ______(cell) ______

BSC email: ______

What languages (other than English) do you speak fluently? ______

Most agencies require some commuting and a car is needed. Many agencies require a car for home visits.

Will you have access to a car? Yes ______No ______

Students can expect to travel up to one hour to get to their placement. However, we do take geographical and other needs into consideration.

Will you be employed during the academic year (Sept. – May) Yes ______No ______

If yes, where and in what capacity? How many hours a week do you plan to work?

Foundation year students are in placement 16 hours per week. Although the MSW Program does not specify placement days, many agencies require students to be in placement on specific days. Most agencies operate on a 9-5 or 8:30-5:30 schedule. Supervision is generally not available after 5:00 pm. Nights and weekend placements are not widely available. Please plan accordingly.

Please Note: Most agencies will do a background check (CORI) for criminal offenses. If there is any legal issue in your background that you are concerned about you are requested to inform the Coordinator of Graduate Field Education. Students who have a criminal conviction need to be aware that this may affect acceptance for placement and/or future ability to become licensed in some states. Many agencies also require a TB test.

The primary objective of the first year placement is to provide a foundation in generalist social work practice. The Coordinator of Graduate Field Education will consider the following factors in matching students with a field placement:

·  Responses to questions on this application

·  Review of student’s résumé

·  Availability of approved foundation year placements

Please take time to think about and answer the following questions:

What area(s) of social work are you interested in working in after graduation? Please list three areas of interest.

What are your long range career goals? ______

What skills and knowledge do you bring to your foundation year placement? ______

Are there social work placements that would not be appropriate for you? Yes _____ No ______

If yes, please explain.

Are there any special needs that we should be aware of in planning your placement? Yes_____ No _____

If yes, please explain.

RELEASE OF INFORMATION

I understand and agree that the information provided on this form and my résumé will be shared with Bridgewater State University Social Work Faculty and prospective Field Instructors to facilitate my foundation year placement.

______

Signature Date

Return this form and three copies of your current résumé to:

Marcia Tarr, Administrative Assistant I

MSW Program

School of Social Work

Bridgewater State University

95 Burrill Avenue

Bridgewater, MA 02325