Checklist for Adding an Endorsement to a License s1

Checklist for Adding an Endorsement to a License

Have you included the $60 analysis fee?

Have you included the $50 endorsement processing fee?

Have you attached official transcripts of all college credits showing coursework required for this endorsement?

Folder# / Social Security # / Birth - Month Day Year
Last Name / First Name / Middle Name
Address / City / State / Zip Code
Home Phone
( ) / Work Phone
( ) / Email Address

School Social Worker

a. Authorization. An individual who meets the requirements of paragraph 15.3(15)“b” or 15.3(15)“c” is authorized to serve as a school social worker to pupils from birth to the age of 21 (and to a maximum allowable age in accordance with Iowa Code section 256B.8).

b. Option 1. Endorsement requirements. Master’s degree in social work from an accredited school of social work to include a minimum of 20 semester hours of coursework (including practicum experience) which demonstrates skills, knowledge, and competencies in the following areas:

(1) Social work: Study and knowledge in the following three areas:

1. Assessment (e.g., social, emotional, behavioral, and familial).

2. Intervention (e.g., individual, group, and family counseling).

3. Related studies (e.g., community resource coordination, multidiscipline teaming, organizational behavior, and research).

(2) Education: Study and knowledge in the following areas:

1. General education (e.g., school law, foundations of education, methods, psychoeducational measurement, behavior management, child development).

2. Special education (e.g., exceptional children, psychoeducational measurement, behavior management, special education regulations, counseling school age children).

3. Practicum experience: A practicum experience in a school setting under the supervision of an experienced school social work practitioner is required. The practicum shall include experiences that lead to the development of professional identity and the disciplined use of self. These experiences will include: assessment, direct services to children and families, consultation, staffing, community liaison and documentation. If a person has served two years as a school social worker, the practicum experience can be waived.

4. Completion of an approved human relations component.

5. The program must include preparation that contributes to the education of students with disabilities and students who are gifted and talented.

c. Option 2. Statement of professional recognition (SPR). The special education director (or designee) of the area education agency or local education agency must submit an application requesting that the authorization be issued. The application must include:

(1) An official transcript that reflects the master’s degree in social work; and

(2) The licensed independent social worker (LISW) or licensed master social worker (LMSW) license issued by the Iowa board of social work examiners.

(1) Assessment (e.g., social, emotional, behavioral, and familial).

Course Number / Course Title / Institution
/ Semester Hours
/ Year Completed
Course Number / Course Title / Institution
/ Semester Hours
/ Year Completed

(2) Intervention (e.g., individual, group, and family counseling).

Course Number / Course Title / Institution
/ Semester Hours
/ Year Completed
Course Number / Course Title / Institution
/ Semester Hours
/ Year Completed

(3) Related studies (e.g., community resource coordination, multidiscipline teaming, organizational behavior, and research).

Course Number / Course Title / Institution
/ Semester Hours
/ Year Completed
Course Number / Course Title / Institution
/ Semester Hours
/ Year Completed

(4) General education (e.g., school law, foundations of education, methods, psychoeducational measurement, behavior management, child development).

Course Number / Course Title / Institution
/ Semester Hours
/ Year Completed
Course Number / Course Title / Institution
/ Semester Hours
/ Year Completed

(5) Special education (e.g., exceptional children, psychoeducational measurement, behavior management, special education regulations, counseling school age children).

Course Number / Course Title / Institution
/ Semester Hours
/ Year Completed
Course Number / Course Title / Institution
/ Semester Hours
/ Year Completed

(6) Practicum experience: A practicum experience in a school setting under the supervision of an experienced school social work practitioner is required. The practicum shall include experiences that lead to the development of professional identity and the disciplined use of self. These experiences will include: assessment, direct services to children and families, consultation, staffing, community liaison and documentation. If a person has served two years as a school social worker, the practicum experience can be waived.

Course Number / Course Title / Institution
/ Semester Hours
/ Year Completed
Course Number / Course Title / Institution
/ Semester Hours
/ Year Completed

(7) Completion of an approved human relations component.

Course Number / Course Title / Institution
/ Semester Hours
/ Year Completed
Course Number / Course Title / Institution
/ Semester Hours
/ Year Completed

(8) The program must include preparation that contributes to the education of students with disabilities and students who are gifted and talented.

Course Number / Course Title / Institution
/ Semester Hours
/ Year Completed
Course Number / Course Title / Institution
/ Semester Hours
/ Year Completed

(9) An official transcript that reflects the master’s degree in social work.

Course Number / Course Title / Institution
/ Semester Hours
/ Year Completed
Course Number / Course Title / Institution
/ Semester Hours
/ Year Completed

(10) The licensed independent social worker (LISW) or licensed master social worker (LMSW) license issued by the Iowa board of social work examiners.

Course Number / Course Title / Institution
/ Semester Hours
/ Year Completed
Course Number / Course Title / Institution
/ Semester Hours
/ Year Completed