Introduction:

As you may know, the federal Child Abuse Prevention & Treatment Act (CAPTA) was reauthorized in December of 2010. A new provision in this reauthorization now requires states to annually report demographic data on all state Child Protective Services workers [42 USC Sec. 5106a].

We currently have in place a method to obtain quick demographic data on our staff, with the exclusion of education level and, more specifically, the area of education. We are working closely with human resources on a way to extract this data from personnel files, but for the upcoming annual report we are relying on field social workers and supervisors to complete this very brief survey. Thank you for your assistance in this process!

First Name: ______Last Name: ______

As of today’s date what is your current position title:

Social Worker 2

Social Worker 3

Social Worker 4

Social Worker 6

Social Work Supervisor

Social Work Administrator

As of today’s date what is highest level of degree you have obtained (pick only one):

No Degree

Associates Degree

Bachelor of Arts/Bachelor of Science (BA/BS)

Master’s Degree

Doctorate Degree

If you do not currently hold a BA/BS degree or higher you are finished with this survey and may finish now.

If you have obtained a BA/BS, please identify your degree area:

BA/BS in Social Work

BA/BS in a human service related field (i.e. Human Services, Psychology, Sociology, Criminal Justice, etc.)

BA/BS in another area, please identify: ______

If you have obtained your Master’s Degree, please identify your degree area:

Master of Social Work (MSW)

Master in a human service related field (i.e. Human Services, Public Administration, Counseling and Rehabilitation, Marriage and Family Therapy, etc.)

Master in another area, please identify: ______

If you have obtained your Doctorate, please identify your degree area: ______

As of today’s date, do you hold a current license in the State of Iowa as a Social Worker:

Yes

No

If you are a licensed Social Worker, what level is your current license:

LBSW

LMSW

LISW