UMB School of Social Work

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Application for Teaching Fellowship

Name «

Address «

City «

State «

ZIP Code «

Phone Number «

Semester of Assistantship «

Assistantships are offered for one semester only

Are You Applying For A Full-time GTA (two courses per semester) or a Half-time GTA (one course per semester)? «

Full-time

Half-time

Preparation for Teaching

SOWK 835 (Grade & Semester Taken) «

Teaching Practicum SOWK 837 (Grade & Semester Taken «

Faculty Member (Name & Course Taught)

SOWK 822 (Grade & Semester Taken) «

Previous Teaching Fellowship

Describe Other Teaching Experience

Independent Studies

What MSW Courses Are You Qualified To Teach?

SOWK 670 - Social Work Rsearch

[ Yes ] [ No ]

SOWK 600 - Social Welfare & Social Policy

[ Yes ] [ No ]

SOWK 630 - Social Work Practice with Individuals

[ Yes ] [ No ]

SOWK 631 - Social Work With Organizational Systems & Communities

[ Yes ] [ No ]

SOWK 632 - Social Work Practice With Groups & Families

[ Yes ] [ No ]

SOWK 640 - Human Behavior I

[ Yes ] [ No ]

SOWK 641 - Human Behavior II

[ Yes ] [ No ]

Other (Which?)

How Many Years of Practice Experience Have You Had?

Are You Licensed in Maryland? (If so, which level?)

Are There Times or Days Where You Would NOT Be Able To Teach?

SSW offers courses at 9-12, 2-5, and 6-9 p.m. Monday-Saturday

Are There Teaching Sites Where You Would NOT Be Able to Teach?

Western Maryland (Hagerstown)

Shady Grove (Gaithersburg)

Southern Maryland (Waldorf)

Eastern Shore

Are There Special Talents, Interests, or Abilities You Bring To Teaching?

Are There Special Considerations We Should Know About?

Fields marked with "«" are required.

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