Fields marked with >> are required.
Name >>
Address >>
Telephone Number >>
Semester of Assistantship (Assistantships are offered for one semester only) >>
SOWK 835 (Grade & Semester Taken) >>
Previous Teaching Fellowship
Describe Other Teaching Experience
Independent Studies
SOWK 670 - Social Work Research
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 and 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 Southern Maryland (Waldorf) Eastern Shore
Are There Special Talents, Interests, or Abilities You Bring to Teaching?
Are There Special Considerations We Should Know About?