UMB School of Social Work - PhD Program

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PhD APPLICATION REQUEST PhD INFORMATION

Degree Programs: BSW Program @ UMBC; MSW Program; PhD Program

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Application for Teaching Practicum (SOWK 837)

Name «
Address «
City «
State «
ZIP Code «
Home Phone Number «
Work Phone Number
E-mail Address «
Semester For Which Practicum Is Requested «
Preparation For Teaching And Background
SOWK 835 (Grade & Semester Taken)
Describe Teaching Experience
Years of Practice Experience
What Level(s) Are You Interested In Teaching? multiple selections allowed
What Course(s) Are You Interested In Teaching multiple selections allowed *minimum two-years post-MSW practice experience required
If Other Selected Above, Please Describe:
Years of Practice Experience
Are You Licensed in Maryland -- If So, Which Level
Are There Times Or Days When You Would NOT Be Able To Participate In The Practicum? (The SSW at UMB offers courses 9-12, 2-5, and 6-9 pm, Monday-Saturday. The SSW at UMBC offers courses Mon & Wed and Tue & Thur in 1.5 hour blocks and Fri 9-12)
Are There Teaching Sites Where You Would NOT Be Able To Teach Grad and undergrad classes are also offered at Shady Grove.
Are There Other Special Considerations We Should Know About
Is There A Particular Faculty Member To Whom You Would Like To Be Assisgned
Fields marked with "«" are required.

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