University of Nevada, Las Vegas
Greenspun College of Urban Affairs
School of Social Work
School of Social Work University of Nevada, Las Vegas Box 455032 4505 Maryland Parkway Las Vegas, NV 89154-5032 (702) 895-3311 telephone (702) 895-4079 facsimile
General Field Practicum Information
Introduction letter
Procedure
Interest Form * indicates required fields.
Agency/Program Name:
*Address Line 1:
Address Line 2:
*City: State: Select One Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Zip:
Contact Person Title: (e.g., Mr., Ms., Dr.)
*First Name: Middle Name/Initial:
*Last Name:
List degrees earned:
Phone: - -
Fax: - -
*E-Mail Address:
Agency Program Description - Population Served - Services Provided
Site appropriate for and will accept: (Please check all that apply) BSW MSW (Foundation Year - 1st Year) MSW (Direct Practice - 2nd year) MSW (Administrative Practice & Planning - 2nd Year) MSW (Child Welfare - 2nd Year)
Comments- Describe any unique experience/opportunities your agency can offer to students:
Does your agency offer a student stipend? Yes No
Interest Statement
The criteria for the selection of field agencies is as follows:
The criteria for the selection of agency field instructors is as follows:
UNLV provides an orientation for which attendance is mandatory for all field instructors. The purpose of the orientation is to:
General problem-solving procedure: recommended steps and available resources: