Prospective practicum instructor/task supervisor

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Thank you for your interest in supporting our undergraduate and graduate students

Please fill out the form below and submit your information to be considered for a position as a practicum instructor/task supervisor in our program. We will connect with you soon.

Practicum Instructor/Task Supervisor Application

Please indicate your practicum role:
Employee of the practicum site, without a social work degree, who will be primarily responsible for the student’s assigned, onsite practicum tasks. The task supervisor must work in conjunction with the practicum instructor, who will meet with the student weekly, and be available for additional consultation as needed. After checking this box, proceed to the signature and date portions and return the form to the practicum coordinator.
Professionals with a BSW, MSW, or MSSW degree from an accredited college/university of social work with 2+ years post-graduate, full-time experience in social work field; responsible to provide weekly, supervision with the student for both semesters, and work in conjunction with the assigned onsite task supervisor (if applicable) for additional consultation as needed.
Your social work degree(s) [select all that apply]

Please note: Social workers with BSW degrees and and two years experience, post-graduation, may supervise BSW students. 

Social workers with MSW and MSSW degrees and two years experience post-graduation may supervise BSW and MSSW students. 

Students in the alcohol and drug counseling concentration courses must receive supervision from individuals with a MSW, MSSW and appropriate state license/certification in alcohol and drug counseling.

PLEASE READ: States have various laws that define the scope of practice for students in practicum. Practicum Instructors will ensure that students will practice within these laws with student level responsibilities and scope of practice.

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