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Northern Michigan University
Bachelor of Social Work Program
Application for Field Placement


Personal Information: Please provide the following information to help in selecting a field placement for you.  Following reception of your completed survey, you will have one or more interviews with the field placement coordinator where you can discuss your interests.  Be as accurate and complete as you can when filling out the survey, but remember that you will have plenty of opportunity to change your mind.  this is only the starting point..

Note: Although thegoal is to have all placements established prior to the end of the Winter Semester, it is often necessary to contact students about placement matters during the summer months.If you do not use your NMU email address during the summer, you can easily arrange to have NMU email forwarded to another address. See Academic Computing for details.You are responsible for obtaining field placement information.


A note about background screening checks:

The process for student placement and/or employment in social work agencies generally stipulates that applicants possess good moral character, strong judgment, and the ability to successfully pass the rigors of a background investigation and a criminal history check.

 It is not the policy of Northern Michigan University’s Social Work Program to validate or ensure these prerequisite qualities in our majors. Each student is therefore advised that social service agencies may perform background investigations on students who wish to become involved in internships, field instruction or other activities that bring a student in close contact with agency information and service users. Additionally, students who may be employed in social service agencies and/or applying for social work licensure/certification, may be required to undergo criminal background checks. The nature and scope of the background investigation is the prerogative of the specific agency and is ordinarily subject to the consent of the applicant. Lack of consent would ordinarily remove an individual from placement consideration. Additional information in this regard is available to you by speaking with your academic advisor or BSW Program Director.
Please enter your name
Local Address
Phone number
E-mail addresses
Do you possess a valid drivers license?
Will you have a car available for commuting to and from placement?
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