Dear Valued Field Placement Agency:
We appreciate your time and dedication to be a part of our field program. This agency questionnaire will provide information about your agency to be matched with student's interests in the Social Work Field Program. Please complete all questions to the best of your ability. If you should have any questions please contact your local CSS Field Faculty.
*Please check 'Same as Above' if you are the Contact Person listed above, or fill out the fields below.
Same as Above
Please list your professional academic degree(s), licensure and/or certification:
Consider what opportunities you may be able to offer our social work students, then respond to the following questions:
Please type or paste a description of your agency and what you do (mission statement, vision, values, goals, etc.). This description will be read by students.
*In reviewing the three levels of student internship opportunities our program offers, please check which level(s) of learning you believe your agency or department can accommodate. Please check all that apply:
*You must read the following agreement and check the box in order to continue.
The College of St. Scholastica
Duluth • Brainerd • Rochester • St. Cloud • St. Paul • Online
1200 Kenwood Avenue
Duluth, Minnesota 55811
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