Get Field Instructor Background Form - Idaho State University

Filling out the Field Instructor Background Form is an essential step for engaging with the Social Work Program at Idaho State University. This guide will provide you with clear instructions on completing the form online, ensuring that you provide all necessary information accurately.

Follow the steps to complete the form successfully.

1. Press the ‘Get Form’ button to access the Field Instructor Background Form. This action will open the form in an online editor.
2. Enter your full name in the designated ‘NAME’ field. Ensure that you use your legal name as it appears on official documents.
3. Provide your email address in the ‘EMAIL’ field. Verify that your email is typed correctly, as this may be used for further communication.
4. In the ‘AGENCY NAME’ field, enter the name of the organization where you are currently employed.
5. Fill in the ‘AGENCY ADDRESS’ section with the complete address of your agency, including the street, city, state, and zip code.
6. Provide the current date in the ‘DATE’ field.
7. Enter your telephone number in the ‘TELEPHONE’ section. Include your area code.
8. Indicate your official title at the agency in the ‘TITLE AT AGENCY’ field.
9. In the ‘DATE EMPLOYMENT BEGAN AT THIS AGENCY’ section, select or type the date when you started your employment there.
10. Describe your job description and role at this agency in the ‘JOB DESCRIPTION AND ROLE AT THIS AGENCY’ field, highlighting your responsibilities.
11. If applicable, enter your social work license number and certification information in the corresponding fields.
12. Fill in the details regarding your first and second degrees under ‘FIRST DEGREE’ and ‘SECOND DEGREE’ fields.
13. In the ‘TOTAL YEARS POST SOCIAL WORK DEGREE EXPERIENCE’ field, calculate and enter the total years of relevant experience you possess.
14. List your educational qualifications by entering the first and second college/university you attended in the provided fields.
15. Enter the graduation years for each degree under ‘FIRST GRADUATION YEAR’ and ‘SECOND GRADUATION YEAR’ sections.
16. Provide details about your social work employment history by listing the first, second, and third agencies you have worked with and your title at each.
17. Under the years with each agency section, indicate how many years you worked at each listed organization.
18. If you have experience as a practicum field instructor, indicate this in the designated field.
19. Once all information is complete, review your entries for accuracy. You may then save your changes, download, or print the form as necessary.
20. Submit the completed form to the Field Director, Staci Jensen-Hart, via email at hartstac@isu.edu.

Begin filling out the Field Instructor Background Form online today to enhance your connection with Idaho State University's Social Work Program.