Get Field Placement Questionnaire - University Of Illinois At ...

Completing the Field Placement Questionnaire is an essential step for MSW students at the University of Illinois at Chicago to secure a field placement. This guide provides clear, step-by-step instructions to assist you in filling out the form accurately and efficiently online.

Follow the steps to complete your questionnaire online.

1. Click the ‘Get Form’ button to access the Field Placement Questionnaire and open it in your preferred editor.
2. Begin by entering your last name, first name, and the date in the designated fields to identify your submission.
3. Fill in your mailing address, including city, state, and zip code to ensure correspondence can reach you.
4. Provide your home phone, work phone, and cell phone numbers. Enter each number without spaces or dashes and press 'enter' after each for proper format.
5. Indicate whether you speak a second language by selecting 'Yes' or 'No.' If 'Yes,' specify the language or languages spoken.
6. State your form of transportation for attending the internship. Be clear about your mode of travel.
7. Enter your current employer's name and indicate if you will be working during the fall semester. If applicable, specify the number of hours you will work per week.
8. List any previous paid social service experience, followed by any volunteer experience. Provide details for both if applicable.
9. Identify any licenses, certifications, or relevant training you have completed that could assist in your field placement.
10. Describe what type of field placement you are seeking, that includes specific populations or focus areas you are interested in.
11. If you have a specific agency in mind for your placement in the Chicago area, mention it here along with the population they serve.
12. Indicate your second-year concentration choice you are considering, such as Child and Family, Community Health & Urban Development, Mental Health, or School Social Work.
13. Finally, share any additional information you would like to communicate regarding your first-year field instruction placement, ensuring you have fully expressed your preferences and concerns.
14. After completing all sections, review your entries for accuracy. Save the document, and you have the option to download, print, or share the completed form.

Begin filling out your Field Placement Questionnaire online now to ensure timely submission!