Get Agency Data Form - University Of Illinois At Chicago

Completing the AGENCY DATA FORM for the University Of Illinois At Chicago is an essential task for agencies interested in student placements. This guide provides detailed instructions to ensure that users can effectively fill out the form online.

Follow the steps to complete the AGENCY DATA FORM online.

1. Click the ‘Get Form’ button to access the form and open it for editing. This allows you to download and fill out the necessary information.
2. Begin by indicating your preference regarding agency listings. Check the appropriate box to confirm if you wish to continue being listed as an agency accepting future student placements.
3. Enter today's date in the designated field. This helps provide a clear record of when the form is filled out.
4. In the Agency Contact Information section, fill in the agency name or school name, phone number, address, fax number, city, state, and zip code accurately.
5. Provide the web address and enter either the agency email or the field instructor email to facilitate future communication.
6. Identify the agency field instructor by entering their email address and contact phone number. This person will serve as a primary contact for any inquiries.
7. If the placement is related to a school, include the district office information by stating the district name, number, office address, city, state, zip code, and phone number.
8. Select the agency type by checking all applicable boxes, such as Foundation, Child and Family, School, Mental Health, or Community Housing and Urban Development.
9. Indicate the availability of student placements by checking off and writing in the year when they will be available. Fill in the number of available Foundation placements for each term: Spring, Summer, and Fall.
10. Complete the section for concentration placements by indicating the availability and writing a brief description of the agency and field placement experience in 75 words or less.
11. After filling out all relevant information, ensure all fields are complete. Finally, save your changes, and proceed to download, print, or share the form as necessary.

Complete your AGENCY DATA FORM online today to ensure your agency is listed for future student placements.