SOCIAL WORK PROGRAM
APPLICATION FOR ADMISSION
DATE:_____________________________
NAME:_________________________________________________________
ID#:_____________________
LOCAL ADDRESS:__________________________________________________________________________
_________________________________________________________
LOCAL TELEPHONE NUMBER:
H___________________________ CELL_______________________________
CUMULATIVE GPA:________ Note: A 2.25
cumulative GPA is required for admission to and graduation from the Social Work
Program.
YEAR IN SCHOOL: 1 2
3 4 Note:
A student must hold at least Junior status to apply to
the Social Work Program.
NUMBER OF HOURS COMPLETED:____________
NUMBER OF HOURS THIS SEMESTER:__________
HAVE YOU COMPLETED WITH A GRADE OF “C” OR BETTER:
SW 250
YES NO
SW 350 YES
NO
IF NO, ARE YOU CURRENTLY ENROLLED?
YES NO
IF YES, IN WHICH?_________
Note: A grade of “C” or better is required in all
courses counted toward the social work major. If the student receives a
grade lower than a “C,” the course must be retaken until a “C” is earned.
DO YOU AGREE TO ABIDE BY THE NASW CODE of ETHICS? Students are given a
copy of the Code in SW 350 and it can be downloaded from
http://www.socialworkers.org.
YES NO
SIGNATURE:_________________________________________________
By signing this application, I declare the above information to be truthful and
correct.
Please attach a 2-3 page typed,
personal statement describing your interest in the social work major and the
field of social work. Include any related experience you have had as well
as your personal qualities that will contribute to your success in social
work. Also include your career goals and future plans.