<p> School of Social Welfare Field Education Office</p><p>APPLICATION FOR INTERNATIONAL FIELD PLACEMENT SUMMER 2017</p><p>Student Name: Click here to enter text. Student ID: Click here to enter text.</p><p>Address: Click here to enter text.</p><p>Email: Click here to enter text. Phone Number: Click here to enter text.</p><p>Completed Generalist Field Practicum Satisfactorily: Yes ☐ No ☐</p><p>For students currently in Generalist Field, indicate anticipated completion date: Click here to enter text.</p><p>Generalist Field Practicum Information</p><p>Field Placement: Click here to enter text. Field Instructor: Click here to enter text. Generalist Field Completion Year: Click here to enter text.</p><p>Choose which international field placement you are applying for in 2017:</p><p>Scotland ☐ Application Due Date: November 14, 2016 South Africa ☐ Ghana ☐ Dominican Republic ☐ </p><p>Your complete application must include:  Current resume delineating full-time work experience with dates  List of your completed masters-level courses  One letter of recommendation from your Generalist practicum field instructor  One academic letter of recommendation  A personal statement describing your readiness for an international field placement</p><p>For the personal statement, respond to the following in no more than five double-spaced pages: 1) Explain your reasons for wanting to do an international field placement. 2) How does an international field placement align with your social work career goals? 3) What do you expect to gain from this experience? 4) What strengths would you bring to your learning experience? What challenges do you anticipate experiencing and how will you address those challenges? 5) Plans for addressing different cultural experiences, being away from social supports and living in an environment different than your current community of residence.</p><p>Richardson Hall 135 Western Avenue, Albany, NY 12222</p><p>PH: 518-442-5321 FX: 518-442-5202 www.albany.edu School of Social Welfare Field Education Office 6) Describe any international travel you have engaged in and what you learned from the experience(s). School of Social Welfare Field Education Office Statement of Completion International Field Practicum Application</p><p>Student Name: Click here to enter text.</p><p>I am submitting a completed international field application packet that includes:</p><p>☐ Completed and Signed Application ☐ A current resume ☐ A letter of recommendation from my Generalist practicum field instructor ☐ An academic letter of recommendation ☐ A personal statement ☐ Listing of courses taken</p><p>My signature below serves as my agreement to the expectations outlined in the International Field Education Overview. I understand that an interview is part of the selection process and agree to participate for consideration of an international field placement. To be eligible to participate in an international field placement, I understand that I must satisfactorily complete Field Instruction I and II and that I must remain in good academic and professional standing at the University at Albany School of Social Welfare. I agree to uphold the School of Social Welfare’s standards for Social Work Education. If selected, I agree to register for the advanced practice course, RSSW 786 – Policy and Practice of International Development during the Spring 2017 semester. </p><p>Signature ______Date ______</p><p>FOR OFFICE USE ONLY</p><p>Reviewer(s): ______</p><p>Review Date: ______</p><p>Summary Notes: ______</p><p>Richardson Hall 135 Western Avenue, Albany, NY 12222</p><p>PH: 518-442-5321 FX: 518-442-5202 www.albany.edu School of Social Welfare Field Education Office Decision: Accept ☐ Decline ☐</p>