SOCIAL WORK PROGRAM - Liberty University



Residential172529512820652015-2016002015-2016Bachelor of Science in Social Work Gate One Applicationcenter2089152015-2016Gate One Admissions Requirements ChecklistComplete and submit a Summary of Prerequisites (page 3) showing completion of at least 30 semester hours of the general education requirements and successful completion or current enrollment in the following courses: SOWK 101 Introduction to Social WorkSOWK 120 Social Work Field ExplorationPSYC 101 General PsychologySOCI 200 Introduction to SociologySOWK 260 Chemical DependencySOWK 150 Intensive Social Work ObservationHLTH 216 Interpersonal HealthSOWK 270 Ethics in Professional HelpingBIOL 102 Human BiologyEarn a cumulative GPA of 2.5 or better. Submit a copy of your Degree Completion Plan Audit (DCPA) from CRM. Make sure your DCPA is current. (Students must have a C or better in all social work classes).Complete and submit the Gate One Application to the social work office, including an Autobiographical Statement detailing your interest in social work.Please also note that certain laws and judicial actions override our commitment to mutual confidentiality. These include mandated reporting of physical or sexual abuse of children, incapacitated adults and elders, threats of suicide or homicide, and other statutes required by law. Please consult your ethics codes and state policies for further information. Additionally, university policy requires faculty to contact the Title IX Office when a student reports past or present abuse. In cases like this, your privacy will be respected by the Title IX office; however, you will be contacted by them so they can offer you supportive resources.Submit three Letters of Recommendation.Pastor, youth pastor, or volunteer supervisorProfessionalColleague or adult friend (over 25 that has known you for at least 2 years) Summary of Pre/Co-requisitesName: ________________________________________________________________________ID#: __________________________________________________________________________Advisor: _______________________________________________________________________Cumulative GPA: _____________________________________ (must have a 2.5 or better)Date: _____________________ Signature: ___________________________________PREREQUISITE COURSES: Please indicate grade received for these required courses. (IF A COURSE HAS NOT BEEN TAKEN, PLEASE PUT DOWN WHEN IT WILL BE; INDICATE IF WAIVED).________SOWK 101 ________SOWK 120 ________SOWK 150 ________PSYC 101________ BIOL 102_________SOCI 200_________HLTH 216_________ SOWK 260_________ SOWK 270Gate One Admissions Application_________________________________ ___________________________________ (Name)(Email)_______________________________ ___________________________________ (Present Address, City, Zip) (Permanent Address, City, Zip)________________________ Do you text and receive texts on your cell phone? ________(Cell Phone)Education________________________________________________________(Name of High School)_________________________________________________(City, State)__________________________(Graduation Date)____________________________________________________________________________(Name of other Colleges attended)_________________________________________________(City, State)_________________________________________________(Expected Date of Graduation from Liberty University)Employment and Volunteer History(Place of Employment—present or most recent)Dates of EmploymentResponsibilities: ______________________________________________________________________________ ____________________________________________________________________________________________________________________________________________________________(Place of Employment—previous)Dates of EmploymentResponsibilities: __________________________________________________________________________________________________________________________________________________________________________________________________________________________________________(Place of Employment—previous)Dates of EmploymentResponsibilities: __________________________________________________________________________________________________________________________________________________________________________________________________________________________________________(Place of Employment—previous)Dates of EmploymentResponsibilities: _____________________________________________________________________________________________________________________________________________Extracurricular Activities________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ Personal InformationMy strengths: I use my strengths in these situations: Areas where I recognize I need to improve: I am attempting to grow in these areas by: My career interests upon graduation are: Other Pertinent InformationIs there any additional information you would like to share that would help us maximize your experience? ____________________________________________________________________________________________________________________________________________________________Transportation Plan for Field Experience ____________________________________________________________________________________________________________________________________________________________Driver's license (check one): ? YES? NOInsured car available (check one): ? YES? NOIn case of emergency, notify:Name Phone Number ___________________________Address _______________________________________________________________________ City _________________________________________________________________________ State ______________________________________ Zip __________________________ Email _________________________________________________________________________ Autobiographical StatementPlease type and attach to the application a statement that will allow the Social Work Department to understand more fully your interest in this field of education (four to five pages). Please include the following information in your narrative. Your family and significant family relationships.Your life experiences, which have shaped your desire to go into social work.Your experiences in helping people, including those with backgrounds and characteristics different from your own. How well do you deal with diversity and value differences? You will need to commit to providing compassionate and effective help to all people. Are there any people you could not commit to learning how to help? Support your responses with examples.Your career goals and plans for achievement.Address how Micah 6:8 applies to the practice of social work. Letter of Recommendation for Social Work EducationStudents: Please complete the top portion of this form prior to providing the entire form to your recommender. Name of Student ____________________________________________________________Name of Recommender _______________________________________________________Role of Recommender______________________________ Length of Relationship _________Address of Recommender _________________________________________________________The Family Educational Rights and Privacy Act (FERPA) provides individuals with the right to view statements of recommendation. However, you may waive your right to review this recommendation. Please indicate if you are waiving your right to view this recommendation. I waive my right to view this recommendationI do not waive my right to view this recommendationSignature of Student ______________________________________________________________________________________________________________________________________Completed by the RecommenderThe above named person is applying to the social work program at Liberty University. Please include your recommendation and comments regarding the applicant in any of the following areas of which you have knowledge: intellectual capacity, ability to work with diverse people, professional abilities, ability to perform under pressure, areas of needed growth, and sensitivity to people. You may write on the back of this form if you need more room.Your recommendation:In what capacity and for how long have you known the student?Please rate this student in terms of his/her overall potential for the practice of professional social work:Excellent2. Above Average3. Average4. Below AverageAdditional Comments ______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________Name (please print) ______________________________________________________________Position and Title _______________________________________________________________Address ______________________________________________________________________Date _______________ Signature _________________________________________________Please return this form to the Social Work Department, Liberty University, 1971 University Blvd, Lynchburg, VA 24515 or scan and email to residentialsocialwork@liberty.edu. If you have questions, you can reach the faculty support coordinator for the social work program, Zack Grafman at the same email address. Gate One Interview Form Completed by the StudentName of Student ____________________________________________________________The Family Educational Rights and Privacy Act (FERPA) provides individuals with the right to view statements of recommendation. However, you may waive your right to review this recommendation. Please indicate if you are waiving your right to view this recommendation. I waive my right to view this recommendationI do not waive my right to view this recommendationSignature of Student ________________________________________________________Please also note that certain laws and judicial actions override our commitment to mutual confidentiality. These include mandated reporting of physical or sexual abuse of children, incapacitated adults and elders, threats of suicide or homicide, and other statutes required by law. Please consult your ethics codes and state policies for further information. Additionally, university policy requires faculty to contact the Title IX Office when a student reports past or present abuse. In cases like this, your privacy will be respected by the Title IX office; however, you will be contacted by them so they can offer you supportive resources.Date and Time of Interview ___________________________________________________Interviewer(s) ______________________________________________________________ Student’s personal testimony and family historyStudent’s awareness of personality traits (strengths and areas of needed growth)Student’s goalsStudent’s understanding of social work roles What are the roles?What roles do you see yourself in?Student’s comparison of and contrast with personal values and social work valuesWhat are the social work values?Do any of the social work values conflict with your worldview? If yes, describe.Interviewer(s) Recommendation/Assessment:Student’s verbal communication skillsStudent’s appearance (professional?)Student’s presentation of selfAny noted areas of concernGate One Admission Recommendation:Pass through Gate OneGate One Provisional DecisionDeny Gate One processionIf Gate One procession is provisional, please detail the provisions.Name:__________________________________________________Date: ______________(Faculty Interviewer)Name:__________________________________________________Date: ______________(Faculty Interviewer)Reviewed: _______________Name: ___________________________________________________Date: ______________ (Program Director) ................
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