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Liaison

Other Information

Language Proficiency

Select your first language (the language of your birth). If you speak additional languages, click Add Another Language. Then, select the language(s) and the level of your proficiency in each.

License Infraction

Indicate whether you have ever had any certification, registration, license, or clinical privileges revoked, suspended, or in any way restricted by an institution, state, or locality. If yes, enter an explanation in the spaces provided.

Academic Infraction

Indicate whether you have ever been disciplined or placed on academic probation while attending an academic institution. If you select Yes, enter a brief explanation in the field provided. Include:

  1. A brief description of the incident
  2. Specific charge made
  3. Related dates
  4. Consequence
  5. A reflection on the incident and how the incident has impacted your life.

Service

Select the services that you participated in, and indicate if you have ever served in the United States Military.

Social Security Number

Enter your social security number. This field is optional, but some programs may require it for their application, or for institutional or federal financial aid forms. Contact your programs directly to determine if they require you to enter your social security number.

Background Information

Programs fully recognize the importance of diversity in their student body and in the workforce. Accordingly, programs strongly encourage applications from persons from all socioeconomic, racial, ethnic, religious, and educational backgrounds and persons from groups underrepresented in the industry. Select any and all of the options in this section which you feel best apply to you. Please note that SocialWorkCAS uses this section for statistical purposes only and it in no way affects your application or financial aid eligibility.

Low Income Levels Guidelines

If applicable, use the following chart to help you determine if you come from an economically disadvantaged background.

Size of Family*

Income Level**

1

$27,180

2

$36,620

3

$46,060

4

$55,500

5

$64,940

6

$74,380

7

$83,820

8

$93,260

For each additional person add:

$9,440

The low income level is based on 200 percent of the U.S. Department of Health and Human Services poverty guidelines. It is used to determine what constitutes a low-income family for the purposes of the SDS and LDS programs.

* Size of family means the number of exemptions listed on the qualified income tax return forms. For example, a family size of 4 may include two parents and two dependents.

** Income Level refers to the adjusted gross income stated on the federal income tax return 1040.

Interest in Social Work

Briefly describe your primary reasons for choosing the social work profession. You can enter a list of reasons or one sentence. Then, indicate whether you were ever enrolled in or attended a CSWE-accredited master's of social work program and, if applicable, the institution attended.

Program Plan/Intent to Apply

Indicate when you plan to begin social work school.

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