Practicum Office


    College of Social Work
    University of Utah
    395 South 1500 East
    Salt Lake City, Utah 84112-0260
    Phone: (801) 581-5527
    Fax: (801) 585-0482


Practicum Faculty and Staff
Ruth Gerritson-McKane
Director of B.S.W. Field Education & International Social Work 		585-3162
Helane Leta
Director of M.S.W. Field Education & International Social Work 		585-3161
Mark de St. Aubin
M.S.W. Field Coordinator 		581-8901
Jay Harker
M.S.W. Field Coordinator 		581-3491
Barbara Ferris
M.S.W. Field Coordinator 		231-7196
Scott Sorensen
M.S.W. Distance Ed. Field Coordinator 		(435)586-1938
Elizabeth Walker
M.S.W. Field Coordinator 		585-6986
Trinh Mai
M.S.W. Field Coordinator 		581-4259
Diane Buck
Project Coordinator 		585-7811
Amanda Kirk
Executive Secretary 		581-5527
Joshua Newbury
Office Assistant 		581-3664

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1st Year Evaluation Form
2nd Year Evaluation Form
Practicum Service Award Nomination
Practicum Student Of The Year Award Nomination
Clinical Instructor Application Form
Clinical Instructor Award Nomination
Clinical Instructor Promotion Application
Agency Site Visit Scheduling Form
Agency-based School Social Work Internship Approval Form
Agency Application Form
Agency Of The Year Award Nomination
Clinical Training Agreement
Affiliation Agreement
Affiliation Commitment
Optional Practicum Commitment
Non-Standard Practicum / Alternative Practicum Format
Practicum Placement in an Agency Where the Student is Employed
Second Year Practicum Placement in the Same Agency as the First Year Placement
Social Work Student Questionare

School of Social Work Application - this application is not available on-line, but can be obtained from:

Diane Buck/Project Coordinator
(801) 585-7811

NASW: http://www.utnasw.org
Dopl: http://www.commerce.state.ut.us
CSWE: http://www.cswe.org <