Field Forms:

The documents below are available in Microsoft Word and/or Adobe Acrobat PDF format. You may work on Word documents on your computer, deleting underlines, tabs, etc. To save a document, click on File, then "save as." Either save the file to your hard drive or to a floppy disk. PDF files cannot be edited on your computer. In order to open a PDF file, you must have Adobe Acrobat Reader. Download Adobe Acrobat. If you have trouble working with any of the documents below, please email us.

Students:

Click here for FIELD EVALUATION DOCUMENTS    
(= Early Assessment, Log of Hours, Final Field Evaluations)

Link to HIPAA Training required of all student interns in order to receive to receive field grade for the fall semester. (Alternately, students may submit documentation to the Office of Field Education showing they have completed HIPAA training elsewhere, e.g. at field agency or in place of employment).
Confirmation of Internship Form	Word
Sample Resume	Word
Junior BSW Field Application	Word
BSW Senior and MSW Foundation Field Application	Word	PDF
MSW Advanced Field Application	Word	PDF
MSW Internal Advanced Year Field Information	Word	PDF
Updated Field Information Form	Word	PDF
Student Weekly Field Report (BSW and Foundation Year MSW only)	Word	PDF
Sample Agenda for Supervision	Word	PDF
Foundation Learning Plan	Word	PDF
Log of Hours	Word	Excel
Learning Plan Addendum	Word	PDF
Advanced Year Learning Plan	Word	PDF
Agency Macro Paper	Word	PDF
Process Recording Parts I and III	Word	PDF
Process Recording Part II	Word	PDF
Macro Process Recording (sample template for Adv Year Combined Field Seminar assignment)	Word	PDF
Case presentation assignment	Word	PDF
Guide to macro projects/activities	Word
Intervention Plan	Word	PDF
Critical Incident Form	Word	PDF
Work Residency Internship (WRI) Proposal	Word	PDF
Employment-based Internship (EBI) Proposal	Word	PDF
Field Instructors:
Link to our Field Instructors' web page here.
CUA Library Use: You are entitled to use our CUA Mullen Library as a special borrower. Check http://libraries.cua.edu/access/special.html to learn about special borrower privileges. .
Field Liaisons:
Link to surveymonkey.com Liaison Report
CUA Travel Reimbursement Form
Internship Coordinators:
Link to web page for newly affiliating agencies
Agency Information Form	Word	PDF
Link for providing Agency Information on-line
Statement of Agreement (Affiliation Agreement)	Word	PDF
Statement of Agreement for Federal Agencies (Affiliation Agreement)	Word	PDF
Federal Work Study Agreement	Word	PDF
CUA Library Use: You are entitled to use our CUA Mullen Library as a special borrower. Check http://libraries.cua.edu/access/special.html to learn about special borrower privileges.