ŠĻą”±į>ž’ ?Až’’’>’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’ģ„Įb ųæjbjb{x{x (,’’’’’’ˆJJJJJJJčŒŒŒŒ$°4č\,šįvW${ÓÕÕÕÕÕÕ,ˆRŚŠJįįĒJJŪĒĒĒJJÓĒ^T²6JJJJÓĒĒJJĒä =ńłČŒ„"ĒĒ ,0\ĒdĒdĒĒJčč¤ŒččŒRAMAPO COLLEGE OF NEW JERSEY SCHOOL OF SOCIAL SCIENCE AND HUMAN SERVICES SOCIAL WORK PROGRAM APPLICATION FOR THE SOCIAL WORK PROGRAM Date__________ Ramapo ID #__________________ (you should receive upon acceptance to the college) Name_____________________________________________________________ (LAST) (FIRST) (MIDDLE) College Mailing Address (if living on campus) _________________________________________________________________ (Street) (City) (State) (Zip) Home Mailing Address _________________________________________________________________ (Street) (City) (State) (Zip) College Phone #___________________ Home Phone #_____________________ Cell Phone # ______________________ Email Addresses ___________________________________________________ Date of Birth _________________ Race/Ethnicity _________________________ Do you have a valid driver's license? What State? __________________ Do you have use of a car while at Ramapo? _______________ Have you been convicted of a felony? ________________________ Page 2 Year expected to complete degree: Month_______ Year _______ Credits earned to date (not counting this spring semester) ___________________ Credits earned to date toward graduation (not counting this spring semester) ____ Please list all Spring courses in which you are enrolled: Please list any courses you plan on taking during the summer: *The Social Work Program does not accept transfer courses in lieu of required courses in the professional foundation areas, unless exact equivalence can be demonstrated in a course from another CSWE accredited BSW program. Current students: Please attach a copy of your current Ramapo Degree Evaluation and all transcripts to this form. Transfer students: Please attach a copy of all of your transcripts from transferring school to this form. PAGE 3 Work Experience: Please list your work experiences, both paid and volunteer beginning with most recent position. Attach extra sheets if needed. ORGANIZATION/EMPLOYER POSITION HELD & DATES PAID OR RESPONSIBILITY VOLUNTEER PAGE 4 Personal Statement (Please type your essay and attach it to this application) Please write an essay discussing why you are interested in social work. Include information about yourself, your interests, background, experiences, limitations, strengths and any other information you think has a bearing on your potential abilities as a professional social worker. Reference Please obtain a personal or professional reference letter and attach it to this application (see page 5) I have read, and agree to abide by the NASW Code of Ethics (See NASW  HYPERLINK "http://www.socialworkers.org/pubs/code/default.asp" http://www.socialworkers.org/pubs/code/default.asp or the Social Work Student Handbook) SIGNATURE OF APPLICANT PLEASE RETURN APPLICATION TO: Professor Mitchell Kahn, Social Work Program, School of Social Science And Human Services, Room G140, 69É«ĒéŹÓʵ, Mahwah, NJ 07430 PAGE 5 Reference Instructions Note: Please discuss your knowledge of this person and comment on their character, motivation and potential abilities to be a social worker. 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