Directions: On separate sheet of paper, please respond to the following set of questions. Make sure that
you respond to each question and include your name on each page. Please use headers to organize your
responses and present your work in a brief and concise manner. Your entire response must be no longer
than 5 double- spaced typed pages.
1. Please describe your current knowledge and understanding of the child welfare system and
your interest in working with children and families.
2. What personal characteristics do you have that will help you work successfully in this field?
3. As you think of the diverse clients represented in public child welfare practice, how do you
feel these individuals are similar or different from you?
4. What are the necessary steps you would take in dealing with challenges when faced with
personal or family while meeting the expectations of the IV-E Program and the county child
welfare agency field placement?
5. What is your understanding of the level of commitment associated with the Title IV-E BASW
Child Welfare Stipend Program?
6. In reference to you career goals, where do you see yourself within the next five years?
For Non- County Employees: Three letters of “Reference/Support Forms” are required. These forms may be
completed by a professor, advisor or work supervisor. No personal references are permitted. Please
download this form from the Title IV-E website http://www.fresnostate.edu/chhs/social-work/degrees-
programs/titleive/
and ask your reference to seal the letter in an envelope, sign across the seal and return
the sealed letter to you to be included with your application. See attached sample.
For County Employees: Three reference forms are required, one from your County Supervisor/Program
Manager, One completed by a professor, advisor or past employer, and (upon acceptance) One from your
County Director to indicate Approval of your
participation within the Title IV-E BASW Child Welfare
Program. No personal references are permitted. See attached sample.
Ask your references to seal the letter in an envelope, sign across the seal, and return the sealed letter to
you to include with your application.
Check Off List:
Section II
Title IV-E BASW Standard Application
Essay Question for Personal Statement
Title IV-E BASW Application
Reference Letter #1
Reference Letter #2
Reference Letter #3
Personal Statement
If not a U.S Citizen: Legal Documentation
Title IV-E BASW Application
Personal Statement
Reference Letter- Agency Supervisor/Program Manager
Reference Letter- Advisor, Professor, Past Employer
Letter of Support- County Director
Upon Acceptance in IV-E Program
California State University, Fresno
6
Department of Social Work Education