Fill - Free fillable BACHELOR OF SOCIAL WORK Supplementary application Part I: (Carleton University) PDF form

BACHELOR OF

SOCIAL WORK

Supplementary application

Bachelor of Social Work supplementary application

PRE- OR POST-APPLICATION REVIEWS ARE NOT POSSIBLE DUE TO THE SHEER VOLUME OF APPLICANTS.

Part I: Identifying information

Please print clearly

Surname Given names

Mailing address

City/town Prov Postal code

Tel. business Tel. home

Email address Birth date (YYYY-MM-DD)

If you have been known by previous names please provide:

Did you apply to the School of Social Work last year? Yes No

Carleton University Applicant Number:

(Nine digit number, starts with 100 or 101):

In your first year do you plan to attend: Full-time Part-time

Part II: Education

Give a chronological record of education including high school, college, university. Please

indicate the percentage of diploma/certificate/degree completed. All original transcripts

must be sent to Undergraduate Admissions.

Name and location of institution:

Dates of attendance From (M/Y) to (M/Y):

Name of Degree/ Diploma/Certificate awarded:

Will the degree/diploma/ certificate be completed by next fall? Yes No

Name and location of institution:

Dates of attendance From (M/Y) to (M/Y):

Name of Degree/ Diploma/Certificate awarded:

Will the degree/diploma/ certificate be completed by next fall? Yes No

Name and location of institution:

Dates of attendance From (M/Y) to (M/Y):

Name of Degree/ Diploma/Certificate awarded:

Will the degree/diploma/ certificate be completed by next fall? Yes No

Name and location of institution:

Dates of attendance From (M/Y) to (M/Y):

Name of Degree/ Diploma/Certificate awarded:

Will the degree/diploma/ certificate be completed by next fall? Yes No

Name and location of institution:

Dates of attendance From (M/Y) to (M/Y):

Name of Degree/ Diploma/Certificate awarded:

Will the degree/diploma/ certificate be completed by next fall? Yes No

Part III: Work experience

Section A: Human service/social change experience

Please provide a chronological record of your relevant human service/social change work experience

(paid or volunteer). You must calculate your total hours and the grand total hours worked. Please

continue on a separate page if necessary. Contact people should be able to confirm and comment on

the nature of your work. Do not include co-op education programs or community college practicums in

this section.

Job or title:

Organization: Contact person:

Dates worked from (M/Y) to (M/Y): Average hours worked per week: Total hours:

Describe your work:

Job or title:

Organization: Contact person:

Dates worked from (M/Y) to (M/Y): Average hours worked per week: Total hours:

Describe your work:

Job or title:

Organization: Contact person:

Dates worked from (M/Y) to (M/Y): Average hours worked per week: Total hours:

Describe your work:

Grand total hours:

I hereby certify that all statements are correct and complete. I understand that I may have to provide

documentation at some future date to substantiate the information I have provided. I understand that

any misrepresentation of information I have provided may result in the cancellation of my admissions

application.

Signature of applicant: Date:

Please note that any unsigned applications will be considered incomplete

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signature

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Part III: Work experience

Section B: Practicum/Placement Experience (only fill this out if it relates to your

experiences)

If you have education-related work experience, such as co-op education or field placements in high

school or community college please provide a chronological record of it below. You must calculate

your total hours and the grand total hours worked. Please continue on a separate page if necessary.

Contact people should be able to confirm and comment on the nature of your work. Were these

placements completed in high school, college, or both?

High School College Both High School and College

Job or title:

Organization: Contact person:

Dates worked from (M/Y) to (M/Y): Average hours worked per week: Total hours:

Describe your work:

Job or title:

Organization: Contact person:

Dates worked from (M/Y) to (M/Y): Average hours worked per week: Total hours:

Describe your work:

Job or title:

Organization: Contact person:

Dates worked from (M/Y) to (M/Y): Average hours worked per week: Total hours:

Describe your work:

Grand total hours:

I hereby certify that all statements are correct and complete. I understand that I may have to provide

documentation at some future date to substantiate the information I have provided. I understand that

any misrepresentation of information I have provided may result in the cancellation of my admissions

application.

Signature of applicant: Date:

Please note that any unsigned applications will be considered incomplete

click to sign

signature

click to edit

Part IV: Admissions essays

Refer to application form for guidelines.

As part of the admissions application process, please provide a 500-word response to each of

the following three questions/requests. Each response must be no longer than 500 words, with

a 12-point font.

You must answer all three of the questions/requests and they must be prepared and

written solely by you, the applicant.

1. How have your life experiences contributed to your understanding of yourself and others in

relation to the society in which you live? (You can reflect on your identity, e.g. gender and

sexual orientation, economic/class status, life as an Indigenous person, race or culture,

disability, experiences as an immigrant or refugee, etc.).

2. Identify a social problem that you might want to address as a social worker. Discuss the

factors that contribute to or cause this problem. What role would you like to take to resolve

this problem?

3. What interests you about studying at Carleton's School of Social Work, given its commitment

to understanding that individual problems are linked to social issues (such as poverty, racism,

ableism)?

The final word tally for the above responses must be no more than 1500 words (3x500).

Students are welcome to submit an additional explanatory letter of no more than one page

(12-point font) if they would like to explain any circumstances that may have impacted their

academic performance or work experience.

On the last page of your response statements, you must include the following statement: "I,

(add your name here), confirm that the above responses were prepared, and written, solely by

me."

How have your life experiences contributed to your understanding of yourself and others in relation

to the society in which you live? (You can reflect on your identity, e.g. gender and sexual

orientation, economic/class status, life as an Indigenous person, race or culture, disability,

experiences as an immigrant or refugee, etc.):

Identify a social problem that you might want to address as a social worker. Discuss the factors

that contribute to or cause this problem. What role would you like to take to resolve this problem?

What interests you about studying at Carleton's School of Social Work, given its commitment to

understanding that individual problems are linked to social issues (such as poverty, racism,

ableism)?

I, ________________________________________________, confirm that the above responses were

prepared, and written, solely by me."

Education equity

Self-identification form

Both Carleton University and the School of Social Work have an expressed commitment to the

principles of education equity for persons from groups who historically have been

disadvantaged by systems, structures and ideologies that have privileged some groups over

others, resulting in differential access to education. Particular emphasis is placed on

reconciliation to redress the historic and contemporary burdens of colonialism borne by

Indigenous peoples. We are also concerned about educational equity for those groups

impacted by relations of racism, ageism, sexism, anti-Black racism, ableism, classism,

heterosexism, cisnormativity, anti-Semitism, Islamophobia and/or xenophobia.

In response to these structural impediments, the School affirms the principle that individuals

from all groups should have the opportunity to learn and to contribute in an environment that

supports, encourages and incorporates their knowledge, insights and perspectives into our

curriculum.

From the School's perspective, education equity is a structural issue requiring an ongoing

rigorous review of established norms and practices and the assumptions and values that

underlay them. Education equity is consistent with, and necessary for, achieving principles of

academic excellence and practice competence. The School of Social Work recognizes that is

an ongoing process of development to which we are committed.

I identify as a member of the following communities/designated groups identified under the

school's Mission Statement on Education Equity.

Indigenous Racialized person Economically disadvantaged

Black Person with disabilities LGBTQ+

Protecting your privacy

At Carleton University, we recognize and respect the importance of privacy. Personal

information that we collect is kept confidential. In accordance with section 41 of the Freedom

of Information and Protection of Privacy Act, Carleton University will only use the information in

its custody or control in the following circumstances: where the individual identifies the

particular information and consents to its use; for the purpose for which it was collected or a

consistent purpose (i.e. a purpose which the individual might have reasonably expected).

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