Employment & Voluntarism Record
Master of Social Work Program
Applicant’s Name: ________________________________________________________
List all employment, volunteer, and internship activities, beginning with present or most current position held.
Include number of hours worked weekly / monthly; you may instead include total number of hours worked. Do not enter “varies” or
“seasonal”.
Please do not attach or submit a résumé in lieu of completing this form.
Provide as much detail as possible; missing or incomplete information will considerably slow down or prevent your application
from being processed and/or reviewed.
Please write neatly.
Name, address, and telephone
number of organization
Position held and
job description
Start Date
(mon/yr)
End Date
(mon/year)
Avg hours per
week
Paid (P) or
Volunteer (V)
Name, address, and telephone
number of organization
Position held and
job description
Start Date
(mon/yr)
End Date
(mon/year)
Avg hours per
week
Paid (P) or
Volunteer (V)
Eastern Michigan University School of Social Work • emich.edu/chhs/sw/graduates/index.php msw.program@emich.edu • 734-487-6892