Fillable Mm-mt-msw-eligibility-review-request Confirm Interest in MicroMasters Curriculum Schedule

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Mm-mt-msw-eligibility-review-request Confirm Interest in MicroMasters Curriculum Schedule

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ELIGIBILITY REVIEW REQUEST
MicroMasters MSW / MasterTrack MSW
I am interested in pursuing the following program and request a review of my eligibility to apply.
S
SW MicroMasters MSW
SSW MasterTrack MSW
P
lease list your work experience below, including volunteer and practicum work experience. Note that you must also submit
a current resume.
Experience BEFORE Undergraduate Degree Completion
Check appropriate box
Business / Agency Name
City, State/Province,Country
Phone / Email Address
Position Title
From
mm/yy
To
mm/yy
Name of
Supervisor
Hours
Per
Week
Paid Voluntary
Practicum/
Academic
Credit
Page 2
Experience AFTER Completion of Undergraduate Degree
Check appropriate box
Business / Agency Name
City, State/Province,Country
Phone / Email Address
Position Title
From
mm/yy
To
mm/yy
Name of
Supervisor
Hours
Per
Week
Paid
Voluntary
Practicum/
Academic
Credit
Submit this completed request form with a copy of your resume to the Office of Student Services at
ssw.msw.info@umich.edu. You will receive eligibility to apply notification via email within 5-10 days.
If you are eligible to apply, you must submit a complete MSW application and are subject to a full admissions review. Note
that completion of MicroMasters or MasterTrack online courses does not guarantee admission to the MSW program.
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Date
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Mm-mt-msw-eligibility-review-request Confirm Interest in MicroMasters Curriculum Schedule

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Completed 27 June 2020

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