Application for Social Work Fieldwork in Mexico – Social Work Semester Program Center for Global Education at Augsburg College – Cuernavaca, Mexico

Fieldwork Application Deadline: December 1.

Please type your responses below and send the completed form via e-mail (as an attached document, along with your resume to Margaret Anderson at anderso4@augsburg.edu and cc both CGEMexicoIntern@gmail.com and lisanne@laneta.apc.org. Please write “Internship Application for Spring _______ with the year)” in the subject heading of your email message and to request confirmation that it was received. Ex: “Internship Application for Spring 2014.” You will not be allowed to take this course if you do not submit the application on time. Name: ______________________________________________ Year in School: ___ Sophomore, ___ Junior, ___ Senior

Major(s): ____________________________________________ Minor: ________________________________________

Name of College or University: _____________________________________________________________________________ Spanish Level: ___ Beginning, ___ Intermediate, ___ Advanced, ___ Bilingual or native Spanish speaker Course # of the most advanced Spanish course you have ever taken: Course Title: _____________________________

Will you take Spanish during the semester? ___ Yes, ___ No.

Will you be arriving in January to take extra Spanish? ____ Yes, ___ No. *If you are a low-intermediate Spanish student and need to complete the fieldwork, you should seriously consider taking a Spanish course in January at your own extra cost!

*Please note that you may receive a phone call from a staff member in Mexico, who will conduct a brief phone interview with you in Spanish in order to assess your conversational Spanish skills.

Are you required to complete your fieldwork this semester while in Mexico? ___ Yes, ___ No

If yes, how many hours of fieldwork must you complete while in Mexico? ______ hours

Have you discussed your fieldwork plans with your Social Work advisor and fieldwork coordinator? ___ Yes, ___ No

If you haven’t, please do so before completing the rest of this application!

Your advisor’s name and email address: _______________________________________________________________

Your fieldwork coordinator’s name and email address: ______________________________________________________ Please list the other courses you plan to take while in Mexico: (If you are planning to take a Spanish course, be sure to indicate which one. Please note that 4 courses make up a full load. You may only take five courses if your school requires it and if you take Spanish in January.) 1. International Social Welfare: The Mexican Context (required for all students unless special permission is sought and granted)

2.

3. Please mark an “X” in the blank if you plan to take the following course: ____ HPE 002 Lifetime Fitness: Latin Dance Please answer the following questions as frankly and thoughtfully as you can. Your answers to all of these questions will help us do a better job matching your skills and interests with the needs of the host organizations and agencies. Be sure to attach a copy of your resume in either English or Spanish. (Don’t forget to bring your resume with you on a USB or laptop, as you will be asked to update it upon completion of the field placement!)

GOALS FOR FIELDWORK IN MEXICO (Please answer the questions below, using as much space as you need to answer each question as fully as possible.) 1. Please explain why you are applying for a fieldwork placement in Mexico. For example, do you have to complete it this semester in

order to graduate on time? 2. Have you completed fieldwork or an internship before? ___ Yes, ___No.

High points of prior internship (if relevant):

Low points of prior internship (if relevant):

6. If you have completed fieldwork previously, what did you and your supervisor set as goals for your next internship? 7. Based on prior fieldwork experiences and/or discussions with your advisor, what are your goals for the fieldwork experience?

a) Personally:

b) Professionally:

c) Academically: 8. What do you already know about intercultural social work, and what are you interested in learning about it?

HOPES AND EXPECTATIONS REGARDING THE FIELD PLACEMENT You will be placed with an agency that meets the criteria for a field placement and that would like an intern who has your particular skills. Please note that there are VERY FEW placement options that allow you to complete the hours necessary. Therefore, FLEXIBILITY is essential for successful internships. In addition, it is important for social workers to develop a wide range of experience rather than focusing only on what they already know. With that in mind, please answer the following questions. 1. Preferred Populations: IF you have preferred populations that you would like to work with, please rank each with a “H” for

High Interest, “M” for Moderate Interest, “L” for Low Interest. Please note that due to the limited number or placements that meet the needs of social work students, FLEXIBILITY is essential. In addition, your Social Work professor may believe that is important for you to work with a population that you have not worked with before in order to expand the repertoire of your skills. Please write “H,” “M,” or “L” as indicated above in each line.

___ No preference ___ Infants and Toddlers ___ Children (Elementary School) ___ Adolescents (Junior High) ___ Adolescents (High School) ___ Adults ___ Elderly ___ Women ___ People with Disabilities ___ People in rural areas ___ People in urban areas ___ Other: (Please specify: ___________________________________) Comments about any of these populations:

2. Would you be comfortable working in a Mexican government-sponsored organization? ___ Yes ___No

3. Would you be comfortable working in an organization affiliated with the Roman Catholic Church? ___ Yes, ___No

4. Would you be comfortable working in an organization affiliated with a protestant or evangelical church? ___ Yes, ___No

5. Is there any population or kind of organization with which you would feel very uncomfortable working? ____ Yes, ___ No. If yes, please explain.

6. What would you hope to AVOID in an internship, and why?

7. What specific skills and prior experience do you bring to an internship in Mexico? (You do not need to list every place you have worked, since we can read your resumé. However, we are interested in knowing more about your skills.)

YOUR PERSONALITY/WORK STYLE 1. Do you consider yourself an extrovert or an introvert? How does this aspect of your personality affect you in the workplace? Does

this change when interacting in Spanish? If so, how? 2. How would you characterize your communication style (very direct, indirect, confrontational, etc.)? Does this change when

interacting in Spanish? If so, how?

3. Are you comfortable working independently, or do you prefer to work as part of a team? Please explain. 4. Are you comfortable working on a project with a minimal amount of supervision? ___ Yes, ___ No. Please explain. 5. Do you tend to take initiative or do you prefer to be given instructions from others? Please explain. 6. What do you think the greatest challenges will be for you in successfully completing an internship in Mexico? 7. What intercultural and personal skills or qualities do you have which will help you make this internship in Mexico a success? 8. If you complete your fieldwork in Mexico, you will have a much heavier work load than other students in your program. You will

have less free time and less travel time than other students since you will often have to work on weekends and in the afternoon and other days when other students are off. How do you plan to manage you time and the work load while in Mexico? Have you made plans to come in January or to stay longer and travel at the end of the semester or make other arrangements that will help make up for any limitations you have due to this extra work load?

IS THEREANYTHING ELSE YOU WOULD LIKE US TO KNOW?

Please respond in Spanish to the questions on the following page. Some of the questions repeat earlier questions because we plan to share this page with potential field instructors/site supervisors.

Don’t forget to attach your resumé! Thanks!

SOLICITUD PARA HACER LA PRÁCTICA EN TRABAJO SOCIAL POR MEDIO DE CEMAL (CENTRO PARA LA EDUCACION MUNDIAL)

Nombre(s): ________________________________ Apellido(s): _________________________________________________ Nombre o apodo que usas en Español: _____________________ Dirección de correo electrónico:______________________ Dirección permanente en los Estados Unidos: ___________________________________________________

A) Nivel de español: ___ Básico, ___ Intermedio, ___ Avanzado ¿Hace cuántos años empezaste a estudiar español? _____ ¿Por que decidiste estudiar español? ¿Cómo está tu nivel de comprensión y conversación? ¿Lees y escribes en español? B) ¿Has vivido en un país o comunidad donde se habla español? ____¿Cuando? _________________ ¿Dónde? _______________________ ¿Por cuanto tiempo? __________________ ¿Qué aprendiste? C) ¿Por qué decidiste a estudiar en México, y que tiene que ver con tus metas al largo plazo? ¿Por qué quieres hacer tu práctica de trabajo social en México? D) ¿Cuáles habilidades y/o experiencias puedes brindar? E) ¿Puedes trabajar en una forma independiente o con poca supervisión? ¿Que cualidades te gustaría encontrar en un(a )

supervisor(a)? Otra información o comentarios que quieres compartir:

Spanish Reference Form for Social Work Field Placement in Mexico – Due by Dec. 1.

Student’s Name: __________________________________________ # of Most Advanced Spanish Course Taken: Faculty Member’s Name: _______________________________ Email address: Name of Institution: Date: To whom it may concern: The student named above has applied for a Social Work internship in Mexico. Please take a few moments to evaluate her/his Spanish level and to provide us with your assessment of her/his ability to successfully complete an internship in Spanish. Please then email the completed form as an attached document to Margaret Anderson at anderso4@augsburg.edu and cc both CGEMexicoIntern@gmail.com and lisanne@laneta.apc.org. Please write “Internship Reference for (Name of Student)” in the subject heading. Oral Comprehension: ___ Beginning ___ Intermediate ___ Advanced ___ Fluent Conversation: ___ Beginning ___ Intermediate ___ Advanced ___ Fluent Writing: ___ Beginning ___ Intermediate ___ Advanced ___ Fluent Reading: ___ Beginning ___ Intermediate ___ Advanced ___ Fluent Written Translation: ___ Beginning ___ Intermediate ___ Advanced ___ Fluent How long have you known this student, and in what context? Do you believe that this student's Spanish language skills are strong enough for him or her to successfully complete fieldwork in Spanish? Why or why not? Do you have any reservations about this student's ability to successfully complete fieldwork in Spanish? ___ Yes, ___ No. Please explain. Additional comments: