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Practicum Site Application
Upon approval, the information you provide in this application will go into a password protected practicum database and will help us guide the placement of our students. The Field Education Program and students themselves will have access to this database to search for practicum site possibilities and requirements.
***Please allow yourself approximately 30 minutes to complete this application. You may save this application and return at a later time, but only from the same computer. Please be sensitive to the deadlines issued to students when considering the completion of this application.
Please provide the following contact information:
Name of person filling out this questionnaire (this should be your primary site contact for Zarrow School of Social Work practicum placements):
Email of person filling out this questionnaire:
Agency or Facility name:
Program/Unit/Department:
Web Address:
Mailing Address:
City:
State:
Zip:
Phone number:
Fax number:
Physical Address (if different from above):
City:
State:
Zip:
When the Zarrow School of Social Work is referring students to explore the possibility of a practicum at your site, who is the person they should contact?
Name:
Position/Title:
Email Address:
Phone Number:
Alternative Contact Person:
Name:
Position/Title:
Email Address:
Phone Number:
To which OU Campus are you submitting an application?
Norman Campus
Tulsa Campus
Online Program
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