Skip to content
About
Directory
News
Events
Search
Keyword search term
Search
Apply
Request More Info
Make a Gift
School of Social Work
Admissions
Admissions
Apply
BSW Admissions
MSW Admissions
Professional Educator License for School Social Work
PhD Admissions
Explore Illinois
The SSW Experience
Why Social Work?
Beyond the Classroom
Stories of Impact
Career Paths
Costs and Financial Aid
Scholarships
Assistantships and Hourly Positions
Fellowships
Scholar Programs
Connect with Admissions
Attend an Info Session
Request More Info
Graduate Contact Forms
Schedule a Visit
Exploring Social Work: Community Contributions Day Program
Academics
Academics
Undergraduate Programs
Bachelor of Social Work
iBSW Program
Fast App: BSW > MSW
Undergraduate Minor in Social Work
Undergraduate Resources
BSW Advising
Graduate Programs
Master of Social Work
Concentrations & Focus Areas
On-Campus MSW Program
iMSW Program Options
PhD in Social Work
Graduate Resources
Field Education
BSW Field Placement
MSW Field Placement
Fund for Field
Global Programs
International Internships and Service-Learning
Social Work Global Strategy: Vision 2030
Global Collaborations Map
Scholar Programs
DCFS Scholarship Program
HEALS-Healthcare Education and Leadership Scholars Program
IL BHWELL HRSA Scholars Program
Project Ti-3
James Scholar Honors Program
Faculty and Research
Faculty and Research
Research Profiles and Directory
Faculty Research Profiles
Directory
Research
Research Areas
Active Research and Grants
Social Work Research Office
Resources
Research Reports
News
Featured Projects
Research-Focused Webinars
Student Research Opportunities
Undergraduate Research Opportunities
The Violence Prevention Research Lab
Queer Intersections, Inclusion, and Innovation (Qi3) Lab
Centers and Research Teams
Children and Family Research Center
Center for Prevention Research and Development
Identifying Depression through Early Assessment (IDEA)
Community Partnerships
Community Partnerships
Student-Focused Partnerships
Field Education Partners
Community Learning Lab
BHWELL
HEALS
Agency-Based Partnerships
Child Welfare Office of Workforce Development
Translational Research in Child Welfare
Provider Assistance and Training Hub (PATH)
Community Engagement
Illinois Social Innovation
Racism & Social Injustice Research Program 2022–23
Elevating Voices: Visualizing Social Justice Through Art
C-U Community Resource Guide
Stories of Impact
Professional Education
Professional Education
Licensure
Professional Educator License for School Social Work
Training
Provider Assistance and Training Hub (PATH)
Professional and Continuing Education Classes & Webinars
Careers
Join Our Team
Community Job Board
Career Services and Resources
Alumni & Giving
Alumni & Giving
Get Involved
Volunteer Opportunities
Community Engagement Advisory Board
Alumni Awards
Stay in Touch
Alumni News
Update and Connect
Giving
The Impact of Giving
Make a Gift
About
Directory
News
Events
Apply
Request More Info
Make a Gift
Keyword search term
Search
Home
Academics
Field Education
Become a Field Education Site
Field Site Application
Home
Academics
Field Education
Become a Field Education Site
Field Site Application
Field Site Application
Apply to be a Field Education Site
Name of Agency/Organization
Agency Address
City, State, Zip
ex: Urbana, IL 61801
Phone
Is your agency handicap accessible?
Yes
No
Comments
Website
Internship Contact Person (Include Title)
Phone
Email
Agency Information
Describe the mission of the agency/organization.
Additional Information
Date
MM slash DD slash YYYY
Name and Title of Person Completing the Form
CAPTCHA
Cookie Settings