MSW-DCF Child Welfare Stipend Internship Program DCF Child Welfare Stipend Internship Application ContactName(Required) First Last UConn Student ID#(Required)Email(Required) Phone(Required)Town of Residence(Required)Year in Program(Required)IGFP Advanced Year StudentIGFP Advanced StandingWhich area office are you interested in completing your practicum? Please check your top two preferred offices(Required) Bridgeport Norwalk Milford New Haven Middletown Norwich Willimantic Hartford Manchester Danbury Torrington Waterbury Meriden New Britain Please Answer the Following QuestionsEnrollment in one of these courses is required. Please indicate your status.(Required) I am currently enrolled, registered or have completed HBEL 5381- Child Maltreatment: History, Theory, Prevention, and Intervention I am currently enrolled, registered, or have completed SWEL 5318- Core Concepts of Child and Adolescent Trauma I agree to enroll in one of the courses Do you agree to enroll in the required course in the coming fall or spring semester?(Required) Yes No Do you speak Spanish fluently?(Required) Yes No Do you have a valid driver's license?(Required) Yes No If selected for the stipend program, do you agree to fulfill the following requirements?Please review all requirements and check the Consent box below.Consent I agree to fulfill all program requirements listed below.Maintain enrollment for the entire academic year Maintain a cumulative GPA of at least 3.0 and enrollment for the academic year Meet the internship program requirements and successfully complete the internship at DCF Complete background screening including child protective services, fingerprinting (criminal) and Department of Motor Vehicles Conduct home visits in diverse neighborhoods with diverse families Accept a position for employment at DCF, if offered, and remain employed by DCF for (2) years Return or repay $2,000 to DCF if you do not graduate/complete all program requirements OR do not fulfill the employment requirement (either voluntarily or due to termination) Notify DCF Academy for Workforce Development in writing within five calendar days of any name or address change until the work commitment or repayment is fulfilled Electronic Signature(Required)Date(Required) MM slash DD slash YYYY Required SubmissionsEssay(Required)Max. file size: 250 MB.Please provide a written essay outlining your interest and/or experience in child welfare (minimum four pages). Include your experience working with diverse populations, particularly the Latino community.Unofficial Transcript(Required)Max. file size: 250 MB.Resume or CV(Required)Max. file size: 250 MB.CommentsThis field is for validation purposes and should be left unchanged.