Application For Social Work License Form - Bureau Of Occupational Licenses, State Of Idaho Page 3
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3APPLICATION FOR SOCIAL WORK LICENSE
RELATED FIELDS ADDENDUM
COMPLETE THIS FORM ONLY IF YOU HAVE GRADUATED OR ARE GRADUATING WITH A DEGREE FROM A
FIELD OTHER THAN SOCIAL WORK.
Please list below the courses you completed which correspond to the basic areas of study in social work and check the appropriate box
for either semester or quarter hours. (Type or print only)
Human Behavior in the social environment (at least 3 credit hours are required)
Year
Course Name
Course #
Credit Hours Semester Quarter
Social Statistics with Research Methods (at least 3 upper division credit hours are required)
Year
Course Name
Course #
Credit Hours Semester Quarter
Social Welfare Policy (at least 3 upper division credit hours are required)
Year
Course Name
Course #
Credit Hours Semester Quarter
Social Work Methods & Skills (at least 6 upper division credit hours within the last 5 years taught by an MSW are required)
Year
Course Name
Course #
Credit Hours Semester Quarter
Social Work Internship/Practicum (at least 9 upper division credit hours taught by an MSW are required. Practicum must
have been completed within the last 5 years)
Year
Course Name
Course #
Credit Hours Semester Quarter
Diversity Course (at least 3 credit hours are required)
Year
Course Name
Course #
Credit Hours Semester Quarter
Ethics Course (at least 3 credit hours are required)
Year
Course Name
Course #
Credit Hours Semester Quarter
Psychological/Social Behavior (at least 6 credit hours are required)
Year
Course Name
Course #
Credit Hours Semester Quarter
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BOL – SWO-1 - 12/00
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