COMMUNITY AGENCY INFORMATION FORM
Please take a few minutes to complete the following form.
Your agency information will be included in the Helen Bader School of Social Welfare Field Program database
and will also be included in our on-line Agency Resource Book, which is available for our social work students.
If you are a large agency with multiple programs, please complete a separate form for each program that accepts social work students.
(Our database is organized by individual programs within larger agencies due to the complexities of many of the agencies that we work with.)
If you have any questions regarding this form please contact the Director of Field Education:
Jeanne Wagner: email@example.com or 414-229-6501.