University of Connecticut School of Social Work

Peer Partner Application

Congratulations on your acceptance and welcome to the UConn School of Social Work. Building Bridges is an initiative brought to you by the SSW Student Services Office in collaboration with the Student Organization. Its aim is to link incoming students (peer partners) with ambassadors (returning students) to foster a supportive relationship in order to help ease their transition into the UConn School of Social Work program.

Incoming students will be paired one-on-one with ambassadors who are committed to the school and recognize the value of giving back to the community. The role of the ambassador is to act as a support and serve as an additional resource to help balance the demands of school, field placement, family and other obligations. The role of the student ambassador is not to replace the incoming student’s faculty advisor.

Application Process

• The Building Bridges program is available on a first-come-first-serve basis, so don't wait to submit your application!
• The two part application, described below, must be completed no later than May 24, 2013:
• Part 1: Complete the application below
• Part 2: Email a résumé, no more than two pages long, to Elissa.Schibley@Uconn.edu
• Applicants will be notified via email upon receipt of their completed application.

If you have any questions about the process or application, please contact Elissa Schibley at Elissa.Schibley@UConn.edu.

Personal Information

Your Name:

Address:

Email*:

*Please note that once you are assigned a UConn email address that will be the primary email used to contact you.

Telephone (best number to contact you):

How do you identify yourself? (e.g. male; Hispanic; mother of 3; lesbian; religious; 30; veteran; etc.):

Do you speak, read or write another language other than English?:  Yes No

If yes, please indicate the language and if you are able to speak, read and/or write in that language(s):
 Speak Read Write

Student Information

Student ID Number:

Year of Matriculation: ---20132012201120102009

Please Select: ---Full-TimePart-TimeAdvanced Standing

Method Concentration: ---AdministrationCaseworkCommunity OrganizationGroup WorkPolicy Practice

Focused Area of Study (if applicable): ---Black Studies for Social Work PracticeInternational Issues in Social WorkMental Health and Substance Abuse in Social Work PracticePuerto Rican/Latin@ Studies in Social WorkSocial Work Practice with Older AdultsSocial Work with Women and Children in FamiliesUrban Issues in Social Work

Overall GPA:

Will you be in field education in the upcoming academic year?:  Yes No

Emergency Contact Information

Name:

Relationship:

Telephone:

Please Respond to the Following Questions

Briefly, what are your professional and personal interests?:

Briefly explain why you are interested in being part of Building Bridges:

I would be interested in being matched with a student based on (rank by preference):

Ethnicity

Gender

Geographic Location (regional, out-of-state, international)

Method Concentration

Students with Children

Other:

Please be sure to email your résumé (no more than two pages) to Elissa.Schibley@UConn.edu by May 24, 2013.

A confirmation email will be sent upon receipt of a complete application and will offer further instructions as needed.

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