Agency Information

* Agency Name Division Name Director Name Website * Phone Fax * Agency Description

Interested in Online Students?

Are you interested in having student interns from our MSW@Denver online program? For our MSW@Denver program, students live across the country. They complete coursework online but complete the internship in person in the community where they live.

Internship Coordinator Information (primary contact)

* First Name * Last Name * Phone * Email Address * Internship Description

Physical Address (required)

Region: What region are you located in? * Street Street (cont.) * City * State * Zip Code

Mailing Address (optional)

Same as physical address Not Same Street Street (cont.) City State Zip Code

Other Information

The Council on Social work education (CSWE) requires us to annually report the types of services provided by our field agencies. Please choose the one (1) category that best describes your agency's work.

* CSWE Classification Administration Aging/Gerontological Alcohol Drug or Substance Abuse Child Welfare Community Planning Corrections/Criminal Justice Developmental Disabilities Domestic Violence or Crisis Intervention Family Services Group Services Health Housing Services International Mental Health or Community Mental Health Occupational/Industry Social Work Other Program Evaluation Public Assistance/Public Welfare Rehabilitation School Social Work Social Policy * Organization Type Government Private non-Profit Private for Profit Other

Our agency has the following types of insurance:

Standard General Liability - Minimum of $1 Million per occurrence/$2 Million aggregate Worker's Compensation-Statutory Amounts as required by law Professional Liability - Minimum limits of not less than $1 Million per occurrence/$3 Million aggregate Directors & Officer Liability - Minimum limits of $1 Million per occurrence / $2 Million aggregate

* Focus of Practice

Paperwork Agreement

Yes, our agency will provide GSSW with the following documentation at the time of a site visit:

Spam Prevention

* Question What city is the University of Denver located in?