Information For

If there are changes to any of the information contained on this application after submission, it is your responsibility to notify Extended Learning at elapps@csusm.edu.

DO NOT SUBMIT UNTIL YOU COMPLETE THE APPLICATION

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2 - Year
3 - Year

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(1) Children, Youth, and Families (CYF) , (2) Behavioral Health (BH)
(1) Behavioral Health (BH) , (2) Children, Youth, and Families (CYF)

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If yes, please list your Visa status

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No


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List chronologically all colleges/universities attended beginning with the most recent.
Please type "N/A" for fields in which you do not list a college/university you have attended.
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If yes, please list date received and major
Academic Prerequisites: A "C" or better is required in all prerequisites.
Please list the title of the course that fulfilled each requirement along with the University where it was taken and the date is was completed.
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Important note regarding field placements: please read carefully.
Field placements are a requirement for the MSW program. Please be advised that field placements must be planned in accordance with state and federal laws and with consideration of field placement agency policies. Most field placement agencies require security clearance evaluations, background checks, Live Scan fingerprinting, drug screens, etc., to ensure suitability of interns for placement in their agencies. In addition, some require physical examinations, TB tests, immunization verifications, Minnesota Multiphasic Personality Inventory (MMPI), valid CA drivers' licenses, etc. Please be advised that if a student is unable to be placed at an agency due to issues with any of the above or similar issues, then the student may not be able to start/continue with the MSW program.
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Not having a car available to you will limit the availablitity of field placements.
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We would like to know what factors influenced your decision to apply to the MSW program at CSUSM.
Please rank the top 5 factors in order of importance with "1" being the most important.




(e.g.) 2 year, 3 year, etc.)






i.e., small student/faculty ratio


Children Youth and Familes/Behavioral Health

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Full Name and Date
Submit and Pay