Before completing and submitting your application for the Title IV-E Program, please view the
1. Are you an employee or former employee of a county, state, or tribal human services agency? ___Yes ___ No
2. Are you an employee or former employee working in the area of child welfare working with or on behalf of Title IV-E eligible children?
___Yes ___ No If yes, name of agency _____________________________
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3. Are you planning to attend graduate school in social work? ___Yes ___ No ___ Maybe
4. Most recent GPA ______ Cumulative GPA ______
5. Have you previously received a Child Welfare Scholars stipend? ___Yes ___No If yes, when? __________
If you answered “YES” to question #5, submit previously written essay or new/updated essay.
If you answered “NO”, submit a written essay of not more than 3 pages answering the following
(a) What life experiences have contributed to your desire to become a social worker?
(b) How has your experience in higher education benefited you as a person and as a developing
culturally competent social worker?
(c) What area of child welfare are you most interested in and why?
(d) Briefly explain your understanding of public child welfare services. Include your understanding
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