WNMU Social Work CYFD Title IV-E

WNMU School of Social Work - Children, Youth & Families Department

Title IV-E Stipend Application
Eligibility Notice

To apply for the New Mexico CYFD Title IV-E program, students must meet certain eligibility criteria:
- Live in New Mexico
- Be accepted to the WNMU MSW or BSW program
- Be a BSW junior or senior in good academic standing or an MSW student in good academic standing
- Agree to take coursework in Child Welfare (SWK 470 or SWK 570)
- Agree to complete at least one internship at CYFD
- Be willing to submit to a background check
- Maintain a GPA of at least 2.0
Upon graduation, students who receive a Title IV-E Stipend must agree to the following terms:
- Accept a position offered by CYFD upon graduation and complete a work obligation equal to 9 months for each semester a stipend is received (maximum obligation 36 months)
- Be willing to relocate within New Mexico to accept a position following graduation
- Agree to employment conditions set by CYFD
- Agree to become licensed within 6 months of graduation
- Submit to a background check
- Own a personal vehicle by the date of hire
Notice: Students who fail to meet the terms set forth above will be required to repay any disbursed amounts.

TO THE APPLICANT:

Please note that applicants to the Title IV-E Traineeship Program are considered job applicants by the Children, Youth, and Families Department. In addition to meeting the requirements of the WNMU School of Social Work, the Children, Youth, and Families Department has the authority to accept or deny applicants on this basis in compliance with Department policies.

Please complete the application and attach a recent resume and two letters of reference with name and phone numbers. Please fill out completely and as accurately as possible. For exceptions and unusual situations, attach an explanatory note.

If approved for a stipend, the stipend may affect your financial aid. Please see your financial aid advisor.
Semester & Year Applying For*
Enter semester applying for (e.g. Fall 2020)
Date of Application*

MonthDayYear
Today's Date
Please indicate your classification*
Must be MSW or BSW junior or senior
Expected Graduation Date*
Semester & year (e.g. May, 2021)
Number of credit hours completed*
Current Overall Grade Point Average*
*applicants must maintain a GPA of 2.0 or higher

Name*

First NameMiddle NameLast Name
Date of Birth*

MonthDayYear
Date
Student ID*
Cell Phone Number*

Area CodePhone Number
Home Phone Number*

Area CodePhone Number
Work Phone Number

Area CodePhone Number
Message Phone Number

Area CodePhone Number
WNMU Email*
example@wnmu.edu
Personal Email*
example@example.com
Mailing Address*

Street Address

Street Address Line 2

CityState

Zip Code
Street Address (if different)

Street Address

Street Address Line 2

CityState

Zip Code
Are you a citizen of the U.S.?*

YesNo
Are you a permanent resident?*

YesNo

In accepting a stipend, you are agreeing to commit yourself to employment with CYFD in any county in New Mexico where CYFD Protective Services deems your services are needed. Are you willing to relocate to any county in New Mexico?*

YesNo
Do you have any restrictions or special needs regarding the geographic location of a job?*

YesNo
If you answered Yes above, please provide an explanation:
Do you also understand that if you do not fulfill your commitment that you will have to repay the stipend?*

YesNo

Acknowledgments
NOTICE: After graduation, you will be expected to accept or continue employment with Children, Youth & Families Department for 18 months for each academic year of traineeship (stipend) received, and if such employment is offered within two (2) months after your degree program is completed. If such employment is refused, or if your academic qualifications or misconduct make you unsuitable for CYFD employment , or in the event you do not complete the required course of study for any reason including involuntary separation or dismissal within an agreed upon amount of time with the WNMU School of Social Work, you are required to pay back the amount of any stipend(s) received during enrollment in the WNMU Social Work degree program.Will you sign an agreement to this effect?

YesNo
Do you agree to accept employment in any PS Field Office as determined by CYFD?

YesNo
Do you agree to apply for provisional license upon graduation as well as take and pass the licensing exam within 6 months of employment with CYFD.

YesNo
Required Attachments

Narrative Supplement:

Please answer the following questions in outline form and attach. Be prepared to discuss further in the interview as well.

1. What volunteer or paid experience do you have that can be utilized in a Child Protective Services setting? If applicable, give agency names and length of time (dates of employment) spent at each.
2. What activities are you engaged in beyond your academic program that relate to the field of child welfare and permanency planning?
3. Why do you wish to pursue a career in the field of permanency planning? What contribution do you feel you can make to their field?
4. Is there anything that you feel we should be aware of or that you feel needs further explanation?
Attach Narrative Supplement Here*

Browse Files

Cancelof
Attach current resume*

Browse Files

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Attach two letters of reference*

Browse Files

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Optional Demographic Information

Note: The information requested below is voluntary but is needed to assure compliance with analysis and reporting requirements of Federal Equal Employment Opportunity Laws. Your cooperation is appreciated.
Should be Empty:

	Yes	No	N/A
Have you declared Social Work as your major?
Have you been accepted into the WNMU Social Work Program (MSW or BSW)
Have you completed the application for field placement?
Are you currently employed at the Children, Youth, and Families Department?
If you are a Protective Services Worker, do you agree to accept an appropriate field placement in a CYFD/PS unit other than the one you are currently employed in?
If you are not a Protective Services Worker, do you agree to accept a field placement in the Children, Youth, and Families Department?

Acknowledgments

Required Attachments