Prospective Field Placement Agency

If your organization is interested in hosting an intern or a 60-hour field placement student from Bemidji State University’s Social Work and/or LADC programs please complete this Prospective Field Agency online form. This information helps to best prepare students in making an informed decision about a prospective internship with your agency. Thank you!

"*" indicates required fields

Types of Internship(s) Available
Practice Areas
(Select all that apply.)
Does the Agency require or prefer the prospective intern to have any particular educational and/or experiential background?
Please enter a number from 1 to 5.
During which semester(s) is the agency willing to host interns?
Has your agency hosted interns in the past?
Will the intern need a personal car to perform responsibilities?

Does the Agency reimburse mileage to interns for use of their own car?
Does the Agency reimburse interns for expenses rather than mileage?
The field instructor will provide weekly supervision for one hour and work closely with the intern.
The field instructor will provide weekly supervision for one hour and work closely with the intern.
Please provide details about how prospective interns can apply for an internship with your organization.