Child Advocacy Studies Training Application Form


 

KSU ID:   Name:    
     
Mailing Address:   Apt #, etc.
City:   State:
Zip:    
     
Email:   Phone:
     
Current Major:   Minor/
Concentration:

If you already have an undergraduate or graduate degree, please list the name of the university: - - Degree Earned:

 

Current Status (Please select one):

Undergraduate Student

Non-degree Seeking Student

 

Cumulative GPA:

 

Are you currently enrolled, or have you already taken, the Perspectives of Child Maltreatment and Child Advocacy course? :

Yes, I have already completed this course

Yes, I am currently enrolled in this course

No, I have not taken this course yet

 

 

How did you find out about the CAST Certificate?
Graduate Catalog   Attended an Event
Word of Mouth   Via Child Advocacy Center personnel
CAST Website   Through KSU Website
Through Human Service Course   Other (Please specify):
Through MSW Course  

 

Please type (or copy/paste from Word, etc) a 150 word essay addressing this question:

Why are you interested in receiving the CAST Certificate? In your response, please address how you see this certificate helping you in your current and/or future career plans

 

 

 

Please list and briefly explain your work, internship, or volunteer experience with children and/or adolescents.  Please include dates, name of organization, and your role/responsibilities.

 

 

 

* After sending this form, please submit your current resume, unofficial transcript, completed background check, and reference letters to:

Kennesaw State University
Department of Social Work and Human Services
CAST Program
Attn: Dr. Lisa B. Johnson
1000 Chastain Rd., #4103
Kennesaw, GA 30144-5591