<h1>FieldAgencyApp08.pdf</h1><br/>TCU DEPARTMENT OF SOCIAL WORK PO BOX 298750 FORT WORTH, TEXAS 76129 817-257-7469 FIELD AGENCY APPLICATION THE INFORMATION REQUESTED is for the purpose of helping you and TCU decide whether your participation in the undergraduate Department of Social Work would be mutually beneficial. The data provided below and in discussion with the TCU Director of Field Education are appreciated. Agency Name: Address: Phone: Fax: Administrator: Director of Social Services (if different from above): Briefly describe the Agency’s principal function(s): In which state, regional, and national organizations does the Agency have membership? How many students would you be willing to have from TCU at the same time? (TCU social work students are typically placed in the same agency for 2 semesters, Fall and Spring, 16 hours per week) Can the Agency provide interviewing space, telephone service, clerical support and other necessary requisites to student functioning? TCU Department of Social Work Field Agency Application, page 1