International Social Work Degree Recognition and Evaluation Service Recognition Application Form

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International Social Work Degree Recognition and Evaluation Service Recognition Application Form

Have you completed your screening form and paid the $25 screening fee?

Applicant Information

Salutation

Name

First Middle Last

Other Names Used

Date of Birth

Mailing Address (include city, province, country, postal code as appropriate)

Telephone


Degree


Degree Level


If MSW, please enter MSW Specialization:


Institution


City and Country of Institution


Date-Month-Year Granted


Purpose of Evaluation(CHECK ALL THAT APPLY)
Employment
Social Work Licensure
College/University Admissions
Other

Formal Determination Letters(SELECT ONE)
Each applicant is entitled to two copies of the formal detemination letter.
Send both determination letters to my mailing address above. Send one determination letter to my mailling address and ont to the address below.
Name

Mailing Address (include city, province, postal code as appropriate)


Educational Institutions Attended
List all the educational institutions you have attended, beginning with the most recent. Give the name of each diploma in English as well as in the native language. Attach additional sheets if necessary. Submit official transcripts and an official copy of the degree certificate.

NAME OF INSTITUTION, CITY, COUNTRY	DATES ATTENDED	YEAR OF GRADUATION	NAME OF QUALIFICATION AWARDED E.G., CERTIFICATE, DIPLOMA, DEGREE...

Regulating Authority

Indicate the name of the authority in your country that regulates, accredits, or otherwise sanctions social work education.

If you have further questions you may call and leave a message at 703.683.8080 x 2005 or email iswdres@cswe.org (preferred method).