Social Work Program Application

As part of the Social Work program admissions process, students must submit personal references. Follow the link below to submit a reference on behalf of a student applicant.

Student Reference Form

Apply to the Social Work Program at MC

Admission to Mississippi College does not guarantee admission to the Social Work Program. After completing the minimum requirements, MC students must then submit the application below and be approved for admission into the Social Work Program.

Student Information

Name

Phone

Local Address

Address

City

State

Zip

Permanent Address

Address

City

State

Zip

Emergency Contact

Name

Relationship

Phone

Academic Data

Have you completed or currently completing SWK 225: Introduction to Social Work and Social Welfare?

Yes No

Have you completed or currently completing SWK 331: Generalist Social Work Practice I?

Yes No

Personal History

Have you been convicted of a felony?

Yes No

If yes, please explain.

Agreement

Students applying to the Social Work Program at Mississippi College agree to the following:

I have read and will adhere to and abide by the NASW Code of Ethics. I realize that failure to do so may result in disciplinary action by the Social Work Program, up to and including dismissal from the Program.
I understand that I am required to maintain a minimum 2.5 overall G.P.A. and to complete each required Social Work Program course with a grade of "C" or better. I understand that my grades will be monitored each semester, and I will be reviewed by the Social Work faculty for possible action should my grades fall below the minimum level.
I understand that my individual progress as a Social Work student will be monitored by the Social Work Program. Therefore, I agree to demonstrate a commitment to professional conduct, including practicing within the scope of social work, respecting others, being punctual and dependable, completing assignments (role plays, interviewing, oral presentations, and type-written documents) and reports on time, and prioritizing responsibilities. I will also be willing to recognize the signs of stress and emotional problems and seek advice from my faculty advisor regarding appropriate maintenance of my academic, physical, or psychological health.
I agree to allow appropriate information concerning my academic and nonacademic progress to be shared with representatives within the Social Work Program. Program representatives will include Social Work/Sociology faculty and Field Placement Supervisors.
I understand that according to Section B of the Mississippi State Board of Examiners for Social Workers and Marriage & Family Therapists, an applicant for social work licensure:
1. Is at least twenty-one (21) years of age
2. Is of good moral character, as defined in these Rules and Regulations
3. Has on file a fingerprint criminal history information record check acceptable to the Board
4. Has on file a Mississippi Sex Offender Registry check acceptable to the Board
5. Holds United States citizenship or status as a legal resident alien
6. s free of conviction of a felony related to the practice of social work within the last ten (10) years
7. Is mentally competent with no decree of mental incompetence still standing in any court
8. Is currently free from dependency on alcohol or drugs, other substances or any other type of addiction
9. Has no pending disciplinary action
10. Has an acceptable social work degree for level of licensure requested.
I agree to observe and abide by all policies and procedures of the Mississippi College Social Work Program as explained in the Student Handbook.

I hereby affirm that I agree to the conditions set forth above and understand that any falsification of information is grounds for dismissal from the program.

Enter your full name in lieu of a signature