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Chapter Interest Form
Thank you for your interest in starting a Macro Social Work Student Network at your school! Fill out this form and we will contact you to learn how we can support your efforts. Please note that this form is a tool to gather basic information about your chapter. We recognize that starting a new student organization is a process - we welcome your responses no matter what stage you are in in building your group.
If you are not at a point to start your own chapter and still have questions, please e-mail us at
MSWSNetwork@gmail.com
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* Indicates required question
Name
*
Your answer
E-mail
*
Your answer
Cell/work number
*
Your answer
School Name
*
Your answer
What type of program are members of your MSWSN chapter attending?
*
Undergraduate
Graduate
Both
Required
Do you have a macro-focused track at your institution?
*
Yes
No
Unsure
If you have a macro-focused track, what is the name of it?
Example: Silberman School of Social Work has a track called Community Organization, Planning & Development
Your answer
Do you anticipate having faculty or staff support?
*
Yes
No
What is the name, e-mail, and work phone number of your faculty or staff contact?
Why is this important? -We are each in institutions where the student body is cyclical - a faculty contact is helpful for sustaining the MSWSN chapter you create
Your answer
What financial resources do you have to support your MSWSN chapter?
*
This information is helpful as we build credibility and search for grants for student-led organizations.
Funding from instituion
Funding from outside source
Funding from ACOSA
Student contributions
None
How many students at your school are interested in participating in the MSWSN chapter? There are no numbers requirement (when 2 or 3 are gathered.....).
1-5
6-10
11-15
16+
Clear selection
How did you hear about MSWSN?
*
Website
Event
Professor or staff
Another student or alum
Other:
Who are your anticipated Student Leaders (this can be changed at any time - just send a quick email to
MSWSNetwork@gmail.com
to make changes)?
*
Student Leaders will serve as the contact and spokesperson for your school's chapter. Student leaders names and email addresses will be posted on our website in the Active Chapter list.
Your answer
Do you have any feedback on how to improve this form?
Please provide any feedback on questions that need to be clarified or added to the form.
Your answer
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