Request for SSW-310 Application - Wayne State University

Please complete the form entirely. Allow 3-5 weeks for processing. For questions, please contact Karen Weiner Temporary Approval Coordinator at Ah9301@wayne.edu or 313 -577-7718.

Requirements for Temporary Approval for Michigan School Social Workers

Temporary approval by the State Department of Education is required for employment as a school social worker. Faculty of the School of Social Work who granted the Master of Social Work degree to the applicant recommends temporary approval to the State Department of Education. Evidence of the knowledge and competencies outlined in the “State Rules and Regulations for School Social Work” must be on file with the University. Wayne State University, Master of Social Work graduates who have fulfilled requirements to meet the Temporary Approval, can apply to have a SSW-310 University Recommendation completed. Prospective job applicants then can provide this form as proof of eligibility for temporary approval. Once the applicant has received an offer of employment, the employing school district then completes the lower portion of the SSW-310 and forwards it to the State of Michigan, Department of Education.

Fields with asterisks (*) are required.

First Name *

Last Name *

Former Name

WSU access ID #

email address *

Personal email address *

Phone # *

Address line 1 *

Address line 2

City *

State/province/region *

Postal/zip code *

Country *

Name of institution granting MSW degree *

Date MSW degree conferred *

Upload unofficial copy of transcript indicating MSW degree *

Completion of a minimum of 500 clock hours of graduate level field work in a school or children, youth and family setting or completion of at least 500 hours of post graduate experience with children, youth and families under the supervision of a LMSW social worker.

Name of Agency *

Clock Hours *

Indicate if experience is from field placement or post master paid work experience. *

Submit supporting documentation: Field evaluation form, letter from employer or supervisor.

Completion of Interpersonal Theory Track Courses *

Cognitive/Behavioral Track (SW 8340 & SW 8350)

Family Systems (SW 8380 & SW 8390, formerly SW 8540/ SW 8610 & SW 8780/ SW 8790)

Psychodynamic (SW 8360 & SW 8370)

Completion of SW 8180 - Indicate grade received and semester completed. *

Completion of SW 8330 - Indicate grade received and semester completed. *

Additional Information

If applicable, School Refresher course with name of course, institution, and date of completion.

Additional comments regarding requirements and verification.

Additional supporting documentation/verification of courses/workshops completed.

Untitled