Stipend Students Online Forms

These forms are intended to be used by currently awarded stipend students and graduated students.  All forms are online and will be submitted to the Child Welfare Coordinator.  You may contact the Child Welfare Coordinator at sallmanj@uwgb.edu or by calling (920) 465-2029.

BSW & MSW FORMS

 

 

Attachment B Initial Graduate Report – Submit 1 month prior to graduation

This form assists in informing the program whether you are employed upon graduation or will be searching for employment.  It also provides updated contact information.

 

Attachment C Employment Search Report – Submit quarterly

(Dates Due: September 15, December 15, March 15, June 15)

This form identifies all of your employment search history for each quarter after graduation.  If you are offered employment and begin working, you do not need to submit additional reports; unless you become unemployed during your work payback period.

 

Attachment D Self-Referral for Reimbursement – Submit to repay funds

This form provides notification of your intent to reimburse the stipend funds received in the Child Welfare Education Program at UWGB.  You should also contact the Child Welfare Coordinator to verify the receipt of this report submission to begin the payback process.

 

Attachment E Request for Deferral/Exemption of Employment Obligation 

This form provides notification of your request to defer or exempt work of financial payback of the stipend funds received in the Child Welfare Education Program at UWGB.  A deferral is used to extend your payback period.  An exemption is used when you feel you have completed your one year of employment search and have not obtained employment (and you submitted all of your reports on or before their due dates with accurate information), or there are extenuating circumstances as indicated on the form.  You should also contact the Child Welfare Coordinator to verify the receipt of this report submission.

 

OTHER RESOURCES AND LINKS

Wisconsin Professional Development System – Pre-Service Training

This training should be completed within six (6) weeks of your field placement in a child welfare agency.  Please provide copies of your completed assessments at the end of each module.  These copies may be in the form of ‘screen shots’ with a cellular device, ‘print screen’ function on your computer, PDF format, or transposed to a Word document.

Students will click on the title above and will be re-directed to the WCWPDS website.  Registration to the WCWPDS online training is required.  Students will complete the ‘Case Worker Pre-Service Training’ located from the dropdown menu at the top of the webpage.  Please use the following information to complete the registration:

Name:
Name of Agency: University of Wisconsin Green Bay IVE Program
Agency Address: 2420 Nicolet Dr., Green Bay, WI 54311
Work Telephone: 920-465-2346
Work Email: uwgb email
Job Title: IVE Stipend Student
Date Hired: 07/01/2019
Area of Practice:
Name of Direct Supervisor: Jolanda Sallmann
Email of Direct Supervisor: sallmanj@uwgb.edu