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Champion Alumni Questionnaire (For Alumni)
Complete the following survey if you are an NYU Silver MSW alumnus/a/x who is interested in participating in the Champions program after graduation. Please contact Sita Goetschius at
silver.champions@nyu.edu
if you have any questions!
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Social Work Champions is an ambassador program that connects prospective and newly admitted students with current MSW students and alumni. If you are an alumnus/a/x of the MSW program at Silver and would like to be a part of the Champions program, please fill out this form.
Champions draw upon on their experiences at NYU to highlight the opportunities and benefits of an NYU education.
Please fill out the questions below to become an alumni ambassador.
If you are a prospective or admitted student who would like to speak to a Champion, please
fill out this survey
First Name
Last Name
Email Address
Birthdate
Birthdate
January
February
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April
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June
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December
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1901
1900
Preferred Gender Pronoun
Preferred Gender Pronoun
He, Him, His
She, Her, Hers
They, Them, Theirs
Ze, Hir, Hirs
Unlisted
If Unlisted, please provide your pronouns.
NYU Silver MSW Graduation Year
2016
2017
2018
2019
2020
2021
2022
2023
Other
Other NYU Silver Graduation Year
Hometown
Current City
Current Agency/employer
Current job title:
Please briefly describe your job duties:
Practice of Interest (max 2)
Practice of Interest (max 2)
Mental Health with Children and Youth
Mental Health with Adults
Mental Health with Families
Child Welfare
School Social Work
Sexual and Gender Minorities/ LGBTQ
Anti-Racism Social Work
Military Social Work and Veterans
Immigrants and Refugees
International Social Work
Community Organizing and Practice with Communities
Social Work with Disabilities
Research
Health and Healthcare
Substance Misuse
Older Adults/Palliative Care and End-of-Life
Forensic Social Work
Policy Practice
Dual Degree (please specify below)
Don't know/unsure
Which dual degree program were you enrolled in?
Which dual degree program were you enrolled in?
Social Work (MSW) and Child Development (MA)
Social Work (MSW) and Public Health (MPH)
Social Work (MSW) and Law (JD)
Social Work (MSW) and Public Administration (Executive MPA)
Were you involved in any student groups? Check all that apply
Were you involved in any student groups? Check all that apply
Animal Assisted Therapy in Social Work
Asian Pacific Islander / American (API/A) Social Work Students for Change
Black Women's Social Work Coalition
Chinese Student Support Group
End-of-Life Gerontology Student Collective
Graduate Student Association (GSA)
Latinx Social Work Student Organization
Mindfulness Student Collective
Phi Alpha National Honor Society- Pi Pi Chapter
Pride in Practice
Silver Psychoanalysis Forum
Silver Trans+ Student Collective
Social Workers Approaching God
Social Workers on Public Policy
Students of Color Collective
Student Leadership Collective (SLC)
White Students Challenging Racism
Other
You selected "other" student group. Please list the organizations(s) you were involved in as an MSW student
Where was your first year field placement?
Where was your second year field placement?
Have you participated in one of NYU's global learning opportunity programs?
Have you participated in one of NYU's global learning opportunity programs?
Yes
No
No, but I am planning on participating in one
What country did you go to?
Are you a career changer?
Are you a career changer?
Yes
No
If you changed careers, what was your previous career?
Are you interested in emailing prospective or admitted students?
Are you interested in emailing prospective or admitted students?
Yes
No
Are you interested in speaking with prospective or admitted students over the phone?
Are you interested in speaking with prospective or admitted students over the phone?
Yes
No
Are you interested in participating in virtual events for prospective or accepted students?
Are you interested in participating in virtual events for prospective or accepted students?
Yes
No
Would you be interested in attending off-campus (or virtual) graduate recruitment fairs?
Would you be interested in attending off-campus (or virtual) graduate recruitment fairs?
Yes
No
Is there anything else we should know? (e.g. I have recruited before, I can host accepted student events in my hometown, I can talk about balancing the program with family life, etc)
Did you participate in of any of the following programs?
Did you participate in of any of the following programs?
City Year
AmeriCorps
Peace Corps
Teach For America
McNair Scholar
TRIO
Submit