Prospective Field Site Form Interested in students from our program completing fieldwork with your organization? Please fill out the form below. Prospective Field Site Submission Form Organization InformationOrganization Name * RequiredAddress * Required Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Phone * RequiredNeighborhoods Served * RequiredScope * RequiredLocalStateNationalStaff ContactName * Required First Last Position * RequiredEmail PhoneAbout the FieldworkAgency / Program Type * RequiredPlease pick one that best appliesAcademicAdvocacyArtsEducationHealthJusticeOutdoor Education / CampReligionSocial IssuesSports / RecreationVolunteeringOther Other Specific Focus * RequiredPlease pick no more than two. Character Education Community Organizing Culture / Ethnicity Disability Family Programs Fine Arts Foster Care Juvenile Justice Life Skills Literacy Media Mental Health Mentoring Museum Education Outdoor Education / Camp Public Health Service Learning Sexuality Social - Emotional Development Social Justice Theater / Performance Traditional After-School Tutoring / Academic Violence Prevention Youth Leadership Other Ages Served * RequiredPlease check all that apply. Early Childhood (>4 years) School Age (5 - 10) Early Adolescence (10-14) Adolescence (14 - 18) Emerging Adult (18 - 21) Family Populations Served * RequiredPlease check all that apply. African American Latino Boys Girls LGBTQ Disability Homeless / Foster Care Other Opportunities for Masters StudentsOur masters candidates are required to do at least one semester of fieldwork (about 8 - 10 weeks on-site) to gain experience working in youth development with youth and other professionals.Background Checks * RequiredDoes your organization require background checks for students working in temporary positions?YesNoInterviews * RequiredDoes your organization require interviews for students working in temporary positions?YesNoSupervision * RequiredDoes your organization require a staff member to be on-site at all times to supervise / mentor our students?YesNoWorking with Youth * RequiredAre there opportunities for our students to have direct contact with youth?YesNoAdministration * RequiredAre there opportunities for our students to take on administrative responsibilities? (I.E. grant writing, curriculum / program development)YesNoEvaluation * RequiredAre there opportunities for our students to participate in program evaluation?YesNoOther OpportunitiesAre there other opportunities for students we should be aware of?CapacityHow many students would your organization be able to supervise / mentor per semester?Further DetailsPlease include anything else you would like to share with us about your organization. This iframe contains the logic required to handle Ajax powered Gravity Forms.