Integrated Behavioral Health Application Name* First Last Phone*Email* Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Where did you complete your undergraduate degree?*What was your major?*What is your cumulative undergraduate GPA?*If your past academic performance does not meet the GPA standard for admission to the IBH Cognate Area of Study , then you must complete the Petition for Exceptional Consideration (online, located here).Students with cumulative GPAs under 3.2 may enter a GPA in Social Work or related coursework:*Are you currently enrolled in coursework for the Master of Social Work Program at the University of Kentucky?YesNoMSW Program first semester GPA:Please enter your final GPA from the first semester of your Master of Social Work study. If GPA is not available at this time, please send to the IBH coordinator once the semester has ended.Please briefly tell us about yourself and why you wish to participate in this program:Interest Essay:*Accepted file types: rtf, doc, docx, txt, pdf, jpg, jpeg, png.Required: Attach a two-page essay with a brief introduction to yourself, why you are interested in the IBH cognate, and addressing your interest in working with under-served or vulnerable populations across the lifespan in IBH settings. Note: this is not optional.Practicum Field Evaluation from Undergraduate or Graduate ProgramAccepted file types: pdf, jpg, jpeg, png, doc, docx, rtf.Please attach your most recent practicum evaluation. If you are currently an MSW student, please attach your midterm evaluation. If you do not currently have an evaluation, please submit the application and send an email with a brief explanation to socialworkIBH@uky.edu
