University of Southern Maine School of Social Work
Agency Profile for Undergraduate/Graduate Student Placements
Name of agency: Spurwink Services – Cummings Day and Residential Program
Date: 12.15.10 – Interns for the 2011 Academic Year
Agency address: Spurwink Services
Cummings Day and Residential Program
587 Ocean Avenue, Portland, Maine 04103
Agency telephone phone number: 207.871.1582
In arranging for field placements, whom should student contact?
Christina Carr – Human Resources Recruiter (207.871.1211 X2130)
Name of Field Instructor:
Field Instructor telephone number:
Field Instructor email address:
Name of agency director and/or key administrative personnel:
Eric Bendetson Program Director
Agency is able to handle: BSW student____ MSW foundation year student___1__
MSW concentration year student ___
How many students can your agency accommodate? One MSW Student @ Cummings
Briefly describe the basic services/programs of the agency, client population served, and
the size of your staff.
When (day and time) are agency staff and other important meetings held?
What characteristics or qualities would be helpful for a student to have to best utilize the
placement as a learning opportunity?
List the learning opportunities available for the student in your setting:
Is there adequate physical space for the student(s)?
Does the student need a car? Is mileage reimbursable?
Can your agency provide an opportunity for students to fulfill part of their required
placement hours on evenings or weekends?
Does your agency require any formal training for interns?
If yes, how many training hours are required?
When is the training offered?
Can the training be completed online?
Is the agency handicapped accessible?
Background check (SBI) Yes___ No_X__
Physical Exam Yes___ No__X_
Immunizations Yes_X*__ No___ *Records from school
(If yes, please name immunizations required)
Other pertinent information:
We do require that interns complete our Intern Hire Packet once they have been accepted into a
program. The packet includes…
i. Student Cover Letter and Résumé (Online Application)
ii. Application with References Checked (Online Application)
iii. Child Protective Services Release
iv. School Physical with PPD Results
v. Rights & Abuse/ Sexual Harassment Sign-Off
vi. Driving History
vii. Policies Sign-Offs (within 30 days of hire)
viii. Electronic Communications/Social Networking Policy Sign-Off
ix. Initial Fingerprinting Application
x. Asbestos Sign-Off
xi. Emergency Contact Info