Forms

 

Checklist for All Counseling Practicum Students
Checklist for MFT students
Traineeship Placement Information Form (.pdf)
Traineeship Placement Information Form (MSWord)
Trainee Placement Agreement (for all specializations except MFT)(.pdf)
Trainee Placement Agreement(All except MFT) (MSWord)
Fieldwork agreement for MFT students
Verification of Group Counseling Requirement

 

Trainee Log for Counseling 705/706
Trainee Log for CMHC Students
Trainee Log for Specialization (Coun. 736, 850, 890, 891)
Trainee Log for Specialization (Winter Log)
Trainee Log for Emphasis
Trainee Log for Emphasis (Winter Log)

 

FIELDWORK EVALUATION OF TRAINEE is completed by the supervisor using an on-line survey. The survey can be viewed with the student on the computer (suggested) or printed out and review via hard copy. The on-line survey must be submitted electronically to the department.
Liaison Faculty Review of Field Placement
Evaluation of Field Placement (Coming Soon)
 

For Field Sites

Field Placement Application (CMHC)
Field Placement Application (MFT)
Field Placement Application (School Counseling)
Field Placement Application (Gerontological Counseling)
Field Placement Application (College/ Career Counseling)

Field Placement Guidelines 

Field Placement Guidelines for Trainee Placements in Schools
Field Placement Guidelines for MFT Trainee Placements
Field Placement Guidelines for CRMH Trainee Placements
Field Placement Guidelines for Trainee Placements (Career)

Field Placement Guidelines for Trainee Placements (College)

 
Forms for Marriage Family Therapy Students and Supervisors available at Board of Behavioral Science (BBS)

Forms for Licensed Professional Clinical Counselor available at Licensed Professional Clinical Counselor(LPCC)