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Western Kentucky University

Counselling & Student Affairs

Practicum and Internship

Clinical Mental Health Counseling &
Marriage, Couple, and Family Counseling
Practicum (CNS 591) and Internship (CNS 596)

Resources

Required Paperwork

Please follow the directions at the bottom of each form for completing and submitting the form in PDF format via email.

* forms where only certain fields can be edited.

Additional Paperwork

Related Departmental Policies

Directions for working with the Forms


  1. Right click on the link above and choose "save as," and save the file to your computer.
  2. Open the file you want to print or edit and modify if desired. After editing the file, save it.
  3. Attach it to email, print it, or save it for future editing.
  4. To view PDFs, you can download Adobe Reader free by going to http://get.adobe.com/reader/.
  5. To create PDF files, you can download CutePDF for free at http://www.cutepdf.com/.

Dates & Deadlines

2014-2015 Internship

  • October 23, 2014  Submit mid-term evaluations to faculty supervisor for review and signature.
  • December 5, 2014  Submit all final signed paperwork (WKU portfolio) to the Clinical Coordinator.
  • January 19, 2015 Submit Spring Internship Contract and updated membership or insurance if expired.
  • February 2014  Attend the Internship & Job Fair to identify future employment opportunities if desired.
  • March 20, 2015 Submit mid-term evaluations to faculty supervisor for review and signature.
  • May 8, 2015  Submit all final signed paperwork (WKU portfolio) to the Clinical Coordinator.

2015-2016 Practicum & Internship

  • February 2014  Practicum & Internship Orientation (required for new practicum students).
  • February 2014  Submit the Practicum & Internship Informed Consent Form to the Clinical Coordinator.
  • February 2014  Attend the Internship & Job Fair
  • February 2014  Submit the Practicum Application Form and associated documents to the Clinical Coordinator.
  • March 2014  Review approved Site Information Forms and begin applying to sites of interest.
  • March 2014  If all requirements have been met, you will be enrolled in the practicum group supervision course (CNS 591) by the Clinical Coordinator
  • April 2014  Finalize practicum site placement and submit the Practicum Site and Supervision Contract.
  • May 2014  Begin practicum

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Note: documents in Powerpoint format (PPT) require Microsoft Viewer,
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 Last Modified 10/18/14