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Counseling and Student Affairs

Practicum and Internship

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

Resources

Required Clinical Paperwork

Please follow the directions for completing and submitting the form in PDF.

Additional Paperwork

Establishing and Maintaining Clinical Sites

Review the Practicum & Internship Manual for instructions on establishing a  new site or maintaining a clinical site.  The following are forms used for reviewing and updating sites annually:

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

2016-2017 Practicum & Internship

  • May 16, 2015: Begin practicum.
  • Jul 13, 2016: Submit mid-term evaluations to faculty supervisor for review and signature. Submit signed evaluations to Clinical Coordinator.
  • Aug 12, 2016: Submit all final signed paperwork (see Practicum Portfolio Checklist) to your Faculty Supervisor and the Clinical Coordinator.
  • Aug 17, 2016: Submit the Internship Site and Supervision Contract.
  • Oct 17, 2016: Submit mid-term evaluations to faculty supervisor for review and signature. Submit signed evaluations to Clinical Coordinator.
  • Dec 2, 2016: Submit all final signed paperwork (see Internship Portfolio Checklist) to your Faculty Supervisor and the Clinical Coordinator. Contact CC if an extension is required. Must be submitted no later than 12/9/15.

2017-2018 Practicum & Internship

  • Feb 2017: Attend the mandatory practicum orientation.
  • Feb 2017: Attend the Internship & Job Fair to learn more about potential practicum sites.
  • Mar 2017: Submit the Practicum Application Form. You must get this form approved by the Clinical Coordinator BEFORE you apply for a practicum site to verify your eligibility to enroll in practicum.
  • May 1, 2017: Submit the Practicum Site and Supervision Contract.

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Note: documents in Excel format (XLS) require Microsoft Viewer,
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Note: documents in Word format (DOC) require Microsoft Viewer,
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Note: documents in Powerpoint format (PPT) require Microsoft Viewer,
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Note: documents in Quicktime Movie format [MOV] require Apple Quicktime,
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 Last Modified 5/16/16