INTERNSHIP/PRACTICUM APPLICATION FORM


Who will be supervised during my practicum & internship?

During your practicum and internship, you will be supervised by a qualified, on-site, appropriately certified/licensed counseling professional. This person is a seasoned professional who will serve as your On-Site Supervisor and meet with you minimally for 1 hour per week for individual supervision.

What is a practicum/internship site?

Practicum and/or Internship Site (or Site): the professional setting approved by the MSU program for a student to complete a one semester Practicum and a two-semester Internship (used interchangeably with placement or placement site), whereby students provide direct one-on-one and group counseling and other services to clients within that setting.

Do You rating students in practicum or internship?

Note: You are rating students in practicum or internship. Practicum is the first field experience for most students; if the student displayed “skills deficiencies” at the start of practicum or internship, please specify so.

How do I apply for an internship orientation session?

All students enrolling in Internship I (COUN 654) must complete a “Request for Internship Application” (Appendix B) found at the back of this manual, and submit it to the Clinical Coordinator before they can be registered for an Internship Orientation session. This application does NOT require pre-approval by an advisor.

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