Spring 2018 SEMESTER DATES: 1/16/18 - 5/09/18
Your degree track determines how you are to fill out this form. Please read and complete carefully.
Please rank order your preferences for the following Internship sections (1-5):
Please make the course selections below as befit your degree track.
Note: 2nd and 3rd term COUN 5389 Internship students do not need to turn in documents #1-3 below, but YOU DO NEED TO TURN IN THIS COMPLETED APPLICATION.
2.) Attach a copy of all Professional Counseling Performance Evaluations (PCPEs) given to you in all required experiential classes (5354; and one of the following: 5360, 5366, 5370, or 5373).
3.) Attach a 1-2 page statement of your counseling strengths and weaknesses.
If yes, please provide the following information:
Policies for acceptance into COUN 5389:
Guidelines for Internship document is online, and contains a letter of introduction from the Internship Coordinator, a Memorandum of Agreement, Proposed Internship Activity Plan, and Supervisor Disclosure Statement outline. The document should be reviewed by you and also shared with your Site supervisor(s) before you complete the required Internship paperwork.
Note: Every internship student is required to submit the Memorandum of Agreement, Proposed Internship Activity Plan, and completed Supervisor Disclosure Statement to the Practicum/Internship Coordinator (Dr. Calley) before the start of the Spring semester. These forms are NOT required to be turned in with this application.