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Fall 2021 Internship 5389 Application

Fall 2021    SEMESTER DATES:  8/23/21 - 12/10/21

Your degree track determines how you are to fill out this form. Please read the application carefully.

Email Addresses:

Internship Sections - Fall 2021

Please rank order your preferences for the following Internship sections (1-5):    [Note: only School Counseling track students will select section 4]


Classes Taken

Please make the course selections below as applicable to your degree track.

COUN 5301
COUN 5305
COUN 5307
COUN 5316
COUN 5328
COUN 5350
COUN 5355
COUN 5359
COUN 5367
COUN 5368
COUN 5391

COUN 5354
COUN 5358
COUN 5369
COUN 5372
Elective: 3 hr

INTERMEDIATE METHODS CLASSES, choose one:

COUN 5360 IM in MCFC
COUN 5366 IM in Adults
COUN 5370 IM in Counseling Adolescents
COUN 5373 IM in Play Therapy
COUN 5689 Clinical Practicum
COUN 5389 Internship I
COUN 5389 Internship II
COUN 5351
COUN 5338

** IMPORTANT **

If there is any other information that needs to be considered with this application regarding section placement (e.g., enrolling in another course that interferes with a particular Internship section), YOU MUST PROVIDE THAT INFORMATION with this application. 

> > >  Do not assume that the Practicum/Internship Coordinator will be aware of individual concerns or that late notification of conflicts can be accommodated or resolved through alternate section placement. < < <

REQUIRED DOCUMENTS:

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.   In order for your application to go through, you must upload at least one document in one of the fields below.

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.

As of this date, have you been formally accepted at an Internship site?

If yes, please provide the following information:

Policies for acceptance into COUN 5389:

  • Students in their second or third semester of 5389 have the highest priority.
  • Students who have completed the most coursework will have the next highest priority.
  • Applications that are unfinished and/or incomplete will not be considered. Double-check and attach all supporting documentation before turning in the application.
  • Late applications are assigned to a waiting list and risk not being placed until the following semester due to these clinical classes having capped enrollment.
  • Order of receipt of application will also be used in assignment to course sections.
  • Applications are NOT held from one semester to the next. You must submit an application for EACH specific semester for which you are requesting placement.