Spring 2022 SEMESTER DATES: 1/18/22 - 5/11/22
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 (1-4):
Classes Completed:
Please make the course selections below according to your degree track. Select YES if you are currently enrolled in the course this semester.
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.
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:
- 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.
- All supporting documents must be included with your application so that your needs can best be determined.
- Order of receipt of application will also be used in assignment to course sections.
- Start searching for internship sites as early in the previous semester as possible. All site supervisors must be approved prior to the start of the internship. Students cannot start an Internship semester without a secured Internship agreement.
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. Chiles) before the start of the Spring 2021 semester. These forms are NOT required to be turned in with this application.