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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

Clinical Paperwork

Please follow the directions for completing and submitting the required forms in a single PDF (see link at the bottom for the free CutePDF software). Email paperwork to WKU.CNS.clinical.coordinator@gmail.com (WKU email limits files sizes).

Permission to Video

Sample Client Intake Form & Case Notes (SOAP format)

Plan of Action for Course Completion

Petition for Change in Practicum or Internship Site

Transcript

link  Site Supervisor Training Video (PPT slides only)

Fingerprinting services for licensure FBI background checks can be done at the following locations in Bowling Green ($10-20):

Bowling Green Police Department does NOT offer fingerprinting services.

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:

Site Information Form (form should be saved first and then completed in Adobe Reader or Pro)

link  Site Supervisor Training video (PPT slides only)

Site Visit Checklist

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.

To view PDFs, you can download Adobe Reader free by going to http://get.adobe.com/reader/.

To create PDF files, you can download CutePDF for free at http://www.cutepdf.com/.

To scan documents from your phone, the free Adobe Scan app has provided the best quality scans for pdf.

Dates & Deadlines

2019-2020 Practicum & Internship

  • Mar 4, 2020, 3:30-5:30pm, GRH 2005 & 2006: Attend the Site Supervisor Panel &  Internship & Job Fair to learn more about potential practicum sites. Sites can register online; students do not need to register.
  • Mar 13, 2020: Submit mid-term evaluations to faculty supervisor for review and signature. Submit signed evaluations to Clinical Coordinator.
  • May 3, 2020: Submit all final signed paperwork (see Internship Portfolio Checklist) to your Faculty Supervisor for review and signature. Submit signed evaluations to Clinical Coordinator. Contact CC in advance if an extension is required to complete hours during finals week.

2020-2021 Practicum & Internship

  • Mar 1, 2020: 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.
  • Mar 4, 2020, 3:30-5:30pm, GRH 2005 & 2006: Attend the  Site Supervisor Panel & Internship & Job Fair to learn more about potential practicum sites. Sites can register online; students do not need to register.
  • May 1, 2020: Submit the Practicum Site and Supervision Contract.
  • May 18, 2020: Begin practicum.
  • Jul 1, 2020: Submit mid-term evaluations to faculty supervisor for review and signature. Submit signed evaluations to Clinical Coordinator.
  • Aug 13, 2020: Submit all final signed paperwork (see Practicum Portfolio Checklist) to your Faculty Supervisor for review and signature. Submit signed evaluations to Clinical Coordinator.
  • Aug 14, 2020: Submit the Internship Site and Supervision Contract if changing sites.
  • Aug 24, 2020: Begin fall internship
  • Oct 7, 2020: Submit mid-term evaluations to faculty supervisor for review and signature. Submit signed evaluations to Clinical Coordinator.
  • Dec 4, 2020: Submit all final signed paperwork (see Internship Portfolio Checklist) to your Faculty Supervisor for review and signature. Submit signed evaluations to Clinical Coordinator. Contact CC in advance if an extension is required to complete hours during finals week; portfolio must be submitted no later than 12/13/19.
  • Jan 19, 2021: Begin spring internship
  • Feb 2021 TBD: Serve on the intern panel at the practicum orientation!

2021-2022 Practicum & Internship

  • Feb 2021 TBD: Attend the mandatory practicum orientation.

 

 

 


Some of the links on this page may require additional software to view.

 Last Modified 2/12/20