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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 form in PDF.

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

Right click on the link above and choose "save as," and save the file to your computer.

Open the file you want to print or edit and modify if desired. After editing the file, save it.

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/. View a tutorial to learn how to install & "print" to pdf using the free CutePDF Writer. You can also merge and move pages within your pdf document using the free CutePDF Editor.

Dates & Deadlines

2019-2020 Practicum & Internship

  • Aug 26, 2019: Begin fall internship
  • Oct 9, 2019: Submit mid-term evaluations to faculty supervisor for review and signature. Submit signed evaluations to Clinical Coordinator.
  • Dec 6, 2019: 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 27, 2020: Begin spring internship
  • 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

  • Feb 2020, 3:00-5:00pm: Attend the mandatory practicum orientation.
  • Feb 2020, 3:00-5:00pm: Attend the Internship & Job Fair to learn more about potential practicum sites. Sites can register online; students do not need to register.
  • 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.
  • 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.

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

 Last Modified 8/20/19