All required paperwork for the Clinical Experience is provided below for your ease of access and convenience.  Please review and download all required paperwork as needed.

Students entering their practicum or internship experiences should visit our online fieldwork modules.  This section provides a significant amount of information that addresses specific clinical issues and concerns that students will encounter while at their placements.

SIMULATION iQ Counseling

Please reference these materials to support your work with our SIMULATION iQ Counseling Software.

• Training Guide for Students
• Getting Started with Video Recording
• Quick Help - Video Recording
• Accessing Video Instructions

PrePracticum Forms

• PrePracticum Clinical Skills Evaluation Form
• Encryption Acknowledgment Form

Practicum Forms

• Practicum Agreement
• Practicum Clinical Skills Evaluation Form
• Practicum Site Evaluation Form
• Practicum Student Evaluation of Doctoral Supervisor Form
• Practicum Checklist
• Site Supervisor Information Form
• Permission to Record Form
• Practicum Weekly Hour Log
• Semester Summary Form
• Encryption Acknowledgment Form

Internship Forms

• Internship Agreement
• Internship Site Evaluation Form
• Internship Checklist
• Internship Interim Contract*
• Site Supervisor Information Form
• Permission to Record Form
• Consultation Handout
• Consultation Summary Form
• Site Supervisors Program Evaluation Form
• Internship Weekly Hour Log
• Semester Summary Form
• Encryption Acknowledgment Form

Program Specific Forms

• Student Review of Clinical Mental Health Program Goals and Objectives
• Site Supervisor Evaluation of Clinical Mental Health Counseling Intern

• Student Review of School Program Goals and Objectives
• Site Supervisor Evaluation of School Counseling Intern

• Student Review of Student Affairs Program Goals and Objectives
• Site Supervisor Evaluation of Student Affairs Counseling Intern

If you have any questions or concerns, please contact the Clinical Placement Coordinator.

Doctoral Forms

• Advanced Prac Activity Log - Weekly
• Advanced Prac Activity Log - Semester
• COU 874 Faculty Assessment of Supervision Skills
• DOC Clinical Exp & Advanced Prac and Internship Agreement
• DOC Intern Clinical Activity Log - Weekly
• DOC Intern Clinical Activity Log - Semester
• DOC Internship Activity Log Summary
• DOC Intern Supervision Activity Log - Weekly
• DOC Intern Supervision Activity Log - Semester
• DOC Intern Teaching Activity Log - Weekly
• DOC Intern Teaching Activity Log - Semester
• DOC Teaching Rubrics
• Site Supervisor Evaluation of Doctoral Student
• Supervision Notes
• Encryption Acknowledgment Form

 Additional Resources 

• Practicum Expectations Summary
• Practicum Site Supervisor Evaluation of Student Form
• Student Evaluation of Site Supervisor Form
• Internship Expectations Summary
• Case Presentation Format
• Supervision Log
• Counseling Interview Rating Form
• School Counseling Suggested Exposure Form
• Referral to the School Counseling Intern Form
• Evaluation of the School Counseling Intern Services
• CHS Data Transfer and Storage Policy Form