Forms

This page contains links to the many different forms that students will need to complete during their participation in the masters of arts in counseling program at Messiah College. Most of the forms are applicable only to students during their practicum experience, but others should be completed at various times throughout the program. Each form is accompanied by a brief explanation and in most cases instructions for when and to whom the form should be turned in.

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Student Forms

Faculty Forms

Practicum Forms

Internship Forms

Student Forms:

The following forms are common to students in all three tracks, and are listed chronologically according to when they are due.

Student Acknowledgement Form: All students must sign this form and return it to their advisor before taking any classes in the graduate Counseling Program.

Graduate Student Recording Consent Form: This form must be signed by graduate students who are participating in mock counseling as a course requirement

MMPI Verification Form: This form must be submitted before enrollment in Practicum.  The student should print the form and take it to the assessment so he/she is able to ask the clinician to complete the verification form.  Once it has been completed, this form should be uploaded to the student's e-portfolio.

Request for Act 48 Credit Form: Students wishing to receive Act 48 credit must complete this form upon completion of the course in which they are enrolled.  This form must be completed for each course that is to be submitted for Act 48 credit (more information).

Declaration of Track: This form is to be completed by students who would like to change tracks or for students who began as "undeclared" and have now selected a track.  It should be sent via email to the student's advisor, the Program Director, the Practicum and Internship Coordinator, and the Administrative Assistant.

Participant Consent: This form must be signed by volunteers who participate in graduate student assignments.

Participant Recording Consent: This form must be signed by volunteers who will be recorded for graduate student assignments.

Practicum Forms:

These forms are specific to the process of the student's practicum experience. To find the required forms for your practicum, click on the applicable track. First, click on the link below for information on how to begin the practicum process, such as how to obtain an practicum site and necessary clearances, etc.

Practicum Preparation

Faculty Forms:

The following are forms that the faculty, usually a student's advisor, should complete during a student's progression through the program.

Course Instructor Evaluation of Student: this form is to be completed by the instructor of each course for each student enrolled. The evaluation assesses the student’s critical competencies and will be sent to the student and the student’s advisor for review.

Counseling Program Student Handbook: The Counseling Program Student Handbook serves as a guide for students in the Graduate Program in Counseling at Messiah College. It contains helpful information about the program, academics, online education, governance and other college policies.