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Department of Sociology

Practicum Forms - Marriage, Couple, and Family Counseling




Student Forms:


The following forms are required of the student throughout the practicum experience.

*Please be sure to view this Due-Date List, so that you are aware of the due dates for each form.


  • Counseling Practicum Checklist for Students—This checklist details all the pre-requisites for students pursuing registration in a counseling practicum. Completion of all parts of this checklist is necessary before students may be registered for (and therefore begin) their practicum.
  • Practicum Pre-Registration FormUpload this completed form to your e-portfolio and email it to the program's administrative assistant.
  • Marriage, Couple, and Family Counseling Practicum Handbook—Students are required to read the practicum handbook before they begin their practicum experience.
  • Checklist for Potential Supervisors—Once you have located an appropriate site and Site Supervisor, complete this form and upload it and your supervisor's resume to your e-portfolio. Email both the checklist and resume to the program's administrative assistant. Your Site Supervisor must be approved before you can enter into a contract with the site/Site Supervisor. You will be notified when your Site Supervisor has been approved.
  • Practicum Contract—This contract between the student, Site Supervisor, and Practicum and Internship Coordinator represents the agreements of each to appropriately participate in the practicum experience and must be signed and uploaded to your e-portfolio prior to registration.
  • Informed Consent Form —This form must be signed prior to any counseling sessions. (Spanish version available)
  • Counseling Practicum Weekly Summary Log—Students will fill out these logs each week based on their practicum experiences.
  • Counseling Practicum Semester Summary Log—Students will fill out this log, acquire their Site Supervisor’s signature, and upload the log to the student's e-portfolio.





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