Internship Forms

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

Mental Health Counseling Forms

Marriage, Couple, and Family Counseling Forms

School Counseling Forms

Mental Health Counseling Forms

Student Forms:

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

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

  • Counseling Internship Checklist for Students—This checklist details all the pre-requisites for students pursuing registration in a counseling internship. Completion of all parts of this checklist is necessary before students may be registered for (and therefore begin) their internship.
  • Internship Pre-Registration Form—Email this completed form to the program's administrative assistant.
  • Mental Health Counseling Internship Handbook - Students are required to read the internship handbook before they may begin their internship experience.
  • Checklist for Potential Supervisors—Once you have located an appropriate site and Site Supervisor, complete this form and email it and your supervisor's 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.
  • Internship Contract —This contract between the student, Site Supervisor, and Practicum and Internship Coordinator represents the agreements of each to appropriately participate in the internship experience and must be signed and emailed to the program's administrative assistant prior to registration.
  • Informed Consent Form —This form must be signed prior to any counseling sessions.(Spanish version available)
  • Weekly Summary Log -- The intern should also fill out this form to record the amount of time spent in specific experiences.
  • Semester Summary Log --Please use your weekly logs to complete this summary of your total on-site hours.  This form is to be emailed to your Faculty Supervisor and the department's administrative assistant no later than the last day of the scheduled term.
  • Clinical Mental Health Internship Evaluation Forms - These forms will be completed by the site supervisor and the faculty supervisor at the half-way point and at the conclusion of your practicum experience.  You do not need to initiate the evaluation by providing your supervisors with these forms; a link will be sent to them from our office so they can complete the evaluations electronically.  These forms are posted to make you aware in advance of the criteria being used for your evaluations.  Site Supervisor mid-term; Site supervisor final; Faculty supervisor mid-term; Faculty supervisor final.

Marriage, Couple, and Family Counseling

Student Forms:

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

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

  • Counseling Internship Checklist for Students—This checklist details all the pre-requisites for students pursuing registration in a counseling internship. Completion of all parts of this checklist is necessary before students may be registered for (and therefore begin) their internship.
  • Internship Pre-Registration Form—Email this completed form to the program's administrative assistant.
  • Marriage, Couple and Family Counseling Internship Handbook - Students are required to read the internship handbook before they may begin their internship experience.
  • Checklist for Potential Supervisors—Once you have located an appropriate site and Site Supervisor, complete this form and email it and your supervisor's 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.
  • Internship Contract—This contract between the student, Site Supervisor, and Practicum and Internship Coordinator represents the agreements of each to appropriately participate in the internship experience and must be signed and emailed to the department's administrative assistant prior to registration.
  • Informed Consent Form —This form must be signed prior to any counseling sessions. (Spanish version available)
  • Weekly Summary Log -- The intern should also fill out this form to record the amount of time spent in specific experiences.
  • Semester Summary Log --Please use your weekly logs to complete this summary of your total on-site hours.  This form is to be emailed to your Faculty Supervisor and the department's administrative assistant no later than the last day of the scheduled term.
  • Marriage Couple Family Internship Evaluation Forms - These forms will be completed by the site supervisor and the faculty supervisor at the half-way point and at the conclusion of your practicum experience.  You do not need to initiate the evaluation by providing your supervisors with these forms; a link will be sent to them from our office so they can complete the evaluations electronically.  These forms are posted to make you aware in advance of the criteria being used for your evaluations.  Site Supervisor mid-term; Site supervisor final; Faculty supervisor mid-term; Faculty supervisor final.

School Counseling

Student Forms:

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

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

  • Counseling Internship Checklist for Students—This checklist details all the pre-requisites for students pursuing registration in a counseling internship. Completion of all parts of this checklist is necessary before students may be registered for (and therefore begin) their internship.
  • Internship Pre-Registration Form— Email this completed form to the program's administrative assistant.
  • School Counseling Internship Handbook - Students are required to read the internship handbook before they may begin their internship experience.
  • Checklist for Potential Supervisors—Once you have located an appropriate site and Site Supervisor, complete this form and email it and your supervisor's 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.
  • Internship Contract—This contract between the student, Site Supervisor, and Practicum and Internship Coordinator represents the agreements of each to appropriately participate in the internship experience and must be signed and emailed to the department's administrative assistant prior to registration.
  • Recording Consent Form —This form must be completed before any sessions can be recorded. (Spanish version available)
  • Weekly Summary Log -- The intern should also fill out this form to record the amount of time spent in specific experiences.
  • Semester Summary Log --Please use your weekly logs to complete this summary of your total on-site hours. This form is to be emailed to your Faculty Supervisor and the department's administrative assistant no later than the last day of the scheduled term.
  • Elementary School Counseling Internship Evaluation Forms - These forms will be completed by the site supervisor and the faculty supervisor at the half-way point and at the conclusion of your practicum experience.  You do not need to initiate the evaluation by providing your supervisors with these forms; a link will be sent to them from our office so they can complete the evaluations electronically.  These forms are posted to make you aware in advance of the criteria being used for your evaluations.  Site Supervisor mid-term; Site supervisor final; Faculty supervisor mid-term; Faculty supervisor final.
  • Secondary School Counseling Internship  Evaluation Forms - These forms will be completed by the site supervisor and the faculty supervisor at the half-way point and at the conclusion of your practicum experience.  You do not need to initiate the evaluation by providing your supervisors with these forms; a link will be sent to them from our office so they can complete the evaluations electronically.  These forms are posted to make you aware in advance of the criteria being used for your evaluations.  Site Supervisor mid-term; Site supervisor final; Faculty supervisor mid-term; Faculty supervisor final.