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.

MMPI Verification Form: If a student chooses to complete the MMPI option, this form must be submitted prior to enrolling 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 submitted to the Administrative Assistant.

Personal Counseling Verification Form.  If a student chooses to complete the Personal Counseling option, this form must be submitted prior to enrolling in Practicum.  The student should print the form and take it to the final counseling session so he/she is able to ask the counselor to complete the verification form.  Once it has been completed, this form should be submitted to the Administrative Assistant.

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.

Practicum Forms

Internship Forms