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Get the free Individual Counseling Practicum Site Agreement Form - usm maine

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This form establishes an agreement between a practicum student from the University of Southern Maine's Counselor Education Program and the site supervisor, outlining expectations for client loads
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How to fill out individual counseling practicum site

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How to fill out Individual Counseling Practicum Site Agreement Form

01
Obtain the Individual Counseling Practicum Site Agreement Form from your institution or program.
02
Read the instructions carefully to understand the requirements.
03
Fill in your personal information at the top of the form, including your name, contact details, and program details.
04
Provide the details of the practicum site, including the name, address, and contact information of the site supervisor.
05
Outline your specific counseling goals and objectives for the practicum experience.
06
Include any relevant information about the practicum site’s services or client population.
07
Sign and date the form to indicate your agreement to the terms.
08
Submit the completed form to your academic advisor or practicum coordinator for approval.

Who needs Individual Counseling Practicum Site Agreement Form?

01
Students enrolled in counseling programs who are completing a practicum.
02
Educators and supervisors at counseling sites who need to formalize agreements with students.
03
Institutions requiring documentation of practicum placements for accreditation or record-keeping.
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The Individual Counseling Practicum Site Agreement Form is a document that formalizes the partnership between a counseling student and a practicum site where they will gain practical experience under supervision.
Counseling students participating in practicum placements are required to file the Individual Counseling Practicum Site Agreement Form to ensure that all parties are aware of their roles, responsibilities, and expectations.
To fill out the Individual Counseling Practicum Site Agreement Form, students must provide their personal information, details about the practicum site, the supervisor's information, and any specific agreements regarding the terms of the practicum experience.
The purpose of the Individual Counseling Practicum Site Agreement Form is to outline the responsibilities of both the student and the practicum site, ensuring clarity and mutual understanding to facilitate a productive learning environment.
The information that must be reported includes the student's name, contact details, the name of the practicum site, the supervisor's name and qualifications, the objectives of the practicum, and the duration and schedule of the experience.
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