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This document serves as an affiliation agreement between the Midwest Counseling Program and a host site for a student's practicum, detailing student and agency responsibilities, supervision requirements,
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How to fill out MIDWEST COUNSELING PROGRAM PRACTICUM AFFILIATION AGREEMENT

01
Obtain the MIDWEST COUNSELING PROGRAM PRACTICUM AFFILIATION AGREEMENT form from the program website or office.
02
Read the instructions carefully to understand all requirements.
03
Fill in the institution's name and contact information in the designated fields.
04
Provide your personal information, including your name, contact information, and student ID.
05
Include details about your practicum site, including address and supervisor's name.
06
Outline your goals and objectives for the practicum experience.
07
Sign and date the agreement as required.
08
Review the completed agreement for accuracy before submission.
09
Submit the signed agreement to the appropriate department by the deadline.

Who needs MIDWEST COUNSELING PROGRAM PRACTICUM AFFILIATION AGREEMENT?

01
Students enrolled in the MIDWEST COUNSELING PROGRAM who are seeking practical experience.
02
Supervisors or practitioners at the affiliated sites that will host students.
03
Administrative staff who facilitate the practicum process within the counseling program.
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The MIDWEST COUNSELING PROGRAM PRACTICUM AFFILIATION AGREEMENT is a formal document that outlines the partnership between a student's academic program and a counseling site for the purpose of providing practical training and experience in the field of counseling.
Students enrolled in the Midwest Counseling Program who are seeking to complete their practicum at an affiliated counseling site are required to file the MIDWEST COUNSELING PROGRAM PRACTICUM AFFILIATION AGREEMENT.
To fill out the MIDWEST COUNSELING PROGRAM PRACTICUM AFFILIATION AGREEMENT, students must provide their personal information, the details of the counseling site, and obtain signatures from both their academic supervisor and the site's designated official, ensuring all sections are completed accurately.
The purpose of the MIDWEST COUNSELING PROGRAM PRACTICUM AFFILIATION AGREEMENT is to establish the terms and conditions of the practicum experience, including the responsibilities of the student, the educational institution, and the counseling site to facilitate a structured learning environment.
The information that must be reported on the MIDWEST COUNSELING PROGRAM PRACTICUM AFFILIATION AGREEMENT includes the student's name, contact information, academic program details, the name and address of the counseling site, the nature of the practicum experience, and relevant dates.
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