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M.A. in Counseling Practicum Agreement Department of Counselor Education Clinical Mental Health Counseling PLEASE PRINT CLEARLY Student Information Name: KU Student ID #: Home Address: Home Phone:
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How to fill out in counseling practicum agreement

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How to fill out a counseling practicum agreement:

01
Start by reviewing the agreement carefully. Read each section thoroughly to understand the terms and conditions outlined.
02
Fill in your personal information accurately. This typically includes your name, address, phone number, and email address. Make sure to double-check the spellings and provide updated contact details.
03
Provide details about your educational institution. This may include the name of your university or college, the counseling program you are enrolled in, and the name of your academic advisor or supervisor.
04
Specify the duration of your practicum. Indicate the start and end dates of your practical experience. Ensure that these dates align with the requirements of your educational institution.
05
Include information about the counseling site where you will be conducting your practicum. This may include the name, address, and contact information of the organization or agency. It is important to have all the pertinent details to ensure accurate records.
06
Outline the responsibilities and expectations. This section usually covers the roles and duties you are expected to fulfill during your practicum. It may also discuss confidentiality agreements, ethical guidelines, and professional behavior expectations.
07
Indicate the agreed-upon hours for your practicum. This includes the number of hours you will be working each week and the total hours required for completion. It is essential to adhere to the designated hours set by your educational institution.
08
If there are any applicable fees or costs associated with the practicum, disclose them in this section. This may include supervision fees, liability insurance, or any other expenses that need to be covered.
09
Have all parties involved sign and date the agreement. This typically includes your signature, your academic advisor or supervisor's signature, and a representative from the counseling site. Make sure all signatures are legible and obtained before the commencement of the practicum.

Who needs a counseling practicum agreement?

01
Students pursuing a counseling degree or program: A counseling practicum agreement is typically required for students engaging in practical experience as part of their counseling education. It helps ensure that students understand the terms, responsibilities, and expectations during their practicum.
02
Educational institutions: Counseling practicum agreements are necessary for universities, colleges, or other educational institutions to establish guidelines and requirements for students participating in practical experiences. It helps protect the interests of the institution and maintains a standard of professionalism for student practitioners.
03
Counseling sites: Organizations or agencies that offer counseling placements require a practicum agreement to ensure both parties are aware of the terms and responsibilities. It helps set clear expectations and outlines the legal and ethical obligations of the counseling site during the practicum period.
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The counseling practicum agreement typically includes details about the responsibilities of the student, supervisor, and university, the schedule of sessions, the goals and objectives of the practicum, and any requirements for completion.
Both the student and the supervisor are required to file the counseling practicum agreement.
The counseling practicum agreement can be filled out by providing all required information, signing and dating the document, and submitting it to the appropriate parties.
The purpose of the counseling practicum agreement is to outline the expectations, responsibilities, and goals of the practicum experience for all parties involved.
The counseling practicum agreement must include information such as the names of the student and supervisor, the start and end dates of the practicum, the number of required supervision hours, and any specific goals or objectives.
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