Get Practicum Application Form

Filling out the Practicum Application Form online is a crucial step toward beginning your counseling practicum or internship. This guide will walk you through each section of the form, ensuring you provide all necessary information in a clear and organized manner.

Follow the steps to effectively complete the Practicum Application Form online.

1. Click ‘Get Form’ button to obtain the form and open it in your preferred online editor.
2. Begin by entering the date in the designated field to ensure your application is timely and relevant.
3. Fill in your name and ID number accurately, along with your LPC/SC designation if applicable.
4. Provide your complete address, ensuring that all details are current and correct.
5. Input your telephone numbers — home, work, and mobile. This allows for effective communication regarding your application.
6. Enter your email addresses. Ensure they are active and regularly checked for correspondence from the program.
7. State your current occupation by providing your full job title and the name and address of your employer.
8. Detail your teaching experience by indicating the number of years you have worked full-time in Pre-K, Elementary, Middle, or High School settings.
9. Select the semester you plan to enroll for your Practicum and/or Internship by circling the appropriate options.
10. Indicate your preferred setting for the practicum or internship by selecting either community or school options.
11. If you have a specific site for placement in mind, provide the name, address, and contact details of the supervisor.
12. Rank your preferred school districts in order of choice, ensuring to specify the grade levels you are interested in.
13. Outline your availability by specifying a combination of days and exact times (AM to PM) you can commit to your placement.
14. Indicate if you are requesting field training at your employment site, and if so, provide necessary supervisor names.
15. State whether you have any relatives associated with the schools you are interested in, providing names and relationships if applicable.
16. Verify that you have student liability insurance, indicating your choice clearly and providing verification if available.
17. Complete health and security screening requirements by reporting on TB test results and arrangements for providing health documentation.
18. Attach your current resume with the application to showcase your experience and qualifications.
19. Finally, ensure you sign the application to confirm all provided information is accurate and truthful.
20. Once all sections are completed, save changes to your application, and consider downloading or printing for your records.

Begin your journey toward a rewarding practicum by completing your application online today!