Get Practicum Proposal Information - Ucla Extension - Uclaextension

Filling out the Practicum Proposal Information form for UCLA Extension is an essential step for students aiming to complete their practicum in college counseling. This guide provides clear instructions to help you successfully navigate the form and ensure all necessary details are included.

Follow the steps to complete your practicum proposal form.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Complete Page 1 of the form by entering your full name, address, last four digits of your social security number, daytime phone number, and email address. Ensure all fields are filled out accurately as this information is crucial for your proposal.
3. In the fieldwork proposal section, provide details about the setting or school where the practicum will take place. Include the supervisor’s name, title, phone number, and email address. Make sure to include the estimated date of completion, which is usually the last day of the online class.
4. Obtain the supervisor’s signature on Page 1 confirming their agreement to supervise your practicum. Note that the proposal will not be approved without this signature.
5. Sign the proposal yourself, acknowledging the information provided and confirming your commitment to the practicum requirements.
6. Make a copy of Page 1 for your records before submitting it. You can send the completed form via email, fax, or mail as instructed.
7. Once you have completed the Practicum, ensure to fill out Page 2, which includes the Student Final Checklist and Supervisor Verification. Both you and your supervisor need to complete the corresponding sections and sign it.
8. After filling out Page 2, submit it in the same manner as Page 1 to finalize your practicum requirements.

Start filling out your Practicum Proposal Information form online today to complete your college counseling program!