Get Off-site Practicum Agreement - Texas Woman's University - Twu

Completing the Off-Site Practicum Agreement is an essential step for students in the Counseling and Development Program at Texas Woman's University. This guide provides clear, step-by-step instructions to assist you in filling out the agreement confidently and accurately.

Follow the steps to successfully complete the agreement.

1. Click the ‘Get Form’ button to access the Off-Site Practicum Agreement. This will allow you to download the document and open it for editing.
2. Begin by selecting the type of counseling program you are part of by checking either 'Community Counseling' or 'School Counseling.' Then, indicate your clinical placement term by checking the appropriate box for 'Fall,' 'Spring,' 'Internship 1,' 'Internship 2,' or 'Summer.'
3. Enter your name and contact information, including your phone number and the full name and address of the clinical site where you will be placed.
4. Specify the types of settings where you will be gaining experience by checking all appropriate boxes, such as 'Hospital,' 'Non-profit Organization,' 'MHMR,' or 'School.'
5. Complete the supervisor's details, including their name, phone number, highest degree, and credentials. Make sure to provide their LPC and NCC numbers if applicable.
6. List the activities you will be involved in at the clinical site and the approximate time per week devoted to each activity. This includes individual counseling, group counseling, career counseling, and more.
7. Indicate the types of counseling in which you will receive supervision by checking all that apply, such as 'General,' 'Marriage/Family,' or 'Child/Adolescent.'
8. Fill out the clinical contact information and schedule section, including your work phone, home phone, and schedule for your clinical hours throughout the week.
9. Set personal development goals for your clinical experience by answering the questions about your knowledge base, skill sets, supports needed, additional requirements, and potential struggles.
10. Finally, review the requirements agreed upon by the site, student, and Texas Woman’s University. After ensuring all sections are filled out accurately, you may need to acquire signatures from both the student and the site supervisor, along with any relevant site director or program coordinator.
11. Once you have completed the form, you can save your changes, download it for your records, print it, or share it as needed.

Start filling out your Off-Site Practicum Agreement online today to ensure a successful practicum experience.