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Internship and Practicum Forms
FOR PSYCHOLOGY STUDENTS (M.S. AND S.S.P. DEGREES)
Application Packet (includes Application and Agreement, Course Verification, Confidentiality, and Liability forms)
NOTE: Application Packet is to be returned to the Department of Psychology and Counseling, Box T0820, Stephenville, TX 76402
Counseling Psychology Practicum Time Sheet (LPC/LMFT)
Educational Psychology Practicum Time Sheet (LPA/LSSP)
Student Activity Log (LPC/LMFT/LPA/LSSP)
Permission to Photograph/Record/Observe (LPC/LMFT/LPA/LSSP)
Session Critique Form - Student (LPC/LMFT/LPA/LSSP)
Recording Verification Form (LPC/LMFT/LPA/LSSP)
Session Critique Form - Supervisor (LPC/LMFT/LPA/LSSP)
Supervisor Log (LPC/LMFT/LPA/LSSP)
University Supervisor Meetings Form (LPC/LMFT/LPA/LSSP)
Counseling Psychology Summary Time Sheet (LPC/LMFT)
Educational Psychology Summary Time Sheet (LPA/LSSP)
Supervisor Evaluation Form (LPC/LMFT/LPA/LSSP)
Student Evaluation Form (LPC/LMFT/LPA/LSSP)
Student Survey of Experiences and Recommendations (for final practicum/internship) (LPC/LMFT/LPA/LSSP)


