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College of Education and Human Services

Cleveland State University

Counseling, Administration, Supervision, and Adult Learning (CASAL)

Counselor Education

School and Community Agency Practicum Guide

Below are the contents of Practicum: A guide for a successful practicum experience provided in Word or PDF format.

Word icon 1 - Practicum Guide Cover and Orientation Checklist

Word icon 2 - Introduction to Practicum

Word icon 3 - Practicum Prerequisite Information

Word icon 4 - Practicum Application

Word icon 5 - Hints for a Successful Practicum

Word icon 6 - Site Placement Information

Word icon 7 - Practicum Liability Insurance Verification Form

Word icon 8 - Practicum Learning Contract

PDF icon 9 - Professional Counselor Training Supervision Agreement (goes to state board)

Word icon 10 - On-Site Supervisor's Information

Word icon 11 - School Counseling Informed Consent to Tape

Word icon 12 - Agency Counseling Informed Consent to Tape

Word icon 13 - Practicum Direct and Indirect Hours Guidelines

Word icon 14 - Practicum Log Sheet - Example 1

Word icon 15 - Practicum Log Sheet - Example 2

PDF icon 16- Practicum Reporting Form (goes to the state board)

Word icon 17 - School Counseling Trainee Practicum Evaluation

Word icon 18 - Agency Counseling Trainee Practicum Evaluation

Word icon 19 - Student Evaluation of On-Site Supervisor

Word icon 20 - Students Evaluation of Practicum Site

Word icon 21 - Practicum Checklist

22 - Affiliation Agreement for Practicum Student (not in your packet; available upon request)

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Counseling, Administration, Supervision, and Adult Learning
2121 Euclid Avenue
RT 1419
Cleveland, OH 44115-2214
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1860 East 22 Street
Phone: 216.687.4612
Fax: 216.687.4613
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