Unique to Pacifica
Getting Started
Sample Resume for Practicum Application
Letter of Introduction for Practicum Sites
Site Approval Forms
Site Approval Packet for students who began their degree program AFTER 8/1/12 (Current 1st Year Students)
Site Approval Packet for students who began their degree program prior to 8/1/12
Responsibility Statement for Supervisors Required in California
Personal Therapy Personal Therapy Documentation Form
Logs
Log Directions and Tools
Sample Log
Definition of Log Terms
Log Correction Checklist
2012-2013 Practicum Logs (June 2012-August 2013)
Quarterly Practicum Log for 2012-2013 (Savable Auto Add PDF Form)
Quarterly Practicum Log for 2012-2013 (Unformatted/Printable Version)
2011-2012 Practicum Logs (September 2011- August 2012)
Quarterly Practicum Log for 2011-2012 (Savable Auto Add PDF Form)
Quarterly Practicum Log for 2011-2012 (Unformatted/Printable Version)
Evaluations
Quarterly Supervisor's Evaluation
Electronic Quarterly Supervisor's Evaluation PDF Form this form may only be filled out electronically, please do not print until after completing the form.
Student Evaluation of Supervised Practicum Site
Notification of New Supervisor and/or Supervisor Termination Forms Notification of New Supervisor Form
New Supervisor Affiliation Agreement Pages 3, 5, and 7 required
Site Termination Forms
Notification of Practicum Site Termination Form
File Closure Forms
(Note: Closing your file means you can no longer accrue hours until after your degree posts)
Request for File Closure Form
Miscellaneous Traineeship Forms
Off Site Supervisor Agreement
Notification of Affiliation Agreement Date Extension
