Practicum Forms: Masters in Counseling Psychology
Site Approval Forms
- Site Approval Packet for students who began their degree program AFTER 8/1/12 (Current 1st Year Students)
- MFT Responsibility Statement for Supervisors Required in California
- PPC Responsibility Statement for Supervisors Required in California
Personal Therapy
Log Directions and Tools
Practicum Logs
- Facts about the Weekly Summary of Hours of Experience – 2017 – New Streamlined Method
- PGI Weekly Summary of Hours of Experience – 2017 – New Streamlined Method (Print Version)
- PGI Weekly Summary of Hours of Experience – 2017 – New Streamlined Method (Savable Auto Add Version)
- Pre-2017 Quarterly Practicum Log (Print Version)
- Pre-2017 Quarterly Practicum Log (Savable Auto Add Version)
- Out of State Quarterly Practicum Log (Print Version)
- Out of State Quarterly Practicum Log (Savable Auto Add 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 and 6 required
- LMFT Responsibility Statement for Supervisors Required in California
