What documentation do you need to have in place before you begin your practicum?
Practicum Document Submission Cover Page
Application/Intent to enter Pre-practicum/Practicum
Site and Clinical Supervisor Information Form
Acknowledgement of Practicum Guidelines
Copy of Clinical Supervisor’s License
Workplace Practicum Consent Form (if applicable)
Proof of Liability Insurance
Proof of Professional Membership
Clinical Supervisor's Evaluation of Practicum Student
Student's Evaluation of Clinical Supervisor
Unprofessional Conduct Acknowledgement Form
(Grand Canyon University Counseling Practicum
Manual, 2017, p.11).
Summarize your goals that you would like to achieve by the time you complete the practicum.
Licensure: Cite the appropriate state board website information. Do not contact your state behavioral health board.
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