CCCA Internship Application

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Applicant Name* This field is required.
First Name
Last Name
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Practicum Requirement* This field is required.Does your school require you to complete a 100-hour practicum experience prior to internship?
YESNO
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Are you applying for Internship or Practicum/Internship?* This field is required.Have you completed your 100-hour practicum experience?
Yes - I'm applying for my 600-hour Internship at CCCA, I'm done with my 100 hour practicum.
No - I'm only applying to begin my 100-hour Practicum and will do internship somewhere else.
Yes - I'm completing my 100-hour practicum somewhere else and applying to complete my 600-hour Internship here at CCCA in the future.
Yes, I'm applying for my 100-hour practicum and my 600 hour internship at CCCA.
Yes, I'm applying for my internship but the structure doesn't fit any of the other choices above.
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Internship Requirements - Hours* This field is required.An internship at CCCA requires at least a 2 semester commitment and completion of at least 240 direct client hours (120 hours per semester) - regardless of hours earned at other site(s) prior to or concurrent with a student's time at CCCA. LPC and MSW students who have completed practicum elsewhere should count on 240 direct client hours and 360 indirect hours. Students doing both practicum and internship at CCCA (360 direct client hours) will have a 3 semester commitment. MFT students should count on doing 240 client hours in 2 semesters or 360 hours in 3 semesters. If a student's university requirements are greater than these, the more stringent requirements will apply.
I can make this workI cannot make this work
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Internship Requirements - Scheduling & Time on Site* This field is required.An interns at CCCA are required to schedule at least 16 hours a week on site, the expectation would be at least 10-12 direct client hours per week with time for notes and marketing. These 16 hours are best scheduled in 4 separate, 4-hour blocks or 2 separate 8-hour blocks. The interns who have the easiest time filling their schedules have two daytime and two evening blocks (evening = anything after 4 pm or later) on at least three different days of the week. However, two full days (especially weekends) work too. Weekday evenings and weekend days are very desired by our clients. Interns are free to set their own schedules within these parameters and may see clients any day of the week from 8am to 8pm. In addition, all interns must meet with their supervisors for at least one hour per week. Sample Schedule: Tuesday: 4:30p-8:30p (1 evening) Wednesday: 12pm-4pm, 4pm-8pm (1 daytime, 1 evening) Saturday: 9am-1pm (1 daytime) This = 4 shifts (2 daytime; 2 evening) on 3 different days. Sample Weekend Schedule: Saturday 9am-6pm Sunday 9am-6pm
I can make this workI cannot make this work
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Email* This field is required.
example@example.com
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What school are you attending?* This field is required.
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Please select the semester/month that best fits when you are applying to start.* This field is required.
Spring Semester 2024 (January start date)
Summer Semester 2024 (May start date)
Fall Semester 2024 (August start date)
Spring Semester 2025 (January start date)
Summer Semester 2025 (May start date)
Fall Semester 2025 (August start date)
Spring Semester 2026 (January start date)
Summer Semester 2026 (May start date)
Fall Semester 2026 (August start date)
Spring Semester 2027 (January start date)
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Total Hours* This field is required.How many TOTAL hours (direct + indirect) does your program require?
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Direct Hours* This field is required.How many DIRECT client hours does your program require?
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Group Requirement?* This field is required.Does your program require you to obtain experience leading a group?
Yes
No
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Group Requirement - DetailsPlease provide details about your program requirements for group experience (hours, type of group, etc.)
Huge
Large
Normal
Small
Ok
Ok
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Any additional comments or questions for us?
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Large
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Small
Ok
Ok
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Cover Letter* This field is required.Please upload a cover letter below:
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Max. file size: 10.6MB
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Resume* This field is required.Please upload a copy of your resume below:
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Cancelof
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Signature* This field is required.I acknowledge that I have read and understood CCCA's hours and scheduling requirements as described above and believe I will be able to meet these requirements.
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