Belmont University Counseling Center Internship/Practicum Application
Applications will be accepted January 1st through February 15th. We will contact qualified applicants for an interview, and intern selection will be completed by mid-March. If you have any questions about our program, please contact counseling@belmont.edu.
Full Name
*
First Name
Last Name
Preferred Pronouns
Address
*
Street Address
Street Address 2
City
State / Province
Postal / Zip Code
Phone Number
*
Email
*
example@example.com
Current Graduate Education
*
Which mental health discipline are you studying?
*
Clinical Social Work
Counseling
Psychology
Other
Clinical Requirements (BUCS requests a minimum commitment of two full work days a week.)
*
What days are you available to be scheduled at the internship/practicum site? (Please select all that apply)
*
Monday
Tuesday
Wednesday
Thursday
Friday
What interests you about working at Belmont University Counseling Center?
*
What previous clinical experiences have prepared you for working at Belmont University Counseling Center?
*
Is there anything else that you would like us to know about you to better review your application?
*
Please upload any supporting documents including cover letter and resume.
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