Practicum Application
Please Fill Out the Form Below to Submit Your Application!
Name
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First Name
Last Name
Phone Number
*
Please enter a valid phone number.
Email
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example@example.com
What made you decide to apply to our practice?
Why did you choose the world of therapy?
Besides your degree, what professional training have you participated in? What future training and certifications are you interested in pursuing in the future?
What is your niche or population(s) you feel called to help?
What therapy modalities do you connect with and use in your clinical treatment?
What interest and experience do you have working with children?
Our Practicum students are required to see clients Fridays from 10am-7pm and Saturdays from 9am-2pm. Do you and will you have this availability going forward?
We require that part of your direct hours come from shadowing in session with your supervisor or other therapists at the office, do you have late-afternoons/ early evenings available?
According to your university, what counts as direct and non-direct hours? Direct Hours Include:
Are you willing to participate in a two-day orientation in late July?
Are you able/willing to commit to two semesters at our site for your practicum/internship?
What are your expectations for supervision?
Other than direct/indirect hours, what are the expectations of your practicum program?
If you notice you are not meeting your numbers, how would you handle that?
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