Practicum / Internship Student Application & Questionnaire

SECTION 2: AVAILABILITY & SCHEDULING
What days and times are you generally available for placement activities?
Are you available for evening sessions if needed?
Are you able to travel between the Saint Johns County counseling office and the Ranch location if needed?
Do you have reliable transportation?
Are there any known scheduling limitations or commitments that may impact your placement?

SECTION 4: PROFESSIONAL READINESS
Have you previously completed any practicum, internship, or clinical experience?
If yes, please describe:
Please list any relevant certifications or trainings you have completed:

Other
How do you typically respond to high-stress or crisis situations?
Describe your experience with documentation, case notes, or electronic health record systems (if any):
What do you believe are your greatest strengths as a developing clinician?
What areas do you hope to receive support, mentorship, or supervision in?

SECTION 5: VALUES,PROFESSIONALISM & FIT
Seamark Counseling and Seamark Ranch value collaboration, professionalism, trauma- informed care, ethical practice, and relationship-centered work. What do these values mean to you?
Describe a time you received constructive feedback. How did you respond?
What type of supervision style helps you learn and grow most effectively?
Is there anything else you would like us to know about you as an applicant?

SECTION 6: REQUIRED DOCUMENTATION
Please attach your resume with your application:
Resume Upload

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Additional documentation may be requested later in the interview and onboarding process.

SECTION 7: APPLICANT ACKNOWLEDGEMENT
I understand that submission of this application does not guarantee acceptance into a practicum or
internship placement. I certify that the information provided is accurate to the best of my
knowledge.
Applicant Signature:
Date:

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