Practicum/Internship Application Process

Table of Contents

Websites 3 New York Students 4 Application Process 5 Official Papers 6 Forms/Templates 14 Affiliation Agreement 18 Using the Submission Portal 20 Attaching Approval Documents 21 Review Process 22 Approval 23

Practicum/Internship Websites

60-hour Professional Counseling COUN 698 Practicum• http://www.liberty.edu/index.cfm?PID=28215

60-hour Professional Counseling COUN 699 Internship• http://www.liberty.edu/index.cfm?PID=6333

60-hour Marriage and Family Therapy COUN 698 Practicum• http://www.liberty.edu/index.cfm?PID=38493

60-hour Marriage and Family Therapy COUN 699 Internship• http://www.liberty.edu/index.cfm?PID=38496

New York Students

Residents of the state of New York New York Students: Please go to the New

York State Practicum & Internship Students website for Approval documents http://www.liberty.edu/academics/behavior

alsciences/counseling/index.cfm?PID=38492

Contact the Practicum/Internship Office in regards to eligibility for Practicum and Internship prior to applying

Application Process

Meet Pre-requisites and Review the Practicum/Internship websites

Secure Site and Supervisor

Gather Official Papers

Complete Forms and Templates

Submit Practicum/Internship application via Submission Portal

Two Reviews by Practicum/Internship Office

Official Papers

Degree Completion Plan Audit

Background Check Receipt

Supervisor’s License

VerificationStudent Photo

Liability Insurance

Face Sheet

Degree Completion Plan Audit

Located in ASIST

Steps to follow for FireFox:• Click on Student Tab• Click on Student Record• Click on Degree Completion Plan Audit• Click on Save as PDF• Maximize the screen• Click on the Download button to

download as a PDF file• Or right click and Save Page as to

save as a PDF file

Degree Completion Plan Audit

Located in ASIST

Steps to follow for Google Chrome:• Click on Student Tab• Click on Student Record• Click on Degree Completion Plan Audit• Click on Save as PDF• Maximize the screen• Click on the Print button• Change Destination to “Save as PDF”• Click Save

Degree Completion Plan Audit

Located in ASIST

Steps to follow for Internet Explorer:• Click on Student Tab• Click on Student Record• Click on Degree Completion Plan Audit• Click on Save as PDF• Maximize the screen• Click on the Save button to download

as a PDF file

Background Check Receipt

Criminal Background Check: Completed within one calendar year of the first day of the academic semester in which the student is applying for practicum or internship. Criminal Background Re-check:

Completed more than one calendar year from the first day of the academic semester in which the student is applying for practicum or internship

Supervisor’s License Verification

Supervisor: needs to be fully licensed Most students can receive this for free from

their state counseling board website On state counseling website it be a link for

License Lookup or License Verification Information our office looks for:

Supervisor’s Name Type of License License Number Issue Date Expiration Date Current/Active

Louisiana and Nevada: Contact state counseling board

West Virginia: Need a copy of the actual license with the information above

PhotoClear image of student’s

faceFile Types: JPG

or PDF files

Liability Insurance Face Sheet

Insurance in the student’s name and not in the name of the site

Amounts: $1 million per occurrence and $3 million aggregate

AACC: Master policy effective dates must be current for the semester the student is applying for or covers for half of the semester

HPSO: “Certificate of Insurance” is the document our office requires

Examples of the Liability Insurance companies and Face Sheets are located in a PDF file on our Practicum/Internship websites under Approval Documents

Forms and Templates

Located on the Practicum/Internship websites Fieldwork Contract Supervisor Information Form Site Information Form

Fieldwork Contract

Use the Practicum Fieldwork Contract Template or Internship Fieldwork Contract template located on the Practicum website or Internship website Use the exact wording on the Fieldwork

Contract Template Type the Fieldwork Contract in Word Print off once it is typed in Word

Wet signatures/signed with pen

Fieldwork Contract Dates Fall 2018

Aug. 27, 2018 to Dec. 14, 2018

Spring 2019

Jan. 14, 2019 to May 10, 2019

Summer 2019

May 13, 2019 to Aug. 16, 2019

Fall 2019

Aug. 19, 2019 to Dec. 13, 2019

Spring 2020

Jan. 13, 2020 to May 8, 2020

Summer 2020

May 11, 2020 to Aug. 21, 2020

Supervisor & Site Information Forms

Two separate forms located on the Practicum or Internship website

Need to be completely filled out prior to submission

Boxes need to be checked as well as filled in with the necessary information Ensure all Yes/No boxes are completed

Director of Site Can be the same as potential supervisor Director of the program if site is a large

site such as a treatment center/hospital Need wet signatures/signed with pen Save both pages as one PDF file

Affiliation Agreement

Affiliation Agreement website: https://www.liberty.edu/index.cfm?PID=38551

Log In Check State Site Lists

Affiliation Agreement

If Site needs to complete an Affiliation Agreement Give Site a copy of the

Instructions and Guidelines for completing Affiliation Agreement

Site completes Cover Page and Affiliation Agreement per the instructions and guidelines

Student completes Schedule A Save all Pages as one PDF File

On State Site Lists: Ask Site for a copy of executed

Affiliation Agreement If Site does not have a copy,

students may request a copy from the Practicum/Internship Office

Student completes Schedule A Save all Pages as one PDF File

Using the Submission Portal

Submission Portal will be posted 3 to 4 weeks prior to deadline and available until the deadline

Submission Portal Location: Under Application Deadline heading on the Practicum/Internship websites

User Name: your Liberty University email address

Password: your Blackboard password Save Approval documents as PDF files Designated spot for the each Approval

documents Supervisor & Site Information Forms: need

to be submitted as one PDF file Affiliation Agreement

Executed Affiliation Agreement and Schedule A as one PDF file

Cover Page, Affiliation Agreement, and Schedule A as one PDF file

Attaching Approval Documents

Students have 30 minutes to complete their Practicum/Internship applications

Designated spot for the each Approval documents

Supervisor & Site Information Forms: need to be submitted as one PDF file

Affiliation Agreement Executed Affiliation Agreement and

Schedule A as one PDF file Cover Page, Affiliation Agreement, and

Schedule A as one PDF file

Review Proces

Practicum/Internship applications reviewed in the order applications are received Typically 3 to 4 weeks Due to high volume by the deadline, this

process may take longer Check Liberty University email daily for

updates from the Practicum/Internship Office Practicum/Internship Office will notify students

of corrections via Liberty University email after initial review

Two weeks from date of review to submit corrected Approval documents

Corrected Approval documents submitted via email only

Approval

Final Review completed by the supervisor of your Practicum/Internship Gate Coordinator

Practicum/Internship Office manually registers students

Approval Email will include WebEx Time Preference student is placed in Non-WebEx students will not have a

WebEx Time Preference in approval email