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Eastern Illinois University

Counseling

Practicum and Internship Information

Site Supervisor Supervision Training Video

Clinical Counseling

Supervisee Evaluation of Site

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Supervisee Evaluation of Site Supervisor

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Site Supervisor’s Evaluation of Clinical Practicum Supervisee

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Site Supervisor’s Evaluation of Internship Supervisee

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Internship Supervisor Survey (3rd Semester Internships ONLY)

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Practicum Activity Log -USE forms provided in Practicum class (Purple packets)

 

 

Internship Activity Log - USE color coded card stock FORMS (Blue-Fall, Pink-Spring, Yellow-Summer) - extra forms in wooden carousel outside GA Office Buzzard 2116

 

 

Release for Videotaping

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Application for Practicum

 

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Clinical Practicum Agreement 

 

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Application for Internship

 

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Clinical Internship Agreement 

 

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Group Consent Form

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Clinical Change of Supervisor

 

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Clinical Additional Supervisor

 

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School Counseling

Supervisee Evaluation of Site

Click Here

Click Here

Supervisee Evaluation of Site Supervisor

Click Here

Click Here

Site Supervisor’s Evaluation of School Practicum Supervisee

Click Here

Click Here

Site Supervisor’s Evaluation of Internship Supervisee

Click Here

Click Here

Internship Supervisor Survey (3rd Semester Internship ONLY)

Click Here

Click Here

Practicum Activity Log -USE forms provided in Practicum class (Purple packets)

 

 

Internship Activity Log - USE color coded card stock FORMS (Blue-Fall, Pink-Spring, Yellow-Summer) - extra forms in wooden carousel outside GA Office Buzzard 2116

 

 

Release for Videotaping

Click Here

Click Here

Group Consent Form

Click Here

Click Here

Application for Practicum

 

Click Here

School Practicum Agreement

 

Click Here

Application for Internship

 

Click Here

School Internship Agreement 

 

Click Here

Individual Consent Form

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Click Here

School Change of Supervisor

 

Click Here

School Additional Supervisor

 

Click Here

 

CONTACT THE DEPARTMENT

Counseling and Higher Education

Eastern Illinois University
600 Lincoln Avenue
Charleston, IL 61920
(217) 581-2400
che@eiu.edu