Eastern Illinois University :: Master of Science in Counseling

Internship and Practicum Information

Clinical Counseling

A list of available Practicum and Internship sites - updated for 2023-2024.
Click here for more information about Clinical Mental Health Counseling Practicum and Internship.
Click here for information on individual professional liability insurance - REQUIRED since FALL 2020
Practicum and Internship Manual for Clinical Mental Health Counseling
If you are planning on doing your practicum or internship at a government agency, you will be required to partake in a mandatory training session designed to familiarize you with the Illinois Medicaid Comprehensive Assessment (IM+CANS). Please complete this training before you start at your site. You may reach out to your site in order to get costs covered for training.Training Schedule

Clinical Counseling Forms	Word	PDF
Supervisee Evaluation of Site	Click Here	Click Here
Supervisee Evaluation of Site Supervisor	Click Here	Click Here
Site Supervisor’s Evaluation of Clinical Practicum Supervisee	Click Here	Click Here
Site Supervisor’s Evaluation of Internship Supervisee	Click Here	Click Here
Internship Supervisor Survey (3rd Semester Internships 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
Application for Practicum		Click Here
Clinical Practicum Agreement		Click Here
Application for Internship		Click Here
Clinical Internship Agreement		Click Here
Group Consent Form	Click Here	Click Here
Clinical Change of Supervisor		Click Here
Clinical Additional Supervisor		Click Here

A list of available Practicum and Internship sites. - updated 9/12/22
Click here for more information about School Counseling practicum and internship.
Click here for information on individual professional liability insurance - REQUIRED since FALL 2020
Practicum and Internship Manual for School Counseling

School Counseling Forms	Word	PDF
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	Click Here	Click Here
School Change of Supervisor		Click Here
School Additional Supervisor		Click Here