List of Approval Documents Degree Completion Plan Audit Background Check Receipt Supervisor’s License Verification Fieldwork Contract Supervisor Information Form and Site Inform
Trang 1Practicum/Internship
Application Process
Trang 2List of Approval Documents
Degree Completion Plan Audit
Background Check Receipt
Supervisor’s License Verification
Fieldwork Contract
Supervisor Information Form and Site Information Form
Photo
Liability Insurance Face Sheet
Affiliation Agreement
Trang 3Degree Completion Plan Audit
Located in ASIST
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 the Degree Completion Plan Audit
as PDF
Or Right Click and “Save Page As” to save as a PDF file
Save As: Last name_First name_DCPA
Trang 4Background Check Receipt
Counseling Background Check: https://portal.castlebranch.com/LM71
Example on the next page
Trang 5Castle Branch Background Check Receipt
Trang 6Supervisor’s License Verification
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
Trang 7Fieldwork 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
Dates in the Fieldwork Contract should reflect the full A-Term semester dates
See Academic Calendar on the Registrar’s Office website- see link below
http://www.liberty.edu/academics/registrar/index.cfm?PID=17813
New York Students Only: Please use the approval documents indicated for
New York Students only on the Practicum website or Internship website
Wet signatures/signed with pen
Trang 8Supervisor/Site Information Forms
Two separate forms located on the Practicum or Internship website
Need to be completely filled out prior to submission
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
New York Students Only: Please use the approval documents indicated for New York Students only on the Practicum or Internship website
Supervisor: needs to be full licensed
Boxes need to be checked as well as filled in with the necessary information
Ensure box about Group Supervision and 2-year Clinical experience are checked
Need wet signatures/signed with pen
Save both pages as one PDF file
Trang 9 Driver’s License, Student ID, or Professional Photo
Clearly visible of the student’s face
File type: JPG or PDF file
Trang 10Liability 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 Face Sheet are located in a PDF file on our
Practicum/Internship websites
Some organizations students can contact about insurance include:
Healthcare Providers Service Organization (HPSO) 1-800-982-9491 or hpso.com (preferred)
American Association of Christian Counselors (AACC) 1-800-526-8673
American Counseling Association (ACA) 1-800-545-2223 (can also be helpful for Canadian
students) (preferred)
American Professional Agency, Inc 1-800-421-6694
Trang 11Affiliation Agreement
Only the site completes the first portion of the Affiliation Agreement
Students only complete the Student Addendum
The name of site and site’s address in the blanks under 12.0 Notice in the Affiliation Agreement
Leave section under Liberty University blank on the signatory page
Sites must complete a W-9 Form as part of the Affiliation Agreement
Please attach the W-9 Form as one of the pages for the Affiliation Agreement
Submit all pages of the Affiliation Agreement as one PDF file
Wet signatures/signed with pen
Sites can use their own Affiliation Agreement
Sites can contact Internship team at internship@liberty.edu to use their own
Affiliation Agreement
Further instructions located in the following link:
http://www.liberty.edu/media/1118/Instructions_for_Affiliation_Agreement pdf
Trang 12How to submit a Practicum/Internship Application through SharePoint
Use the submission portal link on the Practicum website
(http://www.liberty.edu/index.cfm?PID=28215) or Internship website
(http://www.liberty.edu/index.cfm?PID=6333)
The submission portal link will be posted under the deadlines listed on the
websites
Students are to use their Liberty University email (including “@liberty.edu”) and password to log in to SharePoint to submit either a Practicum application and approval documents or an Internship application and approval documents
Save Approval Documents on desktop as PDF files
There is a designated spot for each of the approval documents; therefore, save the Degree Completion Plan Audit as a separate document from the
student’s Background Check Receipt PDF file, Supervisor’s License
Verification, etc
Trang 13WebEx (60 hour Professional
Counseling program ONLY)
All sections of COUN 698 Practicum and COUN 699 Internship
Exceptions: the Marriage and Family Therapy degree program and the 48-hour Professional Counseling degree program students will not be enrolled in WebEx Faculty Group Supervision
Submit times when you submit your Practicum/Internship application
1.5 hours of Weekly WebEx Faculty Group Supervision
Reason- the department’s decision to begin the process of seeking CACREP accreditation for the online 60-hour Professional Counseling degree program
Trang 14WebEx Time Preferences
Our office cannot guarantee that you will placed based on your time preferences
The Faculty Supervisor will set the specific day and time and notify students of the day and time
Time Preferences are:
Weekday Morning
Weekday Afternoon
Weekday Evening
Weekend Morning
Weekend Afternoon
Weekend Evening
Students are to provide our office with two separate time preferences
Trang 15Review Process
Our office reviews applications in the order they are received
Students are to check their Liberty University email daily for any additional
updates
If corrections are needed, our office will email students’ Liberty University email with instructions and a new resubmission deadline
Submit corrected approval documents via email and by the student’s extension deadline our office gives to students in their Initial Review email
The Review Process usually takes 3 to 4 weeks including the time between emails from our office to students
However, the Review Process may take longer at times
Please do not email our office to received confirmation of receiving your
Practicum/Internship applications
Our office will manually register students once their applications are approved
Trang 16Important Websites and Email Addresses
Practicum: http://www.liberty.edu/index.cfm?PID=28215
Email: practicum@liberty.edu
Internship: http://www.liberty.edu/index.cfm?PID=6333
Email: internship@liberty.edu