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InternshipField Experience Orientation

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Signed statement/attestation form. Proof of liability insurance. HIPAA ... Signed Statement/Attestation. The Signed Statement/Attestation form can be found ... – PowerPoint PPT presentation

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Title: InternshipField Experience Orientation


1
Internship/Field Experience Orientation
  • Revised Fall 2008

2
Orientation Index
  • Application Process . . . . . . . . . . . . . . .
    .4
  • Approving Sites . . . . . . . . . . . . . . . . .
    . . 5
  • Approving Supervisor . . . . . . . . . . . . . .
    6
  • Forms (Applying/Before the Course) . . . . .7
  • Application . . . . . . . . . . . . . . . .8
  • Signed Statement . . . . . . . . . . 9
  • Proof of Liability . . . . . . . . . . .10
  • HIPAA . . . . . . . . . . . . . . . . . . . 11
  • Transcript . . . . . . . . . . . . . . . . 12
  • Resume/Vitae . . . . . . . . . . . . .13

3
Orientation Index cont.
  • Second Semester Field Information . . 14
  • Forms (During the Course) . . . . . . . . . . .
    15
  • Agreement . . . . . . . . . . . . . . . . . . .
    . .16
  • Weekly Log . . . . . . . . . . . . . . . . . .
    . . 17
  • Counselor-Trainee Progress . . . . . . 18
  • Video Taping . . . . . . . . . . . . . . . . . .
    . . . .19

4
Application Process
  • 1. Submit application materials to Tamara.
    Application packets MUST include
  • COMPLETED applications (NO BLANKS OR UNANSWERED
    QUESTIONS!)
  • Signed statement/attestation form
  • Proof of liability insurance
  • HIPAA
  • Current transcript (informal ones from online are
    OK)
  • Current resume/vitae
  • ? INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED ?
  • 2.  Once the packet is complete, Tamara will pass
    it on to the student's advisor.  They will
    approve the site and supervisor.  After approval,
    the advisor will send the packet back to the
    office to put in student's file.
  • 3.  The student will then be released for
    enrollment.

5
Approving Sites
  • Site Requirements
  • Allows for adequate client contact for counseling
    (40 of time direct counseling contact)
  • Provides a minimum of 1 hour of individual
    supervision per week
  • Supervisor willing to engage in supervisor
    training
  • Trainee not asked to do things they are not
    qualified to do
  • Must follow American Counseling
  • Association Code of Ethics

6
Approving Supervisors
  • Supervisor Requirements
  • Appropriately licensed/certified
  • Internship - LPC or Licensed Psychologist
  • Field Experience - certified school
    counselor or LPC
  • (If you are interested in ELE Field
    Experience, your
  • supervisor must be a certified ELE
    school counselor.
  • The same is required for SEC Field
    Experience.)
  • 3 years experience (post degree)
  • Willing to participate in Supervisor
    training through the MSU Counseling Dept.
    (Supervisor must attend to receive payment)

7
Forms(Applying/Before the Course)
  • Internship/Field Experience information now
    available on the departmental website
  • http//education.missouristate.edu/counseling/2288
    3.htm
  • To access application forms and other related
    documents, use the Forms link (located on the
    left hand side, under the picture)

8
Forms Application
  • The application should be COMPLETE NO blanks
    (or it will not be processed)
  • The applying student must sign and date the
    document
  • (the instructor will sign and date at
    a later time)
  • The application document can be found under
    Forms

9
Forms Signed Statement/Attestation
  • The Signed Statement/Attestation form can be
    found under Forms
  • A signature on this document indicates completion
    of the on-line PowerPoint training for
    Internship/Field class.

10
Forms Proof of Liability Insurance
  • The document presented must include dates of
    coverage
  • It is the students responsibility to keep their
    liability insurance active throughout either
    field or internship experience

11
Forms HIPAA
  • A new copy of a signed HIPAA form is one of the
    documents required for applying
  • Even though a HIPAA form may have been turned in
    previously, a new copy is needed for your
    application package

12
Forms Transcript
  • MSU transcripts of courses completed thus far in
    the COU program, can be printed from the My
    Information page
  • The Transcripts link is located under Academics
  • https//www.secure.missouristate.edu/studentRecord
    s/StudentMenu.asp

13
Forms Resume/Vitae
  • An up-to-date Resume or Curriculum Vitae is the
    last required document for a complete application
    package

14
Second Semester Field Students
  • If a student is interested in applying for a
    second semester of field experience at a
    different site (or with a different supervisor),
    all new application materials need to be
    submitted
  • If a student wishes to continue their experience
    at the same site (with the same supervisor)
    updated insurance is needed

15
Forms
  • The following three forms and additional
    information, is required after registration/during
    the course

16
Forms Agreement
  • Agreement Forms are turned in the first night of
    class
  • The agreement is between you (and the University)
    and your site supervisor (and the sponsoring
    agency/school)
  • Should specify
  • Contact information
  • That you will receive a minimum of 1 hours of
    individual supervision every week
  • What their expectations are of you
  • What your expectations are of them
  • (We would also encourage, if possible, to
    specify your schedule so that expectations
  • are as clear as possible)

17
Forms Weekly Log
  • Your weekly log is both a way to keep track of
    how you spend your time and a means of
    communication between your site supervisor and
    your Internship/Field Experience instructor
  • Also note any diversity experiences on your log!

18
Forms Counselor-Trainee Progress Assessment
  • Your site supervisor will complete a midterm and
    final Counselor-Trainee Progress Assessment on
    you (assessing your skills and dispositions)
    which they should review with you
  • After the Spring, 2008, no other midterm or final
    assessment will be used (except by instructor
    digression)

19
Video Taping
  • You must (at least periodically) video tape your
    work for use in supervision
  • The counseling programs has equipment that can be
    checked out from Tamara if the site doesnt have
    adequate equipment
  • It is OK to film JUST YOU, if your site is
    somewhat hesitant to let you film
  • Use the permission forms for filming kids
    (agencies often have their own forms to use)
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