Professional Mental Health Counseling - Addictions

Evaluations, Forms, and Handbooks

Student Handbooks

Students in this program program should familiarize themselves with the program handbook and consult it whenever questions arise about departmental policies and procedures.

• 2011-2012 Program Handbook (PDF)

Students also will find the Graduate School of Education and Counseling Student Handbook to be a valuable resource regarding graduate school policies and resources for students.  The graduate student handbook also contains general college policies.

General Forms

Consent for Educational Records To Be Released (When Requesting Recommendations)

Practicum and Internship Forms

Professional Mental Health Counseling - Addictions practicum and Internship placements require students to maintain records on designated forms.  

Practicum / Internship Planning and Placement Approval

Clinical Review Form
Placement Plan Approval Request

Manuals and Contract Forms

Practicum

Addiction Studies Practicum Manual
PMHC and PMHC-A Practicum Agreement
PMHC and PMHC-A Agreement Amendment

Internship

Addiction Studies Internship Manual
PMHC and PMHC-A Internship Agreement
PMHC and PMHC-A Agreement Amendment

Internship Form: Consent to Be Videotaped

Intern Videotaping Consent Form

Recordkeeping

Practicum

Daily-Weekly Practicum Hours Log
Semester Practicum Hours Summary

Internship

Daily-Weekly Internship Hours Log
Fall Internship Hours Summary
Spring Internship Hours Summary
Summer Internship Hours Summary
Final Internship Hours Summary

Evaluation Forms

Practicum

PMHC and PMHC-A Supervisor Evaluation Form

Internship

PMHC and PMHC-A Supervisor Evaluation Form
Internship Site Evaluation (by student)

Program Planning and Sequences

2012-2013 PMHC Addictions Program Planning Worksheet (PDF)

2012-2013 PMHC Addictions Course Sequence (PDF)