Practicum

Deadlines for Spring Practicum

September 15 – Practicum Applications are due

 

October 13 – All remaining items must be submitted to Ed Grad Office:

  • student ethics form
  • student profile
  • proof of background check
  • background check release form
  • placement form
  • site supervisor application

December 15 – Proof of Liability Coverage

Deadlines for Fall Practicum

February 15 – Practicum Applications are due

 

March 15 – All remaining items must be submitted to Ed Grad Office:

  • student ethics form
  • student profile
  • proof of background check
  • background check release form
  • placement form
  • site supervisor application

May 1 for summer, August 1 for fall – Proof of Liability Coverage

Practicum Application

You will find the practicum application and forms attached (for forms common to both school and clinical mental health) and in the folders (for forms specifically one or the other).

 

This is a list of forms required:

  1. Application - the Practicum application needs to be completed and submitted before you can register for the Practicum class. As soon as it is approved, your Banner account will be coded to allow you to register for the practicum class. It can be faxed at 731-881-7204 or scanned and emailed to teach@utm.edu.
  2. Student Profile Sheet - (a new one is only required if there are changes that need to be made from the previous submission required for your practicum.)
  3. Student Ethics and Internship Agreement - (if you have not yet completed one)
  4. Current Background Check - Instructions for background checks can be found by clicking on the following link. If you are currently working within a school system we will accept a letter from your school district stating that they have a current TN background check for you on file.
  5. Background Check Release Form
  6. Proof of Liability Insurance - School counseling majors: visit https://www.utm.edu/departments/ess/insurance.php for more information. CMH majors: visit the American Counseling Association (ACA) at http://www.counseling.org/ for online application
  7. Site Agreement for Counseling practicum - (this will be completed by the Education Graduate Student Services Coordinator)
  8. Self-Placement Form - (School Counseling Only - this will be completed by the Education Graduate Student Services Coordinator)
  9. Site Supervisor Application - (this will be completed by the Education Graduate Student Services Coordinator)

Please note: The Application for Site Instructor form can be opened and forwarded by email to a prospective site supervisor.

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