Clinical Mental Health Counseling Program students should submit this form.

School Counseling Program students should submit this form.

ALL students entering practicum (CG 591, CG 592), and internship (CG 596A, CG 598A, CG 596B, CG 598B) must submit this form, even if you are staying at the same site.  IF YOUR SITE INFORMATION CHANGES YOU MUST RESUBMIT THIS FORM.

The deadline is December 1, 2017.