FREQUENTLY ASKED QUESTIONS
EVALUATIONS FROM YOUR SUPERVISOR UPON COMPLETING PRACTICUM AND INTERNSHIPS
Department of Graduate Education,
Rider University Counseling Services Field Experience Checklist
Name of student: ________________________________________________________________________________________
Print name
Semester: Fall ____ Spring ___ Summer ___ Year 20___
Course:
____ COUN 580 Elementary School Practicum ____ COUN 586 Group Counseling Practicum ____ COUN 581 Secondary School Practicum ____ COUN 590 Internship I
____ CNSC 580 Elementary School Practicum (SAC) ____ COUN 591 Internship II
____ CNSC 581 Secondary School Practicum (SAC) ____ COUN 600 Independent Study: Internship ____ COUN 585 Individual Counseling Practicum ____ COUN 690 Internship Specialty
_______________________________________________________________________________________________________
Print name of agency/school
Practicum: Check off all paperwork you have submitted with this checklist:
Signed Counseling Practicum/Internship Placement Agreement Multi-page Formsubmitted as hard copy
Registration form submitted as a hard copy
Supervisor’s resume
Current transcript
Completed course sequence form, approved and signed by your Advisor
Dual Relationships in Supervision Form
If placement is with same agency/district you currently work for, submit letter from supervisor explaining how field placement is different than your current job
Internship I: Remaining at Current Site: Check off all paperwork you have submitted; Submit this checklist electronically:
Signed Counseling Practicum/Internship Placement Agreement Multi-‐page Form submitted as hard copy Internship I: Changing Site: Check off all paperwork you have submitted with this checklist:
Signed Practicum/Internship Placement Agreement submitted as hard copy
Supervisor’s resume
No Dual Relationship Form
If placement is with same agency/district you currently work for, submit letter from supervisor explaining how field placement is different than your current job
Internship II: Remaining at Current Site: Check off all paperwork you have submitted; Submit this checklist electronically:
Signed Practicum/Internship Placement Agreement submitted as hard copy
Internship II: Changing Site: Check off all paperwork you have submitted with this checklist:
Signed Practicum/Internship Placement Agreement submitted as hard copy Supervisor’s resume
No Dual Relationship Form
If placement is with same agency/district you currently work for, submit letter from supervisor explaining how field placement is different than your current job
Due Dates: If you are doing your field experience during:
Fall Semester-Submit paperwork by May 15 of previous Spring Semester Spring Semester- Submit paperwork by November 15 of previous Fall Semester
Summer Sessions-Submit paperwork by April 15 of previous Spring Semester
ALL DOCUMENTS, EXCLUDING THE SIGNED PRACTICUM/INTERNSHIP PLACEMENT AGREEMENT AND THE PRACTICUM REGISTRATION FORM, MUST BE SCANNED AS ONE PDF DOCUMENT; SUBMIT A HARD COPY OF THE AGREEMENT AND THE
REGISTRATION FORM.
SEND ALL SCANNED DOCUMENTS TO CLINICAL COORDINATOR SUZANNA MCGEE - [email protected]
Department of Graduate Education, Leadership and Counseling Memorial 202
2083 Lawrenceville Road Lawrenceville, NJ 08648-3099 T 609-896-5353
F 609-896-5362 www.rider.edu
Rider University Counseling Services Program: Internship Sites Below are sources of information for possible internship and practica sites.
Schools K-12:
NJ School Directory:
http://www.nj.gov/education/directory/
Pennsylvania Department of Education, Pennsylvania Education Names and Addresses: http://www.edna.ed.state.pa.us/
Higher Education:
State of NJ Commission on Higher Education:
http://www.nj.gov/highereducation/colleges/index.html
PA Department of Education, Map of PA Institutions of Postsecondary & Higher Education:
http://www.education.state.pa.us/portal/server.pt/community/find_an_institution/7205/map_of_pennsylvania_institutions_of_postsec ondary_and_higher_education/566081
Middle States Commission on Higher Education:
http://www.msche.org/
Community:
NJ Department of Human Services, Division of Mental Health Services, Directory of Mental Health Services:
http://www.nj.gov/humanservices/dmhs/news/publications/mhs/index.html
NJ Department of Human Services, Division of Mental Health Services, Bureau of Contract Administration:
http://www.nj.gov/humanservices/dmhs/info/csc/AGENLIST.pdf NJ Mental Health Cares:
http://www.njmentalhealthcares.org/
Multicultural Agency Resource Directory:
http://www.state.nj.us/humanservices/dmhs/news/publications/Multicultural_directory_2005.pdf NJ Department of Human Services, Division of Addiction Services, Treatment Directory:
http://samsdev.rutgers.edu/dastxdirectory/txdirmain.htm
Search by Counties: For example: Mercer County Division of Mental Health:
http://www.state.nj.us/counties/mercer/departments/hs/mental.html PA Department of Public Welfare, Provider Directory:
http://www.dpw.state.pa.us/dpwassets/providerdirectory/index.htm
Department of Graduate Education, Leadership and Counseling Memorial 202
2083 Lawrenceville Road Lawrenceville, NJ 08648-3099 T 609-896-5353
F 609-896-5362 www.rider.edu
Rider University Counseling Practicum/Internship Placement Booklet Requirements
In accordance with the standards of the Counseling and Counseling Related Educational Programs (CACREP) and the Rider University Counseling Services Program, the internship placement school/agency agrees to:
• Provide a minimum of 1 hour of supervision per week.
• Monitor and sign off on weekly internship logs, which describe the intern’s activities and hours.
• Orient the intern to the policies, procedures, and scope of practice of the school/agency.
• Provide the practicum student with the opportunity to acquire a minimum of 40
direct contact hours with counselees during the 100 hour practicum; provide the internship student with the opportunity to acquire 120 direct contact hours during the 300 hour internship.
• Provide the practicum student with opportunities to audio and/or video tape direct counseling activities (e.g., individual counseling, group counseling, consultation, psychoeducational
presentations, and/or developmental guidance lessons). Minimum requirements for tapes will be established by the Rider University faculty supervisor to meet the individual needs of the intern.
HIPPA does not prohibit the taping or recording of counseling/clinical sessions for training purposes as long as the client/patient voluntarily gives his or her consent. (If taping is not an option, the site supervisor may provide live supervision of the student’s interactions with clients and complete the required supervision form.)
• Complete performance evaluation forms for the student: one at mid-point and one at the end of the required hours. Evaluation forms will be sent by Rider instructor.
• Review, give feedback, and sign a minimum of 5 case notes for a student enrolled in practicum.
Supervisors in community agency settings will possess a minimum of a master’s degree in counseling or related profession with equivalent qualifications, including appropriate certifications, and/or licenses; and will have a minimum of two years pertinent professional experience in clinical mental health counseling.
Supervisors in school settings will possess a minimum of a master’s degree in counseling or closely related field, state certification as a school counselor or related certification, and will have a minimum of two years pertinent professional experience.
If the student is an employee of the community agency/school, a written statement is required from the site supervisor delineating how the internship experience differs from the intern’s job description, and how the supervisory relationship will not lead to conflicts of interest.
Rider University maintains appropriate liability insurance coverage for all students accepted by schools and/or community agencies. In addition, students are required to obtain student liability insurance.
After you have reviewed and accepted the above criteria, please sign the Counseling Practicum/Internship Agreement and attach your most recent resume.
If you have any questions, please contact the Clinical Coordinator Suzanna McGee at [email protected] or 609--896-5351.
Department of Graduate Education,
The field experience is a planned placement in which the intern is expected to fully participate in the activities that are an integral part of the counseling agency or school counseling services. An appropriate agency or school setting for the intern is one that provides a program of services designed to help individuals function to their optimal capacity. Such programs exist in a wide variety of settings, such as: mental health clinics, correctional facilities, hospital settings, family service centers, comprehensive rehabilitation centers, social service organizations, vocational counseling programs, private counseling programs, substance abuse treatment programs, EAP services, college counseling centers, school counseling centers, and other appropriate sites.
In each setting the intern must be supervised by an employee of the agency or institution who has a minimum of a Master’s degree in counseling or counseling related field and a minimum of two (2) years of pertinent professional experience. The field supervisor oversees the total learning process of the intern in the field placement setting.
The faculty instructor/supervisor is responsible for all campus individual and group supervision. The intern will have weekly group supervision seminars throughout the semester. The faculty instructor/supervisor will contact the field supervisor and will be available for individual supervision and/or consultation with the intern or field supervisor in order to facilitate an optimum field experience.
Field Experience Course Requirements
A minimum of nine credit hours of practicum and internship placement is required of all M.A. in Counseling Services or Clinical Mental Health Counseling students at Rider University. For all practicum courses (COUN 580, 581, 585, 586, or CNSC 580, CNSC 581), the minimum requirements are:
• 100 on-site hours
• 40 direct contact hours
• five audio and/or video tapes of counseling sessions (or five live supervisions conducted by site supervisor who completes supervision forms for each live supervision)
• five case notes with a sign-off by both field and faculty supervisors
• a weekly supervision session with field supervisor
• ten supervision sessions with faculty supervisor
• ten group/class seminars
For the COUN 590 and COUN 591 internship courses the minimum requirements are:
• 600 on-site hours: 300 for Internship I and 300 for Internship II
• 240 direct contact hours: 120 for Internship I and 120 Internship II
• audio and/or video tapes may be required
• case notes may be required
• a weekly supervision session with field supervisor