| P a g e 1
School Counseling Internship Competency Checklist
Updated Spring 2012
Intern Name: Semester/Year: Internship #:_____
Site: Site Supervisor:
University Supervising Faculty:
Rating scale: 1 – inadequate demonstration of skill (i.e., below expectation for Internship level) 2 – adequate demonstration of skill (i.e., meets expectation for Internship level) 3 – exceptional demonstration of skill (i.e., above expectation for Internship level)
Please Note: Sections I-IV to be completed by site supervisor every semester. Final section completed by
faculty supervisor every semester.Counseling, Assessment and Intervention Planning Skills (Section I) Skill Level
1 2 3
1. Intern demonstrates basic counseling skills (see Counseling Skills list).
DOE: DG-P, C-K, CAR-P
2. Intern demonstrates advanced counseling skills (see Counseling Skills list).
DOE: DG-P, C-K,P, CAR-P
3. Intern is able to distinguish between developmentally appropriate behavior, mental health issues, and crisis or trauma reactions.
DOE: HD-K, C-K,P
4. Intern selects appropriate intake and assessment strategies that can be used to evaluation students’ academic, career, personal, and social development and/or difficulties displayed in the school or home settings.
DOE: C-P, CAR-K,P, A-K,P
5. Intern is able to identify barriers that impede students’ academic, career, personal or social development and has the knowledge and skills to work with diverse populations.
DOE: C-K,P, CAR-P
6. Intern writes intervention goals that are appropriate to client needs, that are consistent with the problem conceptualization, and that are worded in measureable language.
DOE: C-K,P
7. Intern uses intervention strategies that are appropriate to identified goals and consistent with the counseling orientation will be used in practice.
DOE: C-K,P
8. Intern demonstrates knowledge of strategies for helping students identify strengths and to cope with environmental and developmental difficulties, and maintains an orientation towards wellness and prevention.
DOE: HD-K, DG-K,P, C-K,P, CAR-P
9. Intern plans and provides individual prevention and intervention services to promote the academic, career, personal and social development of students.
DOE: HD-K, C-K,P, CAR-P
10. Intern plans and provides counseling group work to promote prevention and intervention in the academic, career, personal and social development of students.
DOE: DG-K,P, C-K,P, CAR-P
11. Intern plans and provides classroom group work to promote prevention and intervention in the academic, career, personal and social development of students.
DOE: DG-K,P, CAR-P
Counseling, Assessment and Intervention Planning Skills (Section I)
Skill Level1 2 3
12. Intern applies relevant research findings to inform practice, particularly literature that
identifies theories and practice approaches that are effective to use in schools and with special and diverse populations.
Form #3
2 | P a g e
13. Intern identifies and uses an appropriate assessment practices for measuring intervention outcomes. Intern is engaged in formative assessment to guide on-going interventions.
14. Intern maintains regular and appropriate contact with other professionals working with the client (for consultation and collaboration).
DOE: C-P, CAR-P, P-K, CC-K,P
15. Intern makes appropriate referrals to school and/or community resources.
DOE: CC-K,P
16. Intern maintains appropriate and confidential records of counseling work in a way that is consistent with ethical and legal guidelines and is appropriate for practice in the setting.
DOE: DG-P, C-P, CAR-P, P-K, A-K,P
17. Intern demonstrates a knowledge of and ability to abide by ACA and ASCA ethical and legal standards.
DOE: DG-P, DOE: C-K,P, CAR-K,P, P-K
Contextual and Practice Skills (Section II) Skill Level
N.A. (
*No Opportunity)
1 2
3
1. Intern demonstrates knowledge and the ability to assess and manage suicide risk and other immediate crisis situations.
DOE: C-K,P, P-K
2. Able to use de-escalation techniques with students as appropriate.
DOE: C-K,P
3. Intern demonstrates knowledge of family systems theories and is able to put this knowledge into practice when working with families.
4. Intern demonstrates knowledge of parenting and is able to put this into practice when working with clients and their families.
5. Intern is able to read and interpret testing and school related assessment measures to students, parents, and teachers.
DOE: CAR-K,P, A-K,P
6. Intern implements strategies and activities to prepare students for a full range of post-secondary options and opportunities.
DOE: CAR-K,P
7. Plans and uses differentiated strategies and knowledge of pedagogy in individual, group, and classroom work so as to meet a variety of student needs.
DOE: DG-P, CAR-K,P
8. Intern is familiar with school polices and protocols related to:
custody record-keeping referrals crisis response
student registration and add/drop
student assistant and other collaborative school-based teams special education services including 504
parent-teacher conferences
standardized assessments commonly used in the school/district coordinated health school health program (CSHP)
DOE: C-K,P, CAR-K,P, P-K, A-K,P, CC-K,P
Contextual and Practice Skills (Section II) Skill Level N.A. (
*No Opportunity)
1 2 3
9. Intern demonstrates an understanding of the process/is able to make refers to the Department of Children and Family Services (DCF) as appropriate regarding concerns of suspected child abuse and neglect.
DOE: C-K, P-K, CC-K,P
10. Intern is familiar with and participates in planning related to the school or district comprehensive developmental guidance plan, the ASCA National Model, the Vermont School Counseling Program Model, and the Vermont
3 | P a g e
Framework of Standards.
DOE: DG-K,P, C-K,P, CAR-K,P, A-K,P, CC-K,P
11. Intern is familiar with and participates in planning related to the school or district Vermont Crisis Intervention manual.
DOE: DG-K,P, C-K,P, CAR-K,P, A-K,P, CC-K,P
12. Intern plans and/or uses peer helping and other special program-related strategies when appropriate.
DOE: DG-K,P, CAR-K,P
13. Advocates for the learning and academic needs of students and provides advocacy and psychoeducation to clients and their families, as appropriate.
DOE: C-K,P CAR-K,P, CC-K,P
14. Advocates for policies, practices, and programs in the school that enhance school climate and are responsive to a diverse student population and engages with school personnel, family members, and community agencies to promote the academic, career, social, and personal development of students.
DOE: HD-K, P-K, CAR-K,P, A-K,P, CC-K,P
15. Intern participates in relevant school staff (and other) meetings and teams.
DOE: C-K, CC-K,P
16. Intern demonstrates an ability to plan and participate in delivering
professional development trainings (e.g., workshops, advocacy, and outreach programs) to school personnel and families.
17. Intern understands the relationship of the school counseling program to the academic mission of the school and has strategies for promoting student success.
18. Intern participates in the in the design, implementation, management, and evaluation of a comprehensive developmental school counseling program.
19. Intern is able to articulate, model, and advocate for an appropriate school counselor identity.
DOE: CC-K,P
Personalization Skills (Section III) Skill Level
1 2 3
1. Intern demonstrates insight into how his/her counseling and work-related style impacts client and demonstrates a flexibility to adapt to client and or setting needs.
2. Intern demonstrates awareness of diversity and multicultural issues including his/her own biases. This awareness is evidenced by conversations with supervisor and peers.
3. Intern participates in regular supervision by being prepared to discuss work and open to feedback and suggestions.
4. Intern recognizes own limitations and seeks additional supervision when unsure of how to proceed.
Personalization Skills (Section III) Skill Level
1 2 3
5. Intern participates in feedback exchange with peers and supervisor (i.e., giving feedback, hearing feedback, and incorporating feedback into subsequent client work) appropriately during supervision sessions. This is evidenced by implementation of feedback with clients and peers.
6. Intern applies feedback from supervision appropriately in subsequent sessions.
7. Intern demonstrates a willingness to work on areas that present a personal or professional challenge.
8. Intern demonstrates good organization and task management skills –reports, notes, summaries, and all documents are maintained appropriately and completed by due dates.
9. Intern demonstrates good professionalism by being on time and dressing appropriately, and by conducting him or herself in a manner that is appropriate to the setting.
4 | P a g e Goal Setting (Section V)
(goals identified by Intern and supervisors at start of the semester)
Skill Level
1 2 3
Comments relevant to strengths of Intern:
Comments relevant to areas that are challenging the Intern:
5 | P a g e This checklist should be completed and signed by the Site-Supervisor and the UVM Supervisor and then reviewed and signed by the intern. The original will be kept in the intern’s permanent file.
_____________________________________________ ______________________
Site-Signature Date
_____________________________________________ ______________________
UVM Supervisor Signature Date
_____________________________________________ _______________________
Intern Signature Date
______________________________________________________________________________
To be completed by UVM Supervisor at end of the semester:
Intern Name:___________________________________ Semester:____________
____ Passed Internship this semester ____ Did Not Pass Internship this semester
Original: Intern’s Permanent File Updated Spring 2012
CACREP Standards –School Counseling Internship Skills Summary Page
6 | P a g e (To be completed by UVM Faculty Supervisor)
Key Assessment
SC Internship Competency Checklist Summary Competency Level
Does NotMeet Standard
Meets Standard
Exceeds Standard
*No Opportunity Common Core Profess Orientation/Ethical Practice (1) b.
(Rating from: Section I 9-11, 15-17 & II:all)
Common Core Profess Orientation/Ethical Practice (1) d.
(Rating from: Section III:1-4)
Common Core Profess Orientation/Ethical Practice (1) e.
(Rating from: Section III:1-7)
Common Core Profess Orientation/Ethical Practice (1) i.
(Rating from: Section II:13,14)
Common Core Profess Orientation/Ethical Practice (1) j.
(Rating from: Section I:16,17)
Common Core Helping Relationships (5) a (Rating from: Section I:8)
Common Core Helping Relationships (5) b (Rating from: Section I:1-16, Section II:1,2 &
Section III:1-9)
Common Core Helping Relationships (5) c.
(Rating from: Section I:1-16 & Section II:1) Common Core Helping Relationships (5) d.
(Rating from: Section I:-13)
Common Core Helping Relationships (5) f.
(Rating from: Section I:14 & Section II:9,15) School Counseling Foundations –Knowledge (A) 3.
(Rating from: Section II:10,17,18)
School Counseling Foundations –Knowledge (A) 5.
(Rating from: Section II:10,11,18)
School Counseling Foundations –Skills & Practice (B) 1.
(Rating from: Section I:16,17)
School Counseling Foundations –Skills & Practice (B) 2.
(Rating from: Section II:10, 17,18,19)
School Counseling Counseling, Prevention & Intervention–
Knowledge (C) 1
(Rating from: Section I:1-17 Section II:1-4)
School Counseling Counseling, Prevention & Intervention–
Knowledge (C) 4.
(Rating from: Section II:10,11)
School Counseling Counseling, Prevention & Intervention–
Knowledge (C) 5.
(Rating from: Section I:11,12)
School Counseling Counseling, Prevention & Intervention–
Skills & Practice (D) 1.
(Rating from: Section I:5 & Section III:2)
School Counseling Counseling, Prevention & Intervention–
Skills & Practice (D) 2.
(Rating from: Section I:11,12)
School Counseling Counseling, Prevention & Intervention–
Skills & Practice (D) 3.
(Rating from: Section I:3,5,9,10,11,12)
School Counseling Counseling, Prevention & Intervention–
Skills & Practice (D) 4.
(Rating from: Section II:1,2)
School Counseling Counseling, Prevention & Intervention Skills & Practice (D) 5.
(Rating from: Section III:1-7)
School Counseling Diversity & Advocacy– Skills &
Practice (F) 1.
7 | P a g e
(Rating from: Section I:5,8, Section II:7,14 & Section III:2) School Counseling Diversity & Advocacy– Skills &
Practice (F) 2.
(Rating from: Section I:5, Section II:13,14)
School Counseling Diversity & Advocacy– Skills &
Practice (F) 3.
(Rating from: Section I:5, Section II:13,14)
School Counseling Diversity & Advocacy– Skills &
Practice (F) 4.
(Rating from: Section II:3,4,14)
School Counseling Assessment – Skills & Practice (H) 1.
(Rating from: Section I:3,4,5,8 & Section II:7,11) School Counseling Assessment – Skills & Practice (H) 2.
(Rating from: Section I:4 & Section II:10-12)
School Counseling Assessment – Skills & Practice (H) 3.
(Rating from: Section I:4,5 & Section II:18)
School Counseling Assessment – Skills & Practice (H) 4.
(Rating from: Section I:14,15 & Section II: 8,9)
School Counseling Assessment – Skills & Practice (H) 5.
(Rating from: Section I:5)
School Counseling Research & Eval – Skills & Practice (J) 1.
(Rating from: Section I:7,12)
School Counseling Research & Eval – Skills & Practice (J) 2.
(Rating from: Section I:13)
School Counseling Research & Eval – Skills & Practice (J) 3.
(Rating from: Section I:13 & Section II:18)
School Counseling Academic Dev – Skills & Practice (L) 1.
(Rating from: Section II:17)
School Counseling Academic Dev–Skills & Practice (L) 2.
(Rating from: Section II:6)
School Counseling Academic Dev–Skills & Practice (L) 3.
(Rating from: Section II:7)
School Counseling Collab & Consult– Knowledge (M) 2.
(Rating from: Section I:14 & Section II:8,14,15)
School Counseling Collab & Consult – Knowledge (M) 3.
(Rating from: Section I:8 & Section II:5,8,16)
School Counseling Collab & Consult– Knowledge (M) 5.
(Rating from: Section II:14,15)
School Counseling Collab & Consult – Knowledge (M) 6.
(Rating from: Section II:12)
School Counseling Collab & Consult – Skills & Pract (N) 1.
(Rating from: Section II:11)
School Counseling Collab & Consult – Skills & Pract (N) 2.
(Rating from: Section I:15 & Section II:14)
School Counseling Collab & Consult – Skills & Pract (N) 3.
(Rating from: Section I:14 & Section II:8,14)
School Counseling Collab& Consult– Skills & Pract (N) 4.
(Rating from: Section II:12)
School Counseling Collab & Consult – Skills & Pract (N) 5.
(Rating from: Section I:15 & Section II:8)
School Counseling Leadership – Skills & Practice (P) 1.
(Rating from: Section II:18)
School Counseling Leadership – Skills & Practice (P) 2.
(Rating from: Section II:12)