Documents & Forms

Below are forms and documents that you may need during your internship experience, please download and print at your convenience.

Clinical Counseling Files

  • Worksheet for Clinical Coursework
  • Core Counseling Course Worksheet
  • Agreement
  • Outline of Expected Internship Outcomes
  • Weekly Internship Log
  • Consent for Release of Confidential Information
  • State of Ohio-Professional Counselor Training Supervision State of Ohio-Practicum Report Form
  • MAC-Practicum and Internship Evaluation Form
  • State of Ohio-Internship Supervisor Evaluation Rating Form
  • Evaluation of On-Site and Internship Site (by student)
  • Final Evaluation of Internship Student (by site supervisor)
  • State of Ohio-Easy Steps to Counselor Licensure
  • State of Ohio-Licensure Requirements Outline
  • State of Ohio- Evaluation and Verification of Supervised Experiences

School Counseling Files

  • Guidelines and Procedures
  • Student Practicum/Internship manual
  • Preapproval for Practicum and Internship
  • Memo of Agreement
  • Weekly Internship Log
  • Consent for Release of Confidential Information
  • Handbook for Site Supervisors
  • Evaluation of On-Site and Internship Site (by student)
  • School Counseling Endorsement Program
  • Ohio School Counselor Licensure (January 2003)