I have thoroughly reviewed both the Student Handbook and The Field Experiences Handbook for Practicum, Internship, and Advanced Internship for the Harding University Professional Counseling Program.

I understand that Practicum students must log 200 hours, 80 of which must be direct counseling hours. I understand that Internship students must log 600 hours, 240 of which must be direct hours. I understand that Advanced Internship students must log 150 hours for every 3 credit hour they take, 60 of which must be direct hours.

I have read through the roles and responsibilities of a site supervisor and understand and agree that I must provide one hour or weekly direct supervisor with my practicum or internship student. I have also read through the expectation of students and faculty supervisors and acknowledge that I understand the roles and responsibilities of each member of this educational team.

I have reviewed all forms and acknowledge that I am qualified to supervisor the practicum or internship student.

I know that if I have and questions I am to contact either Mr. Josh Strickland or Dr. Marc Fager at Harding University.