Mental Health and Wellness - Statement of Professionalism

(Form 2)

Practicum/Internship Syllabus
Objectives, Section K
It is the responsibility of the student to maintain professionalism at all times throughout the semester. This includes demonstrating professional and ethical behavior while in class and while on site. Your faculty supervisor will be contacting your site supervisor throughout the semester to assess your professionalism on site. The student also recognizes that his or her grade will reflect the ability or inability to maintain professionalism while in class and on site throughout the semester.

Practicum/Internship Syllabus
Objective, Section F
ACA Code of Ethics, 2014
A.1.b.Records
It is the responsibility of the student to demonstrate the ability to appropriately prepare clinical documentation throughout the semester. This includes but is not limited to all clinical documentation at your site and completing all assignments and turning them in on time to your faculty supervisor. The student also recognizes that his or her grade will reflect the ability or inability to complete all paperwork in the time constraints identified by the faculty supervisor.

It is the responsibility of the student to secure and maintain a placement for the semester. The student will enlist the help of the faculty supervisor when he or she is not able to find a site in an appropriate amount of time.

My signature also confirms that I have read and understood the Counseling Field Experiences Handbook and this statement of professionalism, and that I have received a copy of the Counseling Field Experiences Handbook.

(FORM 2)

THIS MUST BE ON FILE BEFORE YOU BEGIN PRACTICUM OR INTERNSHIP.
* Required field
You will receive an email copy of this form.

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