PRACTICUM SUPERVISORY AGREEMENT
| TO: | |
|
Guidance & Counseling Practicum Supervisor |
|
| FROM: | |
| Name: Position: School/Agency: Address: School/Agency Telephone No.: Date: |
This is to certify that I have agreed to supervise the Practicum
Experience of
(Student): ___________________________(SSN):_________________
at this school/agency during the period_____ to _____
______________________
On-site Supervisor
The Practicum student is required to complete 150 clock hours
of supervised Practicum experience and is expected to have a wide range of experience.
At least 100 hours must be in direct client/student contact. The remaining 50
hours may be in administrative and support services. Direct client contact may
include educational, vocational, and personal and/or interpersonal counseling
and guidance activities involving direct contact with a client or group of clients.
The work which the student counts toward his/her Practicum requirements should
not be a part of their regular job requirements or should be beyond their regular
job requirement.