General Internship Forms

~IMPORTANT Information about Paperwork~

Your Academic Advisor this is the faculty advisor you have had since you entered the program. Your Internship Supervisor is the PSU faculty member who completes site visits and assigns grades for your internship. Your Site Supervisor is your supervisor at your internship location.

Submit to Clinical Director

Copy of (Form B) same form as below

Submit to your Academic Advisor prior to beginning you internship:

Internship Application (Form A)

Proof of Insurance

Signed Internship agreement (Form B)

Submit to your Internship Supervisor at end of each quarter:

Internship Hour Summary, initialed by Site Supervisor (Form E)

Intern Performance Evaluation Form, signed by Site Supervisor (Form J)

Submit to your Internship Supervisor at end of Internship:

Weekly record of client contact hours (Form C-2) or (Blank version of C-2)

Record of Supervision and Training In-service Hours (Form D)

Internship Hours Summary Form (Form E) or (Blank version of E)

Student Evaluation of Internship and Supervision Experience (Form I)

Intern Performance Evaluation Form (final quarter)(Form J)

Other Forms and Information that may be helpful:

Daily record of client contact hours (Form C-1) or (Blank version of C-1)

Expectations of Supervisory Process Form (Form G)

Consent to be Observed or Tape Recorded and Statement (Form K)

New internship site Application Procedure

School Counseling Intern Handbook

Daily Record of School Counseling Hours

Community, Rehab., and CMFT Internship Handbook

Potential Questions to ask internship site

Yellow Pages (approved internship sites for CMF and Community)

Rehab Approved Sites