Table of Contents
Websites 3 New York Students 4 Application Process 5 Official Papers 6 Forms/Templates 14 Affiliation Agreement 18 Using the Submission Portal 20 Attaching Approval Documents 21 Review Process 22 Approval 23
Practicum/Internship Websites
60-hour Professional Counseling COUN 698 Practicum• http://www.liberty.edu/index.cfm?PID=28215
60-hour Professional Counseling COUN 699 Internship• http://www.liberty.edu/index.cfm?PID=6333
60-hour Marriage and Family Therapy COUN 698 Practicum• http://www.liberty.edu/index.cfm?PID=38493
60-hour Marriage and Family Therapy COUN 699 Internship• http://www.liberty.edu/index.cfm?PID=38496
New York Students
Residents of the state of New York New York Students: Please go to the New
York State Practicum & Internship Students website for Approval documents http://www.liberty.edu/academics/behavior
alsciences/counseling/index.cfm?PID=38492
Contact the Practicum/Internship Office in regards to eligibility for Practicum and Internship prior to applying
Application Process
Meet Pre-requisites and Review the Practicum/Internship websites
Secure Site and Supervisor
Gather Official Papers
Complete Forms and Templates
Submit Practicum/Internship application via Submission Portal
Two Reviews by Practicum/Internship Office
Official Papers
Degree Completion Plan Audit
Background Check Receipt
Supervisor’s License
VerificationStudent Photo
Liability Insurance
Face Sheet
Degree Completion Plan Audit
Located in ASIST
Steps to follow for FireFox:• Click on Student Tab• Click on Student Record• Click on Degree Completion Plan Audit• Click on Save as PDF• Maximize the screen• Click on the Download button to
download as a PDF file• Or right click and Save Page as to
save as a PDF file
Degree Completion Plan Audit
Located in ASIST
Steps to follow for Google Chrome:• Click on Student Tab• Click on Student Record• Click on Degree Completion Plan Audit• Click on Save as PDF• Maximize the screen• Click on the Print button• Change Destination to “Save as PDF”• Click Save
Degree Completion Plan Audit
Located in ASIST
Steps to follow for Internet Explorer:• Click on Student Tab• Click on Student Record• Click on Degree Completion Plan Audit• Click on Save as PDF• Maximize the screen• Click on the Save button to download
as a PDF file
Background Check Receipt
Criminal Background Check: Completed within one calendar year of the first day of the academic semester in which the student is applying for practicum or internship. Criminal Background Re-check:
Completed more than one calendar year from the first day of the academic semester in which the student is applying for practicum or internship
Supervisor’s License Verification
Supervisor: needs to be fully licensed Most students can receive this for free from
their state counseling board website On state counseling website it be a link for
License Lookup or License Verification Information our office looks for:
Supervisor’s Name Type of License License Number Issue Date Expiration Date Current/Active
Louisiana and Nevada: Contact state counseling board
West Virginia: Need a copy of the actual license with the information above
Liability Insurance Face Sheet
Insurance in the student’s name and not in the name of the site
Amounts: $1 million per occurrence and $3 million aggregate
AACC: Master policy effective dates must be current for the semester the student is applying for or covers for half of the semester
HPSO: “Certificate of Insurance” is the document our office requires
Examples of the Liability Insurance companies and Face Sheets are located in a PDF file on our Practicum/Internship websites under Approval Documents
Forms and Templates
Located on the Practicum/Internship websites Fieldwork Contract Supervisor Information Form Site Information Form
Fieldwork Contract
Use the Practicum Fieldwork Contract Template or Internship Fieldwork Contract template located on the Practicum website or Internship website Use the exact wording on the Fieldwork
Contract Template Type the Fieldwork Contract in Word Print off once it is typed in Word
Wet signatures/signed with pen
Fieldwork Contract Dates Fall 2018
Aug. 27, 2018 to Dec. 14, 2018
Spring 2019
Jan. 14, 2019 to May 10, 2019
Summer 2019
May 13, 2019 to Aug. 16, 2019
Fall 2019
Aug. 19, 2019 to Dec. 13, 2019
Spring 2020
Jan. 13, 2020 to May 8, 2020
Summer 2020
May 11, 2020 to Aug. 21, 2020
Supervisor & Site Information Forms
Two separate forms located on the Practicum or Internship website
Need to be completely filled out prior to submission
Boxes need to be checked as well as filled in with the necessary information Ensure all Yes/No boxes are completed
Director of Site Can be the same as potential supervisor Director of the program if site is a large
site such as a treatment center/hospital Need wet signatures/signed with pen Save both pages as one PDF file
Affiliation Agreement
Affiliation Agreement website: https://www.liberty.edu/index.cfm?PID=38551
Log In Check State Site Lists
Affiliation Agreement
If Site needs to complete an Affiliation Agreement Give Site a copy of the
Instructions and Guidelines for completing Affiliation Agreement
Site completes Cover Page and Affiliation Agreement per the instructions and guidelines
Student completes Schedule A Save all Pages as one PDF File
On State Site Lists: Ask Site for a copy of executed
Affiliation Agreement If Site does not have a copy,
students may request a copy from the Practicum/Internship Office
Student completes Schedule A Save all Pages as one PDF File
Using the Submission Portal
Submission Portal will be posted 3 to 4 weeks prior to deadline and available until the deadline
Submission Portal Location: Under Application Deadline heading on the Practicum/Internship websites
User Name: your Liberty University email address
Password: your Blackboard password Save Approval documents as PDF files Designated spot for the each Approval
documents Supervisor & Site Information Forms: need
to be submitted as one PDF file Affiliation Agreement
Executed Affiliation Agreement and Schedule A as one PDF file
Cover Page, Affiliation Agreement, and Schedule A as one PDF file
Attaching Approval Documents
Students have 30 minutes to complete their Practicum/Internship applications
Designated spot for the each Approval documents
Supervisor & Site Information Forms: need to be submitted as one PDF file
Affiliation Agreement Executed Affiliation Agreement and
Schedule A as one PDF file Cover Page, Affiliation Agreement, and
Schedule A as one PDF file
Review Proces
Practicum/Internship applications reviewed in the order applications are received Typically 3 to 4 weeks Due to high volume by the deadline, this
process may take longer Check Liberty University email daily for
updates from the Practicum/Internship Office Practicum/Internship Office will notify students
of corrections via Liberty University email after initial review
Two weeks from date of review to submit corrected Approval documents
Corrected Approval documents submitted via email only