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SCHOOL PSYCHOLOGY PROGRAM PRACTICUM HANDBOOK DEPARTMENT OF Counseling, Leadership, Adult Education, and School Psychology (CLAS) TEXAS STATE UNIVERSITY SAN MARCOS, TX 78666 REVISED: Fall 2017 1

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Page 1: Practicum Handbook - Texas State Universityd8bf16e0-ee08-46b… · Web viewPracticum Log Coding System CODE ACTIVITIES As Assessment Related Activities (NASP 2.1, 2.8). Activities

SCHOOL PSYCHOLOGY PROGRAM PRACTICUM HANDBOOK

DEPARTMENT OF

Counseling, Leadership, Adult Education, and School Psychology (CLAS)

TEXAS STATE UNIVERSITYSAN MARCOS, TX 78666

REVISED: Fall 2017

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TEXAS STATE UNIVERSITY SCHOOL PSYCHOLOGY PRACTICUM HANDBOOK

TABLE OF CONTENTS

Introduction.............................................................................................................................. 3

Practicum Prerequisite Coursework........................................................................................... 5

Texts and References................................................................................................................ 6

Practicum Goals and Objectives................................................................................................ 7

Procedures for Arranging School-Based Practicum.................................................................11

Practicum Student Responsibilities.......................................................................................... 13

Supervision............................................................................................................................. 13

Practicum Meetings................................................................................................................. 14

Assignment of Grade............................................................................................................... 14

School-Based Practicum Information Form ...........................................................................17

Memorandum of Agreement for School-Based Practica..........................................................18

Instructions for Completion of Practicum Logs.......................................................................20

Practicum Log Coding System................................................................................................ 21

Mandatory Activities Checklist – 1st School-Based Practicum.................................................23

Mandatory Activities Checklist – 2nd School-Based Practicum................................................25

Student Personal Improvement Practicum Goals ....................................................................26

School-Based Practicum Evaluation Form..............................................................................27

Student Self-Evaluation Form ................................................................................................ 31

Monthly University Supervision Tracking Sheet ....................................................................35

Practicum Site Data Sheet....................................................................................................... 36

Practicum Summary Form...................................................................................................... 37

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TEXAS STATE UNIVERSITY PRACTICUM IN SCHOOL PSYCHOLOGY

The three practica in the School Psychology Program at Texas State University are

viewed as an integral and a central component of the professional training. Practica are distinct

from, and occur prior to, internship. They are intended to provide opportunities for students to

become oriented to the educational process and to apply their knowledge and skills in a

supervised field-based setting. Practicum experiences occur in school districts and university

based clinics. Practica are organized to complement coursework in the sequence described in the

degree plan. Course assignments are completed in conjunction with practicum responsibilities.

On-campus supervision is provided concurrently with the practicum experience by faculty, or

professionals representing appropriately related areas, as a required part of the practica.

Attendance at these sessions is mandatory and they are conducted one time per month on

campus.

SPSY 5389

Three practicum experiences (SPSY 5389) occur in a school or university clinic setting

with supervision by on-site and university supervisors. The first practicum occurs in the

University Assessment Clinic at Texas State after successful completion of prerequisite courses

(see page 5 below). This practicum provides students with opportunities to refine individual

psycho-educational assessment techniques under the direct supervision of university faculty.

Clients in the University Assessment Clinic include university students as well as children and

adults from the surrounding communities with learning issues that impact classroom and/or work

performance.

The second practicum occurs during the third semester of study after the successful

completion of required academic coursework, the University Assessment Clinic practicum, and

approval of program faculty. The second practicum occurs in a school setting, where direct

supervision is provided by a Licensed Specialist in School Psychology (LSSP) or by another

professional with a minimum of a master's degree and appropriate certification or licensure (e.g.,

licensed psychologist, licensed psychological associate). This first school-based practicum

provides the student with an opportunity for orientation to the operation and organization of 3

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schools. The specific skills and knowledge base practiced include assessment, consultation,

observations of regular and special education programs, teacher instruction, parent conferences

and interviews, and participation in interdisciplinary team meetings.

The second school-based practicum, occurring during the fourth semester in the program,

emphasizes evaluation and remediation of emotional, behavioral, developmental and learning

difficulties; consultation with school or agency staff; and identification and contact with

community resources. Direct counseling interventions with individuals and/or groups may also

be part of the second school-based practicum experience. At this point students have completed

additional coursework in cultural linguistic diversity, data-based decision making, consultation,

and behavior management (see page 5 below). Concurrent coursework includes biological bases

of behavior, child and adolescent psychopathology, and alternative evaluation. Concurrent with

the school-based practica, students have the opportunity to participate in the Clinic for Autism

Research, Evaluation and Support (CARES). This multidisciplinary clinic provides students

extensive training in the evaluation of individuals who are suspected of having Autism Spectrum

Disorder. Students engage in evaluations under the direct supervision of program faculty in the

College of Education Clinic facilities. Additional information about the University Assessment

Clinic and the CARES clinic can be found in the Assessment Clinics handbook, posted on the

program website.

In addition to the site supervision provided for each practicum student, all students

enrolled in practica are supervised by Program faculty who are licensed psychologists, Licensed

Specialists in School Psychology, and/or Nationally Certified School Psychologists. Students are

required to obtain and present documentation of professional student liability insurance for all

practicum experiences. All site-based supervisor credentials must meet program requirements

and faculty approval.

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SPSY 5389: PRACTICUM PREREQUISITE COURSEWORK

SPSY 5389 University Assessment Clinic Practicum prerequisites:

SPSY 5385 Ethics, Standards, and Procedures in Professional School Psychology

SPSY 5388 Psychometrics SPSY 5376 Psychoeducational AssessmentSPSY 5300 Interviewing, Counseling, and Consulting in School

Psychology

SPSY 5389 University Assessment Clinic Practicum concurrent coursework:

SPSY 5377 Social and Emotional AssessmentSPSY 5378 Program Evaluation SPSY 5387 Data Based Decision Making

SPSY 5389 Additional First School-based Practicum prerequisites:

SPSY 5377 Social and Emotional AssessmentSPSY 5378 Program Evaluation SPSY 5387 Data Based Decision MakingSPSY 5380 Individual and Group Techniques in CounselingSPSY 5394 Multicultural Issues in School PsychologySPSY 5389 University Assessment Clinic PracticumPSY 5370 Learning & Cognition

SPSY 5389 Concurrent First School-based Practicum coursework:

SPSY 5355 Assessment of Culturally and Linguistically Diverse Learners SPSY 5386 Consultation IssuesSPED 5375 Behavior Management – Applied Behavior Analysis (ABA)

SPSY 5389 Additional Second School-based Practicum coursework:

SPSY 5355 Assessment of Culturally and Linguistically Diverse Learners SPSY 5386 Consultation IssuesSPED 5375 Behavior Management – Applied Behavior Analysis (ABA)

SPSY Concurrent 5389 Second School-based Practicum coursework:

SPSY 5379 Child and Adolescent PsychopathologySPSY 5398 Alternative EvaluationSPSY 5396 Biological Bases of Behavior

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SPSY 5389: TEXTS AND REFERENCES

All practicum students should have obtained and have knowledge of the following reference materials during prerequisite coursework prior to enrollment in a practicum course:

American Psychological Association. (2016). Ethical principles of psychologists and code of conduct. Washington, DC: Author.

AERA, APA, NCME (1999). Standards for educational and psychological testing, Washington, DC: Author.

National Association of School Psychologists. (2010). National Association of School Psychologists principles for professional ethics, Washington, DC: Author.

Sattler, J.M. (2008). Assessment of children: Cognitive foundations fifth edition. San Diego: Author.

Commissioner’s Rules. (2017). Texas Administrative Code (TAC). Austin, Texas: Author.

Thomas, A., and Grimes, J. (2008). Best practices in school psychology V. Washington, DC: National Association of School Psychologists.

Texas State Board of Examiners of Psychologists: Psychologists' Licensing Act and Rules and Regulations. Austin, TX. (A new publication is printed once per year with updates.)

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TEXAS STATE UNIVERSITY PRACTICUM GOALS AND OBJECTIVES

NOTE: The following goals and objectives are prerequisite competencies for internship experiences. They may be obtained in any or all of the three practicum settings as appropriate.

Practicum students will obtain/demonstrate knowledge and practice skills in:

1. Ethical and legal aspects of professional school psychology in the following areas:1.1 Confidentiality, informed consent and due process1.2 Family Educational Right to Privacy Act1.3 Texas State Board of Education Rules and Regulations 1.4 Federal and State laws related to education and psychology1.5 Professional competence and standards for professional practice (NASP and APA)1.6 Texas State Board of Examiners of Psychologists (TSBEP) rules and regulations

for licensure as a Licensed Specialist in School Psychology.

2. Regular and special education policies and procedures related to the education of exceptional learners in the following areas:

2.1 Referral for special education2.2 Operation of the multidisciplinary team (ARD)2.3 Placement in least restrictive environment2.4 Development of individual education and behavior management plans2.5 School discipline policies, including manifestation determination procedures

3. Various instructional arrangements with diverse ethnic/cultural populations by direct observation in the following learning environments:

3.1 Regular education classroom3.2 Special education resource room3.3 Content mastery classroom or lab3.4 Self-contained classroom for special education3.5 Bilingual education classroom3.6 ESL classroom3.7 Alternative learning environment

4. Awareness of the characteristics of exceptional learners by observation and/or implementation of indirect/ direct services with the following populations:

4.1 Specific Learning Disabilities4.2 Emotional Disturbance4.3 Intellectual and Developmental Disabilities 4.4 Visual Impairment4.5 Auditory Impairment

4.6 Deaf / Blindness4.7 Orthopedic Impairment4.8 Other Health Impairment4.9 Multiple Disabilities4.10 Autism/Pervasive Developmental Disorder4.11 Speech or Language Impairment4.12 Noncategorical Early Childhood (including Developmental Delays) 4.13 Traumatic Brain Injury

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4.14 Gifted and Talented (not a special education category)

5. Operation and organization of public schools in the following areas:5.1 Familiarity with district facilities and key administrative personnel and their roles

and functions5.2 Familiarity with the roles and functions of other pupil service personnel5.3 Familiarity with the roles and functions of support and related service staff5.4 Familiarity with the roles and functions of the School Psychologist/

Licensed Specialist in School Psychology5.5 Familiarity with district policies and procedures for crisis intervention

6. Proficiency in the selection, administration, scoring, and interpretation of psychoeducational assessments for the evaluation of disabilities including:6.1 Integration of data from multiple sources and methods6.2 Development of meaningful recommendations related to assessment findings

7. Demonstration of positive personal characteristics in the performance of their duties in the following areas:7.1 Adaptability7.2 Communication skills (verbal)7.3 Communication skills (written)7.4 Conscientiousness7.5 Cooperation7.6 Dependability/reliability7.7 Independence7.8 Motivation7.9 Personal stability7.10 Productivity7.11 Professional ethics7.12 Professional image/appearance

8. Direct observation and/or indirect/direct delivery of services to “at risk” populations in the following areas:8.1 Developmental delays8.2 Situational adjustment difficulties8.3 Environmental deprivation8.4 Economic deprivation8.5 Attention disorders8.6 Disrupted family systems8.7 Drug/alcohol abuse and addiction8.8 Culture, gender, ethnic and age differences8.9 Physical/sexual/emotional abuse8.10 Adjudicated youth

9. Administration, scoring and interpretation of assessment instruments, including psychomotor evaluation, for evaluation of the following populations:9.1 Emotionally Disturbed9.2 Autism/Pervasive Developmental Disorder9.3 Behaviorally Disordered9.4 Socially Maladjusted

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9.5 Intellectual Disability

10. Instructional remediation by assisting in the development of individual education plans for the following areas:10.1 Reading10.2 Mathematics10.3 Written language10.4 Listening comprehension10.5 Oral expression

11. Incorporation, selection, and evaluation of additional assessment techniques:11.1 Criterion referenced testing11.2 Curriculum-based assessment11.3 Non-biased alternative procedures for linguistically and culturally diverse students11.4 Computer administered assessment11.5 Specialized assessment (e.g.. for visual-motor, memory, executive functions, or

other cognitive skills)11.6 Arena assessment

12. Direct and indirect consultation:12.1 Problem solving and mediation12.2 Conflict resolution12.3 Applied behavior analysis12.4 Parent training/home intervention12.5 Social skills training12.6 Crisis management12.7 Participation as a multidisciplinary team member

13. Home/school/community collaboration:13.1 Knowledge of family strengths, systems, and influences13.2 Involving families in education and service delivery13.3 Collaborating with families, educators, and others in the community to provide

services to children and adolescents13.4 Engaging family systems through parent and child interviews to collect a

developmental history

14. Counseling and intervention by:14.1 Facilitating or co-facilitating counseling groups14.2 Conducting individual counseling sessions14.3 Leading or co-leading inservices, seminars and/or workshops in mental health

related topics.

15. Operation and organization of alternative mental health systems for children and adolescents by:15.1 Contacting local mental health and social service agencies to facilitate intervention 15.2 Making appropriate referrals for school, staff, students and families15.3 Familiarity with rules, regulations and standards applicable

to the setting.

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16. Interpersonal relationships, and consultation skills essential for working with individuals in alternative clinical settings by developing the following areas:16.1 Interviewing techniques16.2 Problem identification and goal setting16.3 Negotiation16.4 Reframing16.5 Restating16.6 Summarizing16.7 Empathy16.8 Risk-taking16.9 Evaluation16.10 Termination

17. Development of positive behavioral and social interventions and outcomes:17.1 Integrating behavioral, social and psychological techniques17.2 Developing a personal style and theory of counseling and

intervention.

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PROCEDURES FOR ARRANGING SCHOOL-BASED PRACTICUM EXPERIENCE

Upon program faculty approval, students who have completed or who are completing the

required prerequisite coursework are eligible for a practicum experience during the fall or spring

semester before the desired practicum experience. Students should consult with their faculty

advisor during academic advising to ensure that they have met the requirements for beginning

practicum in the subsequent semester.

After receiving faculty approval, the student should contact the practicum site

representative at the desired practicum site. If the conditions of placement are agreeable to both

practicum applicant and the representative of the practicum setting, a Memorandum of

Agreement will be developed. A Memorandum of Agreement is included in the Handbook. The

Memorandum of Agreement must be signed by the practicum student and field-based supervisor

prior to beginning the school-based practicum.

In addition, the practicum student must submit documentation of up-to-date professional

student liability insurance with coverage for the entire period of time indicated on the

Memorandum of Agreement. This insurance may be obtained by application for student liability

insurance through the National Association of School Psychologists. Other policies may also be

available. It is the student’s responsibility, however, to procure and pay for the liability insurance

before beginning the practicum experience.

The student should contact the field-based supervisor and establish the specific details

related to the practicum experience. These details may include, but are not limited to: schedule of

hours, supervision schedule, practicum site expectations, mechanism for evaluative feedback

(aside from the Practicum Evaluation Form), attendance at staff meetings and in-service training,

etc. The student shall use the practicum goals and objectives listed in this handbook, the

appropriate Mandatory Activities Checklist, and the self-identified practicum goals formulated at

the start of the semester to create a plan for that semester with his or her field-based supervisor.

Students who are not concurrently participating in the CARES clinic are expected to

complete two full days per week at the practicum site. Students who are participating in the

CARES clinic will complete 1 ½ days per week at the practicum site.

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Clinic for Autism Research, Evaluation and Support (CARES) Considerations

Students interested in participating in CARES concurrent with the first and/or second school

based practica should notify the clinic coordinator of their interest. CARES hours are during the

morning and afternoon and are scheduled to avoid conflicts with classes and other clinic

activities.

Students participating in CARES must:

A) Attend orientation and training activities as scheduled

B) Coordinate with school based practicum field supervisors regarding schedule and on-site hour

expectations and commitments

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SCHOOL-BASED PRACTICUM STUDENT RESPONSIBILITIES

It is the responsibility of the student to:

1. Negotiate with her/his field-based supervisor the number of hours s/he may need in various categories to meet program objectives and practicum site goals.

2. Schedule and attend the required supervision with both University and field-based supervisors.

3. Provide his/her own transportation to the practicum sites.

4. Notify field-based and University supervisors of illness, change in practicum schedule, practicum assignment or related difficulties.

5. Maintain accurate records of activities by logging daily activities by number of hours spent according to the attached Activity Code Sheet and Practicum Activity Log Sheet. Those activities not specifically described in the log coding system (see p. 21-22) must be approved in advance by the designated University supervisor.

6. Document University and field-based supervision time in the practicum log.

7. Submit practicum logs, Mandatory Activities Checklist, and other paperwork to University supervisors by the announced deadlines. Course credit will not be given until all required paperwork is completed and submitted.

8. Schedule an evaluation session in which the field-based supervisor completes the School-Based Practicum Evaluation Form. Course credit will not be given until the signed evaluation form is submitted to the University supervisor.

9. Conduct himself/herself in a professional manner and in compliance with appropriate standards and codes of ethical and professional conduct.

FIELD-BASED SUPERVISION

The practicum student will need to be provided on-site supervision by a field-based

supervisor who is appropriately credentialed and approved by program faculty. In school

settings, the supervisor will be a Licensed Specialist in School Psychology who meets all

supervision requirements of the TSBEP and program faculty or a supervising licensee meeting

TSBEP qualifications.. Other individuals with a minimum of a master’s degree in related areas

may be involved in school-based training experiences as long as the student is under the direct

supervision of a TSBEP-qualified supervisor. pending the placement and approval of the

program faculty. The field-based supervisor is responsible for all duties performed for the

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district/agency by the practicum student. Supervisors will review all test protocols and reports

and observe the student’s professional skills. The field-based supervisors will co-sign (with

student) all psychoeducational and psychological reports and are responsible for completing the

required School-Based Practicum Evaluation Form.

UNIVERSITY SUPERVISION

Each practicum student will be assigned a university supervisor who is a faculty member

of the School Psychology Program and who holds an appropriate credential: Licensed Specialist

in School Psychology (LSSP) or Licensed Psychologist. University supervision will typically

occur at the university but can also occur at the practicum site or at any other mutually agreed

upon public place. The practicum student will be responsible for documenting for the university

supervisor the duties s/he has performed. For example, students may be asked to submit copies of

psychological reports and protocols for review. The university supervisor may also consult or

confer with the field-based supervisor at any time regarding the practicum student’s progress,

and the university supervisor may request additional formal evaluation and supervision if deemed

appropriate. This option for formal evaluation may also be requested by the student or field-

based supervisor. The university supervisor will serve as a consultant in mediating any

difficulties and as a resource regarding technical information, ethics, standards, procedures, rules

and regulations, etc. The university supervisor will conduct a minimum of one visit to the

practicum site per semester. During the site visit, the university supervisor will meet with the

practicum student and field-based supervisor to discuss the practicum student’s progress, areas of

strength and continued growth, and general concerns. University supervisors will maintain

ongoing phone or email contact with students and site supervisors and document such contact.

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PRACTICUM MEETINGS

Formally organized group practicum meetings are scheduled each semester. The sessions

are typically conducted as small group supervision meetings with the assigned university

supervisor. At times, practicum meetings may include didactic exchanges that may involve

informal discussion of problems related to assigned duties or formal discussions and

presentations by professionals providing information and development in appropriately related

areas. These sessions are considered both a part of ongoing University supervision and a part of

the student’s continuing education and session content is considered to be confidential. These

sessions are an important aspect of the practicum experience, thus attendance at practicum

meetings is mandatory. If a student must miss a practicum meeting, s/he should contact her/his

university supervisor as soon as possible. Upon the first absence of a practicum meeting, the

student will be required to attend a meeting within one week with the university supervisor

and/or the practicum coordinator. At this meeting, faculty and the student will engage in a

problem-solving discussion to mitigate the impact of the student’s absences, as well as to attempt

to prevent future absences, if possible. More than one missed practicum meeting may result in

the student being required to compose a 1500-word report, including 3 references, on a topic

determined by the university supervisor.

ASSIGNMENT OF GRADE

Practicum grades include Credit (CR), No Credit (NC), Incomplete (I), or In Process (P).

The university supervisor determines the practicum grade. Students who have not completed all

of the mandatory practicum activities by the end of the semester will receive a grade of I

(incomplete) and will be required to complete the required activities to receive course credit

(CR). Students who are not expected to be able to complete the required activities prior to the

start of the following semester will receive a grade of P (in progress) and will be required to re-

register for practicum and complete the required activities. Students who fail to turn in required

paperwork (Practicum Information Sheet, Memorandum of Agreement, Proof of Insurance,

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Practicum Log Sheets, and Practicum Evaluation Form (self and supervisor),) will not receive

credit for the course. Students in their final practicum must submit, in addition to the above

forms, the Practicum Summary Form (last page of this Handbook) in order to receive

practicum credit and be approved for internship. Credit will not be given for any practicum for

which complete paperwork is not received by the university supervisor.

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TEXAS STATE UNIVERSITY SCHOOL PSYCHOLOGY PROGRAM

SCHOOL-BASED PRACTICUM INFORMATION

STUDENT NAME:

MAILING ADDRESS:

(City, State) (Zip)

HOME PHONE: ( ) WORK PHONE: ( )

E-mail

BEGINNING DATE OF PRACTICUM*:

ENDING DATE OF PRACTICUM*:

*For school-based practica, these dates should correspond to the school district calendar.

PRACTICUM WORK HOURS:DAY TIME

TOTAL HOURS OF PRACTICUM FOR THIS SETTING:

UNIVERSITY SUPERVISOR:

SITE SUPERVISOR: E-mail:

PRACTICUM SITE INFORMATION

PRACTICUM SITE:

MAILING ADDRESS:

(City, State) (Zip)

PHONE: ( )

DIRECTOR/ ADMINISTRATOR:

SITE SUPERVISORS:

NAME DEGREE TITLE

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TEXAS STATE UNIVERSITY SCHOOL PSYCHOLOGY PROGRAM

MEMORANDUM OF AGREEMENT FOR SCHOOL-BASED PRACTICA

In pursuance to carrying out the terms of supervision of specialist in school psychology practicum students, the following is understood and agreed to by the undersigned.

1. ___________________________________ will serve as a graduate level practicum student in school psychology from Texas State University. The practicum setting location is ____________________________________.

2. The practicum will begin on ______________, and end on _________________, for _______________ days per week. (Beginning and ending date should correspond to Texas State University academic calendar and public school district school calendar).

3. ______________________________ will serve as the field-based supervisor for the same period.

4. Responsibilities of field-based supervisors:

a. Field-based supervisors will hold certifications/degrees appropriate to the setting and practicum requirements.

b. Field-based supervisors are responsible for all duties performed by thestudent while under supervision.

c. Field-based supervisors will review test protocols, counseling records or notes, reports, etc. and directly observe the student’s professional skills.

d. All psychological reports/evaluations and legal documents must be co-signed by field-based supervisors.

e. Field-based supervisors are responsible for completing the PracticumEvaluation Form.

f. Field-based supervisors are responsible for no less than one hour per week of regularly scheduled contact with the student concerning task supervision.

g. Field-based supervisors are available by appointment as requested by the practicum student and the university supervisor.

h. Field-based supervisors are available for contact on emergency basis as needed.

5. Practicum activities appropriate for professional practice in school psychology are found in the Practicum Handbook and may include:

a. Work with psychological services staff members on comprehensiveassessments, case consultations, etc., as the occasion arises.

b. Staff meeting attendance, to include:(1) In-service meetings of psychological and student appraisal staffs(2) Miscellaneous staff meetings when possible.

c. Workshop or in-service, planning and implementation assistance forteachers, counselors, and other personnel.

d. Assistance in planning appropriate interventions for referred children, and participation in these interventions, including counseling or development of

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behavior plans, if appropriate.e. Participation in campus screening committees and ARDs.f. Resource services to the school staff appropriate to the practicum student’s

level of training.g. Other activities as appropriate.

6. The University program will designate a faculty member to act as the University supervisor. Regularly scheduled contact with the practicum student will be held with the supervisor on call for mediation of difficulties.

7. The University will notify the practicum student that he or she is responsible for:

a. Adherence to the administrative policies, rules, standards, schedules and practices of the facility,

b. Provision for the necessary and appropriate supplies where required orwhen not provided by the facility,

c. Arrangements for his/her own transportation.

8. It is understood and agreed by and between the parties that the facility has the right to terminate the field experience of the student whose health status is detrimental to the clients/students in that facility. Further, the facility reserves the right to terminate the use of the facility by any practicum student, if, in the opinion of the field-based supervisor, the student’s behavior is detrimental to the operation of the facility and/or to student or client care. Such action will not be taken until the grievance against any student has been discussed with the student, the school’s officials, and the university supervisor. The university supervisor maintains the right to terminate the practicum in consultation with all parties when deemed necessary.

9. It is understood and agreed that the parties to this arrangement may revise or modify this agreement or the written plan for the field experience by written amendment upon mutual agreement to such amendments.

THIS AGREEMENT SHALL BE EFFECTIVE WHEN EXECUTED BY BOTH PARTIES AND IN ACCORD WITH THE DAY AND YEAR WRITTEN ABOVE.

By: _____________________________________ By: School Psychology Program Supervisor Field-Based Supervisor

Texas State University

Date: __________________ By: _______________________________________School Psychology Practicum StudentTexas State University

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TEXAS STATE UNIVERSITY

SCHOOL PSYCHOLOGY PROGRAM

Instructions for Completion of Practicum Logs

In order to provide a thorough description of practicum activities and to facilitate accountability in supervision for certification and licensure, the following procedures need to be followed in completing practicum logs.

1. As a general rule, three practica are to be completed in the school and/or related setting. The first school-based practicum should be primarily assessment in nature. The second school-based practicum should be a combination of assessment, intervention, professional development, direct service counseling, crisis intervention, etc.

2. The maintenance of accurate records of activities and the documentation of supervision is the responsibility of the practicum student.

3. Practicum students shall be required to list daily activities by number of hours spent according to the attached activity code sheet.

4. Practicum students are responsible for submitting copies of their logs to their university supervisors by the announced deadline. Course credit will not be given until logs are submitted and complete.

5. The School Psychology Practicum Summary Form (on the last page of this manual) must be completed and turned in to the university supervisor along with all other practicum paperwork at the completion of the second school-based practicum . Failure to complete and submit this form will result in delay of approval to begin internship until the form is received by the practicum supervisor.

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TEXAS STATE UNIVERSITYSCHOOL PSYCHOLOGY PROGRAM

Practicum Log Coding System

CODE ACTIVITIES

As Assessment Related Activities (NASP 2.1, 2.8). Activities having as a primary focus the gathering of information to answer specific referral questions for both regular and / or special education. These may include but are not limited to administration and scoring of formal and informal tests, report writing, behavioral observations, review of cumulative records, interviews with parents, staff, agencies, teachers, and data analysis and integration.

DInt Direct Intervention (NASP 2.3, 2.4, 2.7). Activities of a non-assessment nature which have the focus of affecting change. These may include but are not limited to group counseling or therapy, individual counseling or therapy, remediation of learning difficulties, direct instruction (social skills affective education, etc.) or feedback to student.

CC Consultation and Collaboration (NASP 2.2, 2.5). Consultation and collaboration with teachers and other school personnel on an individual or group basis, participation in team meetings (prereferral, instructional, IEP teams, etc.), and system-level consultation efforts.

HSC Home/School Community Collaboration (NASP 2.7). Work with parents and families for assessment, consultation, intervention, etc. May also include home visits and parent training.

PII Prevention and Indirect Intervention (NASP 2.2, 2.5, 2.6). Activities of a non-

assessment nature including but not limited to primary prevention activities (e.g., prevention of bullying, suicide, substance abuse, etc.). development of intervention strategies, presentation at staff development inservices, meetings, and other prevention / intervention activities.

SSO School System Orientation (TS SI*). Non-assessment and non-intervention observation related to the orientation to the regular and special education school environment, including orientation meetings, introductions, observation of classrooms and programs.

PD Professional Development (TS SI). Specific activities which focus on the development of professional skills, including but not limited to attendance at local, state, national conferences, in-services, professional reading, etc. Note. The number of PD hours that can be applied to the total is limited and must be negotiated with the university supervisor.

USup University Supervision (NASP 3.1). Supervision provided by an appropriately credentialed psychologist acting as the university program representative. A minimum of one site visit is required. However, regular communication and meetings are expected and should be documented.

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FSup Field Supervision (NASP 3.1). Formal supervision provided by an appropriately credentialed professional, e.g. Licensed Specialist in School Psychology, Nationally Certified School Psychologist, Counselors, Social Workers, etc. Note. The field supervisor’s signature is required on the log to verify the other activities performed and listed.

RPE Research and Program Evaluation. (NASP 2.9). Collection and analysis of program evaluation data used to evaluate a program’s efficacy, value, or impact. Development and/or implementation of needs analysis to inform program development.

MISC Miscellaneous activities such as: travel time, preparing to give a new test, etc.

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Mandatory Activities Checklist – 1st school-based practicum experienceStudent: Supervisor School District:

Activity Date completed

Supervisor initials

1.) 30-min. observation of children learning and interacting in a general education classroom setting

2.) 30-min. observation of children learning and interacting in a special education classroom setting OR

30-min. observation of a special education teacher assisting a general education teacher in a cooperative learning environment or team teaching regular education classroom

3.) Review of special education files SLD - Gen-ed. eval (1) SLD - Bilingual eval (1) Autism (1) Emotional disturbance (1) Intellectual Disability (1) Other Health Impaired (1)

Optional file reviews: Non-Categorical Early Childhood Speech or Language Impairment Traumatic Brain Injury Deaf-Blindness Hearing Impairment Multiple Disabilities Orthopedic Impairment Visual Impairment4.) Review one (1) Section 504 education plans5.) Review one (1) manifestation determination files6.) Observe one (1) parent assessment interview OR Observe one (1) parent conference

7.) Observe one (1) team meeting (e.g., ARD, pre-ARD)8.) Present information/feedback at one (1) ARD9.) Attend one faculty meeting (either 1st sem. or during 2nd sem.)10.) Visit one alternative education setting for special populations (e.g., ED, VI, DHH, etc.)

11.) Review the school/district crisis intervention plan12.) Review the student handbook (code of conduct, dress code, etc.)

13.) Eat one lunch in the school’s cafeteria

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14.) Administer, score, interpret, write up results of three (3) cognitive measures (one must be observed by site-supervisor) 1

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15.) Administer, score, interpret, write up results of three (3) academic measures (one must be observed by site-supervisor) 1

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16.) Administer, score, interpret, write up results of at least three (3) behavior rating scales 1

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17.) Conduct one (1) parent interview

18.) Conduct one (1) teacher/administrator interview

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Mandatory Activities Checklist – 2nd school-based practicum experienceStudent: Supervisor School District:

Activity Date completed

Supervisor initials

1.) Attend one manifestation determination hearing

2.) Conduct four (4) Full Individual Assessments (FIE):

SLD Evaluation 1. ED evaluation for SPSY 5379 2. Low incident evaluation for SPSY 5379 3. Your choice of suspected disability category 4.

Please note: (a.) A review of existing evaluation data (REED) can only be used if a FIE with new formal testing is required. The FIE can be for a triennial review or for a transfer student to determine continued eligibility for Special Education.

(b.) Students taking C.A.R.E.S. practicum are only required to conduct the first three FIEs (SLD, ED, & Low Incid.)

3.) Conduct four (4) parent assessment background information interviews (Students taking C.A.R.E.S. practicum only need 3) 1.

2.3.4.

4.) Conduct four (4) parent assessment-feedback pre-ARD conferences (Students taking C.A.R.E.S. practicum only need 3) 1.

2.3.4.

5.) Present test result feedback at four (4) ARD meetings (Students taking C.A.R.E.S. practicum only need 3) 1.

2.3.4.

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Student Personal Improvement Practicum Goals

Univ. Clinic____ CARES _____ School _____ Fall___ Spring____ 20____

STUDENT NAME: ________________________________________ INITIAL___________

SITE SUPERVISOR(S): ____________________________________ INITIAL___________

_____________________________________ INITIAL___________

UNIVERSITY SUPERVISOR: ________________________________INITIAL___________

GOAL #1:

OBJECTIVE(S):

END OF SEMESTER PROGRESS:

GOAL #2:

OBJECTIVE(S):

END OF SEMESTER PROGRESS:

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TEXAS STATE UNIVERSITYSCHOOL PSYCHOLOGY PROGRAM

SCHOOL-BASED PRACTICUM EVALUATION______________________________________________________________________________

Student Name __________________________________________________

Practicum Site __________________________________________________

Date Submitted _____________________________________

Field-Based Supervisor ______________________Phone __________________

University Supervisor _______________________________________________

The goal of the practicum experience is to prepare students for internship. When evaluating competencies in each area, consider skills on a continuum from minimal level of competence to emerging level of competence to a level of competence necessary to be successful on internship.

1 – Does not demonstrate competence2 – Demonstrates minimal competence3 – Demonstrates emerging competence4 – Demonstrates pre-internship competence

NA – Not applicable to this practicum

1. Data-Based Decision-Making and Accountability: School psychologists have knowledge of varied models and methods of assessment that yield information useful in identifying strengths and needs, in understanding problems, and in measuring progress and accomplishments. The practicum student selects and uses appropriate instruments and procedures for evaluation of student learning.

1 2 3 4

School psychologists use a variety of models and methods as part of a systematic process to collect data and other information, translate assessment results into empirically-based decisions about service delivery, and evaluate the outcomes of services. The practicum student applies theoretical knowledge to document and evaluate student responsiveness to educational interventions.

1 2 3 4

2. Consultation and Collaboration: School psychologists have knowledge of behavioral, mental health, collaborative, and/or other consultation models and methods and of their application to particular situations. School psychologists collaborate effectively with others in planning and decision-making processes at the individual, group, and system levels. The practicum student consults and collaborates with educational professionals to create educational programs to ensure individual growth and development.

1 2 3 4

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3. Effective Instruction and Development of Cognitive/Academic Skills: School psychologists have knowledge of human learning processes, techniques to assess these processes, and direct and indirect services applicable to the development of cognitive and academic skills. The practicum student demonstrates theoretical knowledge by assisting in the development of educational interventions including, but not limited to, Individual Education Plans.

1 2 3 4

School psychologists, in collaboration with others, develop appropriate cognitive and academic goals for students with different abilities, disabilities, strengths, and needs; implement interventions to achieve those goals; and evaluate the effectiveness of interventions. The practicum student applies theoretical knowledge in assisting in the development of educational interventions for students with a variety of individual characteristics including, but not limited to, learning disabilities, developmental disabilities, language impairments, and physical impairments.

1 2 3 4

4. Socialization and Development of Life Skills: School psychologists have knowledge of human developmental processes, techniques to assess these processes, and direct and indirect services applicable to the development of behavioral, affective, adaptive, and social skills. School psychologists, in collaboration with others, develop appropriate behavioral, affective, adaptive, and social goals for students of varying abilities, disabilities, strengths, and needs. The practicum student applies theoretical knowledge to the selection utilization of appropriate assessment techniques for low incidence populations and generates appropriate recommendations based on the assessment.

1 2 3 4

School psychologists implement interventions to achieve those goals; and evaluate the effectiveness of interventions. The practicum student implements interventions include, but are not limited to, consultation,

1 2 3 4

behavioral assessment/intervention,

1 2 3 4

and counseling.

1 2 3 4

5. Student Diversity in Development and Learning: School psychologists have knowledge of individual differences, abilities, and disabilities and of the potential influence of biological, social, cultural, ethnic, experiential, socioeconomic, gender-related, and linguistic factors in development and learning. The practicum student demonstrates the sensitivity and skills needed to work with individuals of diverse characteristics and to implement strategies selected and/or adapted based on individual characteristics, strengths, and needs.

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1 2 3 4

6. School and Systems Organization, Policy Development, and Climate: School psychologists have knowledge of general education, special education, and other educational and related services. They understand schools and other settings as systems. School psychologists work with individuals and groups to facilitate policies and practices that create and maintain safe, supportive, and effective learning environments for children and others. The practicum student demonstrates knowledge of regular and special education systems, identifies service providers and makes appropriate recommendations for individual students based on this knowledge.

1 2 3 4

7. Prevention, Crisis Intervention, and Mental Health: School psychologists have knowledge of human development and psychopathology and of associated biological, cultural, and social influences on human behavior. School psychologists provide or contribute to prevention and intervention programs that promote the mental health and physical well-being of students. The practicum student applies theoretical knowledge in assessing students with mental health and/or behavioral concerns

1 2 3 4

And in providing direct services that address the mental health needs of students.

1 2 3 4

8. Home/School/Community Collaboration: School psychologists have knowledge of family systems, including family strengths and influences on student development, learning, and behavior, and of methods to involve families in education and service delivery. School psychologists work effectively with families, educators, and others in the community to promote and provide comprehensive services to children and families. The practicum student investigates, reports and makes recommendations based on knowledge of community resources

1 2 3 4 And uses skills and knowledge to support and facilitate family involvement in school and community interventions.

1 2 3 4

9. Research and Program Evaluation: School psychologists have knowledge of research, statistics, and evaluation methods. School psychologists evaluate research, translate research into practice, and understand research design and statistics in sufficient depth to plan and conduct investigations and program evaluations for improvement of services. The practicum student applies knowledge of research design and statistics in the selection of appropriate assessment techniques

1 2 3 4

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And in assisting school personnel in the evaluation of educational and mental health programs in school systems.

1 2 3 4

10. School Psychology Practice and Development: School psychologists have knowledge of the history and foundations of their profession; of various service models and methods; of public policy development applicable to services to children and families; and of ethical, professional, and legal standards. The practicum student practices in ways that are consistent with applicable standards, such as federal and state laws and regulations

1 2 3 4

are involved in their profession, by participating actively in the promotion of the field of school psychology

1 2 3 4

and have the personal characteristics needed to acquire career-long professional development, including, but not limited to, Adaptability

1 2 3 4Conscientiousness

1 2 3 4Independence

1 2 3 4Motivation

1 2 3 4Personal Stability

1 2 3 4Professional Ethics

1 2 3 4Professional Image/ Appearance

1 2 3 4

Site Supervisor Signature ________________________________________

Date ________________________________________________________

Practicum Student Signature _____________________________________

Date ________________________________________________________

University Supervisor Signature ___________________________________30

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Date ________________________________________________________

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SPSY 5389 School-Based PracticumSTUDENT SELF-EVALUATION

Student Name __________________________________________________ Practicum Site __________________________________________________

Date (PRE-EVAL)_______________ Date (POST-EVAL)______________ Fall 20___ Spring 20___

The goal of the practicum experience is to prepare students for internship. When evaluating competencies in each area, consider skills on a continuum from minimal level of competence to emerging level of competence to a level of competence necessary to be successful on internship.

1 – Does not demonstrate competence2 – Demonstrates minimal competence3 – Demonstrates emerging competence4 – Demonstrates pre-internship competence

NA – Not applicable to this practicum

1. Data-Based Decision-Making and Accountability: School psychologists have knowledge of varied models and methods of assessment that yield information useful in identifying strengths and needs, in understanding problems, and in measuring progress and accomplishments. The practicum student selects and uses appropriate instruments and procedures for evaluation of student learning.

1 2 3 4

School psychologists use a variety of models and methods as part of a systematic process to collect data and other information, translate assessment results into empirically-based decisions about service delivery, and evaluate the outcomes of services. The practicum student applies theoretical knowledge to document and evaluate student responsiveness to educational interventions.

1 2 3 4

2. Consultation and Collaboration: School psychologists have knowledge of behavioral, mental health, collaborative, and/or other consultation models and methods and of their application to particular situations. School psychologists collaborate effectively with others in planning and decision-making processes at the individual, group, and system levels. The practicum student consults and collaborates with educational professionals to create educational programs to ensure individual growth and development.

1 2 3 4

3. Effective Instruction and Development of Cognitive/Academic Skills: School psychologists have knowledge of human learning processes, techniques to assess these processes, and direct and indirect services applicable to the development of cognitive and academic skills. The practicum student demonstrates theoretical knowledge by assisting in the development of educational interventions including, but not limited to, Individual Education Plans.

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1 2 3 4

School psychologists, in collaboration with others, develop appropriate cognitive and academic goals for students with different abilities, disabilities, strengths, and needs; implement interventions to achieve those goals; and evaluate the effectiveness of interventions. The practicum student apply theoretical knowledge in assisting in the development of educational interventions for students with a variety of individual characteristics including, but not limited to, learning disabilities, developmental disabilities, language impairments, and physical impairments.

1 2 3 4

4. Socialization and Development of Life Skills: School psychologists have knowledge of human developmental processes, techniques to assess these processes, and direct and indirect services applicable to the development of behavioral, affective, adaptive, and social skills. School psychologists, in collaboration with others, develop appropriate behavioral, affective, adaptive, and social goals for students of varying abilities, disabilities, strengths, and needs. The practicum student applies theoretical knowledge to the selection utilization of appropriate assessment techniques for low incidence populations and generates appropriate recommendations based on the assessment.

1 2 3 4

School psychologists implement interventions to achieve those goals; and evaluate the effectiveness of interventions. The practicum student implements interventions include, but are not limited to, consultation,

1 2 3 4

behavioral assessment/intervention,

1 2 3 4

and counseling.

1 2 3 4

5. Student Diversity in Development and Learning: School psychologists have knowledge of individual differences, abilities, and disabilities and of the potential influence of biological, social, cultural, ethnic, experiential, socioeconomic, gender-related, and linguistic factors in development and learning. The practicum student demonstrates the sensitivity and skills needed to work with individuals of diverse characteristics and to implement strategies selected and/or adapted based on individual characteristics, strengths, and needs.

1 2 3 4

6. School and Systems Organization, Policy Development, and Climate: School psychologists have knowledge of general education, special education, and other educational and related services. They understand schools and other settings as systems.

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School psychologists work with individuals and groups to facilitate policies and practices that create and maintain safe, supportive, and effective learning environments for children and others. The practicum student demonstrates knowledge of regular and special education systems, identifies service providers and makes appropriate recommendations for individual students based on this knowledge.

1 2 3 4

7. Prevention, Crisis Intervention, and Mental Health: School psychologists have knowledge of human development and psychopathology and of associated biological, cultural, and social influences on human behavior. School psychologists provide or contribute to prevention and intervention programs that promote the mental health and physical well-being of students. The practicum student applies theoretical knowledge in assessing students with mental health and/or behavioral concerns

1 2 3 4

And in providing direct services that address the mental health needs of students.

1 2 3 4

8. Home/School/Community Collaboration: School psychologists have knowledge of family systems, including family strengths and influences on student development, learning, and behavior, and of methods to involve families in education and service delivery. School psychologists work effectively with families, educators, and others in the community to promote and provide comprehensive services to children and families. The practicum student investigates, reports and makes recommendations based on knowledge of community resources

1 2 3 4 And uses skills and knowledge to support and facilitate family involvement in school and community interventions.

1 2 3 4

9. Research and Program Evaluation: School psychologists have knowledge of research, statistics, and evaluation methods. School psychologists evaluate research, translate research into practice, and understand research design and statistics in sufficient depth to plan and conduct investigations and program evaluations for improvement of services. The practicum student applies knowledge of research design and statistics in the selection of appropriate assessment techniques

1 2 3 4 And in assisting school personnel in the evaluation of educational and mental health programs in school systems.

1 2 3 4

10. School Psychology Practice and Development: School psychologists have knowledge of the history and foundations of their profession; of various service models and methods; of public policy development applicable to services to children and families; and

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of ethical, professional, and legal standards. The practicum student practices in ways that are consistent with applicable standards, such as federal and state laws and regulations

1 2 3 4

are involved in their profession, by participating actively in the promotion of the field of school psychology

1 2 3 4

and have the personal characteristics needed to acquire career-long professional development, including, but not limited to, Adaptability

1 2 3 4Conscientiousness

1 2 3 4Independence

1 2 3 4Motivation

1 2 3 4Personal Stability

1 2 3 4Professional Ethics

1 2 3 4Professional Image/ Appearance

1 2 3 4

Practicum Student Signature _____________________________________

Date ________________________________________________________

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School-Based Practicum - Monthly University Supervision Tracking Sheet

Student: __________________________ Univ. Supervisor: _______________Location: _________________________ Site Supervisor: _________________Date: ____________________

1. Mandatory Activities Checklist:

-Progress:

- Difficulties:

2. Self-identified Goals

- Progress:

- Difficulties:

3. Self-identified strengths and areas needing additional work

- Strengths:

- Areas needing additional work:

4. What additional ways can your site supervisor support you?

5. Anything else of concern

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TEXAS STATE UNIVERSITY SCHOOL PSYCHOLOGY PROGRAM

Practicum Site Data Sheet

Completed by: _______________________________ Date: ___________________

Site _________________________________________________

Supervisor(s) _________________________________________________

Phone _________________________________________________

Site Address _________________________________________________

Populations served at this site:

__ Elementary __ Middle School/Junior High __ High School

__ Parents/Families __ Other __________________________________________

Opportunities available at this site:

__ Assessment __ Counseling __ Consultation __ Training

__ Prevention __ Crisis intervention __ Other _________________________

This site has the following strengths:

This site has the following limitations:

Optional: You may contact me with additional questions about this site at:

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TEXAS STATE UNIVERSITYSCHOOL PSYCHOLOGY PROGRAM

PRACTICUM SUMMARY FORM

Student Name:_________________________________________________________________________________Mailing Address: _______________________________________________________________________________ City, State, Zip: ___________________________________________________________________________

SPSY 5389 (First Practicum)Practicum Site(s): Mailing Address(es):__________________________________________________________________________

City, State, Zip:___________________________________________________________________________Site Phone: (_______)_________________________________________________________________________Site Supervisor:

Name:__________________________________________________________________________________Degree / Title:____________________________________________________________________________

University Supervisor:_________________________________________________________________________Beginning Date of Practicum:___________________________________________________________________Ending Date of Practicum:______________________________________________________________________Total Hours of Practicum, this setting:____________________________________________________________Number of Hours that were Counseling in nature:___________________________________________________

SPSY 5389 (Second Practicum)Practicum Site(s): Mailing Address(es):__________________________________________________________________________

City, State, Zip:___________________________________________________________________________Site Phone: (_______)_________________________________________________________________________Site Supervisor:

Name:__________________________________________________________________________________Degree / Title:____________________________________________________________________________

University Supervisor:_________________________________________________________________________Beginning Date of Practicum:___________________________________________________________________Ending Date of Practicum:______________________________________________________________________Total Hours of Practicum, this setting:____________________________________________________________Number of Hours that were Counseling in nature:___________________________________________________

SPSY 5389 (Third Practicum)Practicum Site(s): Mailing Address(es):__________________________________________________________________________

City, State, Zip:___________________________________________________________________________Site Phone: (_______)_________________________________________________________________________Site Supervisor:

Name:__________________________________________________________________________________Degree / Title:____________________________________________________________________________

University Supervisor:_________________________________________________________________________Beginning Date of Practicum:___________________________________________________________________Ending Date of Practicum:______________________________________________________________________Total Hours of Practicum, this setting:____________________________________________________________Number of Hours that were Counseling in nature:___________________________________________________

Total Hours of School Psychology Practicum:________________________________________________________

Number of Hours from Total Hours that were Counseling in nature:_______________________________________

Number of Hours from Total Hours of Direct Contact Counseling:________________________________________

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