Dear Potential PhD Practicum/MA Intern Applicant: On behalf of the University of Missouri-Kansas City Counseling Center, we are excited to begin our application process for the Masters Internship and PhD Advanced Practicum experiences. Within this document you will find a tentative overview of the expectations for this opportunity and procedures for submitting an application. We welcome all interested applicants. Please contact Dr. Noble for the current deadline to submit applications. Also, please e-mail completed applications to Dr. Heather Noble at nobleh@umkc.edu. Interviews will be arranged upon receipt and review of materials. It is expected that we will have between 5 and 7 slots for interns/practicum students. Offers for positions will be made after interviews are complete. If you have an interest in working within a university counseling center, we would welcome your application. Please feel free to contact me directly if you have any questions or if you need any accommodations. Thanks for considering our training site. Sincerely, Heather Heather Noble, Ph.D. Training Coordinator/Assessment Coordinator UMKC Counseling Center 4825 Troost, Suite 206 Kansas City, MO 64110 (816) 235-6467 nobleh@umkc.edu UMKC COUNSELING CENTER MASTERS INTERNSHIP AND ADVANCED DOCTORAL PRACTICUM APPLICATION PROCEDURES The Masters Internship will be approximately 16-20 hours per week over two (2) consecutive semesters with time off for University holidays and professional development. The Center will enable the intern to meet the requirements for Masters Internship outlined by the Counseling Psychology and/or Clinical Psychology Department. Evaluation by the site supervisor will be sent to the Director of Masters Internship in the academic department each semester. A certificate of completion of the Masters Internship will be given at the end of the experience. The Advanced Practicum will be approximately 16-20 hours per week for students over two (2) semesters with time off for University holidays and professional development. The Center will enable the Advanced Practicum student to meet the requirements for practicum outlined by the Counseling Psychology and/or Clinical Psychology Department. Evaluation by the site supervisor will be sent to the practicum instructor. For those considering summer placement, the hour commitments are less and more flexible during the summer semester. The Center reserves the right to terminate any Practicum/MA Intern who is receiving unsatisfactory evaluations or who behaves unethically or illegally. The Counseling Center will determine the number of Practicum/MA Intern slots available each semester. Applicants must: 1) 2) 3) The Center will provide the applicant with: 1) 2) Be eligible for masters internship or advanced practicum from their department. Complete an application form, including a vita and two (2) letters of reference (emailed letters are accepted) from individuals who have advised or directly supervised your clinical work. Interview with the Training Coordinator and other Center staff. A copy of hours and work expectations for Masters Internship or advanced practicum. Any information requested about the Center. Selection Procedure 1) 2) 3) 4) 5) 6) The availability of PhD Practicum/MA Intern positions will be sent to the Counseling Psychology and Clinical Psychology departments. Individuals may inquire about the Practicum/MA Intern experience. Late applications will be reviewed on a case-by-case basis depending on available positions. The Training Coordinator and Staff will select PhD Practicum Students/MA Interns after interviews are completed, and no later than within (2) two weeks after the last completed interview. All applicants will be informed of their selection or non-selection. The selected applicant(s) will need to provide proof of satisfactory completion of other Practicum experiences. The 16-20 hours per week Masters Intern/Practicum Student experience will likely consist of the following: HRS 7.0 - 9.0 1.5 1.5 1.0 0.5 1.0 2.5 - 4.5 1.0 16.0 - 20.0 ACTIVITY Client contact (minimum of 2 hours of intake and minimum of 5 client sessions) Individual Supervision Professional Development Training Seminar Group Supervision/Case Conference Meeting with Training Coordinator Outreach Case Management Supervision Preparation Total FOR MORE INFORMATION about the Counseling Center VISIT OUR WEB SITE AT: http://www.umkc.edu/counselingcenter/ PRACTICUM APPLICATION FORM COUNSELING CENTER UNIVERSITY OF MISSOURI - KANSAS CITY Semester applying for: _____________________________ 1. Name: _________________________________________________ 2. Home Address: ______________________________________ ______________ _____ _________ Street City State Zip Code Office Address: ______________________________________ ______________ _____ _________ Street City State Zip Code 3. 4. Home Phone Number: (______) ______-________ Office Phone Number: (______) ______-________ Cell Phone Number: (______) ______-_________ E-Mail: ___________________________________ 5. Indicate your graduate training in Psychology: Date: _____/_____/_____ a) Master's Degree (Earned or In Progress) Graduate Program and Institution _________________________________________ Graduate Degree ______________________________________________________ Major/Program ________________________________________________________ Expected Date of Graduation _____________________________________________ b) Doctoral Degree Graduate Program and Institution _________________________________________ Graduate Degree ______________________________________________________ Major/Program ________________________________________________________ Expected Date of Graduation _____________________________________________ c) Other Related Training __________________________________________________________________________________ __________________________________________________________________________________ 6. Please provide your vita, which should include: A) B) Your relevant employment history including employee's name, your position, dates, and duties. A list of all practica and field experiences including the agency, the number of hours there, types of problems/population, supervisor(s), and dates. 7. Check each area of client concern seen; place an asterisk (*) next to the types you have interest/expertise: _____ Career Choice _____ Separation/Individuation _____ Suicide/Crisis Intervention _____ Depression _____ Communication Skills _____ Stress Management _____ Sexual Concerns _____ Death and Dying _____ Time Management _____ Assertiveness _____ Identity Crisis _____ Test Anxiety _____ Interpersonal Relationships _____ Handicap/disability _____ Couples Communication _____ Physical/Sexual Abuse _____ Marriage & Family Problems _____ Loneliness _____ Anxiety _____ Intimacy Building _____ Developmental Arrest _____ Divorce/Separation _____ Environmental Mastery _____ Study Skills _____ Eating Disorders _____ Alcohol Drug Abuse: _____ Other Specify ____________________________________________________________ 8. Please respond to the following items with a brief statement no more than one-fourth of the page per item (single-spaced). A) Describe your strengths and limitations as a counselor/therapist. B) Describe your experience working with diversity. C) Please state your goals for a practicum or internship at UMKC. Please address all questions to and/or deliver completed application electronically (i.e. email attachment or email text) to: Heather Noble, Ph.D. Training Coordinator/Assessment Coordinator University of Missouri - Kansas City Counseling Center 4825 Troost Ave, Suite 206 Kansas City, Missouri 64110 (816) 235 - 6467 nobleh@umkc.edu PLEASE INDICATE YOUR DIRECT SERVICES: a. Number of actual hours of direct intervention with clients/patients by format listed below: 1) 2) 3) 4) b. ______ ______ ______ ______ Number of actual hours in direct assessment of clients/patients by format listed below: 1) 2) c. Individuals Couples Families Groups Hours of formal psychometric testing Hours of interview/observation/based assessment _______ _______ Number of actual hours in formal consultation, outreach, primary prevention services and/or psychoeducation rendered _____ Subtotal of Direct Service Hours: _______ 2. INDIRECT SERVICES: a. Number of actual hours spent in activities supporting direct intervention (e.g., report writing, consulting with other professionals about specific cases, video/audio tape review, and assessment reports): ________ b. Number of actual hours of supervision rendered to other students: ______ Subtotal of Indirect Service Hours: ______ 3. SUPERVISION: a. Number of actual hours spent in one-on-one, face to face supervision: _____ b. Number of hours of group/class/peer supervision and case conference on specific cases: _____ Subtotal of Supervision Hours: _____ TOTAL PRACTICUM HOURS: _____ DEFINITION OF TERMS FOR DOCUMENTING PRACTICUM EXPERIENCE Practicum hour - A Practicum hour is a clock hour. This may actually be a 50 minute client/patient hour, but is calculated by actual hours, not quarter hours nor semester hours nor number of hours/week multiplied by number of weeks in the term. 1. Direct Services - These are actual clock hours in direct service to clients/patients. This section is subdivided by: 1a) Direct intervention by format of client(s) (i.e., individuals, couples, families, and groups) 1b) Assessment activity divided by format psychometric and interview/observation/diagnostic techniques. These hours should not be double-listed in 1a above. 1c) Formal consultation and primary prevention services rendered which includes outreach and psychoeducational activities. These divisions are meant to be mutually exclusive and hours should not be double counted across sections. The sum of all the subdivisions should equal the Subtotal of Direct Service Hours. Time spent in activities related to the client/patient but not in the actual presence of the client/patient is recorded as Indirect Services. 2. Indirect Services - For students in training the time spent outside the counseling/therapy hour focused on the client/patient are vital learning time. Whether the activity is assessment report writing, process notes or video/audio tape review, the time spent contemplating the client and planning interventions is necessary for a rich learning process. 2a) Document the more quantifiable activities of report writing, informal consultation with other professionals on specific cases, video/audio tape review, and assessment scoring and report-writing. 2b) Providing supervision is one of the common activities for psychologists regardless of setting. Training in supervision is becoming a more common Practicum experience. Count the hours of supervision rendered, that was supervised, to less advanced students in the context of teaching supervision skills. Time spent in supervision of supervision should be counted in the supervision section below. 3. Supervision - Supervision is broken into one-to-one and group supervision. 3a) Hours are defined as regularly scheduled, face-to-face individual supervision with the specific intent of dealing with psychological services rendered by the student. 3b) The hours recorded in the group supervision category should be actual hours of group focus on specific cases. Many excellent Practicum courses incorporate both didactic and experiential components in the course activity. While the didactic portion is excellent training, it should not be recorded as supervision activity. This may necessitate breaking the hours spent in a Practicum course into intervention, supervision and didactic activities by actual clock hours. For example, a presentation on the "Psychosocial Issues of HIV Infection" using examples of cases would be a didactic activity and not recorded as supervision. However, a presentation of a specific case involving HIV infection that generates a case conference/group supervision response would be recorded in 3b. Likewise, Grand Rounds that consist of in-service education on specific topics would not be considered supervision for the purposes of documenting Practicum hours. These are highly valued activities, but do not count as supervision. Total Practicum Hours should be the sum of the three subtotals listed. This is the total Practicum hours completed by date of application of the year of selection.