UNIVERSITY OF LOUISIANA AT MONROE Graduate Studies and Research Department of Behavioral Sciences Master of Science – Counseling Clinical Mental Health Counseling Concentration Degree Plan Name SID # Last First Middle/Maiden Address Telephone Street Address City, State Zip Home Work E-Mail Address Semester/Term of First Enrollment in ULM Graduate School Undergraduate Preparation Graduate Program Major Area: Minor Area: List of Courses for Major COUN/EDFN 5081or PSYC 5023...………….3 COUN 5001.............. 3 COUN 5062 or PSYC 5018………………..3 COUN 5005.............. 3 COUN 5065 .......... ..3 COUN 5010.............. 3 COUN 6063 ........... .3 COUN 5022.............. 3 COUN 6067. ........... 3 COUN 5060.............. 3 COUN 6060 or COUN 5021or PSYC MAFT 6010.….......3 5015……………….3 COUN 6069 COUN 6052..….......3 (Crisis)………….....3 COUN 5011……….3 COUN 5025…….....3 Undergrad. deficiencies to be removed (list course & semester hrs): Total Hours of Deficiencies: Concentration/ related areas: (12 sem hr minimum) COUN 6040……….……3 *COUN 5067 (Agency)………………...3 COUN 6070 Agency Setting)……………….…6 Total Hours: 60 Credit to be Transferred to Graduate Program: Course # Hours Institution Semester/Qtr. Year Grade Course # Hours Institution Semester/Qtr. Year Grade Course # Hours Institution Semester/Qtr. Year Grade *Principles and Administration of Counseling Programs Distribution: 1. Registrar 2. Dean of Graduate Studies and Research 3. Student 4. Major Professor 5. Department Head/Academic Director 6. Committee Member (minor or related areas) Rev. 10/04/2005 Approved: ___________________________________________ Major Professor, _________________________________________ Committee Member, ___________________________________________ Department Head, ___________________________________________ Dean of Graduate School _______________ Date _______________ Date _______________ Date _______________ Date