Mindful Counseling for Wellness and Engagement (MCWE) Program of Study/Candidacy Form Student’s Name: ________________________________________________ Are you currently pursuing a graduate degree? If “Yes” please indicate degree program: Signature: _______________________________________________________ ____________________________________________________________________ UB Person Number: ____________________________________________ e-mail: ___________________________________________________________ If “No” please be sure to attach an official final Bachelor’s transcript for you undergraduate institution. Anticipated Conferral Date: (Circle One) Completed Candidacy Form Due February June September YEAR: __________ 10/1 3/1 7/1 List below your completed and planned courses to be applied to the Mindful Counseling for Wellness and Engagement GSE Certificate (15 credits): Required Courses Semester Credits Grades CEP 611: The Mindful Therapist ________________________________________________ CEP 750: Yoga for Health and Healing ________________________________________________ CEP 553: Self-care in Service ________________________________________________ CEP 566: Evidenced-based Interventions for Wellness and Engagement ________________________________________________ CEP 548: Coaching for Wellness and Physiological Integration ________________________________________________ *Graduate Elective (with director approval only) ________________________________________________ One course can be substituted for another course specific to the student main interest of study. The course must have a mindful component and address helping and/or interventions. Please attach notification of approval of the course and the course syllabus to this form. Also, attach proof of passing grade (i.e., official transcript) if not taken at the University at Buffalo, SUNY. TOTAL PROGRAM CREDITS (15 cr.) ____________________________ PROGRAM OF STUDY APPROVALS Director of the MCWE GSE Cert.: ____________________________ Signature: __________________________________ Date: ____________________ Chair Person CSEP: ___________________________________________ Signature: __________________________________Date: _____________________ Updated 5/11/2015