STUDENT HANDBOOK
M.S. Program in
Clinical - Counseling Psychology
2014-2015
Department of Psychology and Counseling
Valdosta State University
1500 N. Patterson St.
Valdosta, GA 31698
Phone: 229-333-5930
Fax: 229-259-5576
Valdosta State University is an equal opportunity educational institution. It is not the intent of the
institution to discriminate against any applicant for admission or any student or employee of the
institution based on the sex, race, religion, color, national origin, disability, or sexual orientation
of the individual. It is the intent of the institution to comply with the Civil Rights Act of 1964
and subsequent Executive Orders as well as Title IX, Equal Pay Act of 1963, Vietnam Era
Veterans Readjustment Assistance Act of 1974, Age Discrimination in Employment Act of 1967,
and the Rehabilitation Act of 1973.
Faculty, students and staff in the University community who feel they have been discriminated
against in any of the categories above, should contact the Office of Social Equity. Through the
use of due process procedures appropriate action will be taken to address instances of
discrimination and sexual harassment. For more information, contact the Office of Social Equity,
1208 North Patterson Street, Phone (229) 333-5463.
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TABLE OF CONTENTS
INTRODUCTION………………………………………………………………………...1
Program Mission Statements……………………………………………………..1-2
ADMISSION………………………………………………………………………………3
Prerequisites……………………………………………………………………….3
Undergraduate Coursework……………………………………………...3
Graduate Record Examination (GRE)…………………………………..3
Procedures……………………………………………………………………...….3
Regular Admission………………………………………………………..3-4
Probationary Admission………………………………………………….4
Application Deadlines…………………………………………………….4-5
Notification of Acceptance/Denial of Application……………………....5
Additional Considerations for International Applicants…………….…5
Transfer Credit…………………………………………………………………....5
Retention and Graduation………………………………………………………..5
Candidate Characteristics………………………………………………………..5
FINANCIAL AID………………………………………………………………………....6
Graduate Assistantships……………………………………………………….…6
REQUIREMENTS FOR CLINICAL/COUNSELING STUDENTS……………….....7
Advising………………………………………………………………………...….7
Comprehensive Examination………………………………………………….....8
Purpose and Content……………………………………………………...8
Comps Remediation Plan………………………………………………....8-9
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Practicum Guidelines……………………………………………………………..9
Placement………………………………………………………………….9
Supervisor Qualifications………………………………………………...9
Process……………………………………………………………………..9-10
Student Liability Insurance……………………………………………...11
Student Objectives………………………………………………………..11-12
CURRICULUM OVERVIEW……………………………………………………….….13
Program of Study…………………………………………………………….…..13
Required Classes……………………………………………………….…13
Electives……………………………………………………………….…..13
Recommended Course Sequence………………………………………………..14
Students Taking Three Courses Per Term…………………………......14
Students Taking Two Courses Per Term……………………………....15
COMMONLY ASKED QUESTIONS………………………………………………....16
Prerequisites Without a Psychology Degree? ……………………………….....16
Dates and Deadlines?............................................................................................16
Chances of Admittance?.......................................................................................16
Chances of a Graduate Assistantship?............................................................................16
Do Students Work?................................................................................................16
Length of Program?...............................................................................................16
Program Accreditation?........................................................................................17
What Do Students Do After Graduation?...........................................................17
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Job Opportunities?................................................................................................17
THE DEPARTMENT FACULTY & STAFF……………………………………….....18-20
APPENDIX A: Approved Practicum Sites…………………………………………......21-26
APPENDIX B: Practicum Pre-approval Form………………………………………....27
APPENDIX C: Practicum Student Evaluation Form……………………………….…28-32
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INTRODUCTION
The M.S. Program in Clinical/Counseling Psychology is designed to foster the acquisition of
knowledge and skill necessary for the practice of assessment, consultation, and counseling
services in a variety of community and mental health settings. Graduates from the program are
eligible to sit for the Georgia state licensing exam for Professional Counselors. Students aspiring
to further training and education in clinical and/or counseling psychology are given a foundation
to pursue advanced degrees.
The M.S. Program in Clinical/Counseling Psychology is one of five graduate degree programs
taught within the Department of Psychology and Counseling. The Department of Psychology and
Counseling is housed within the College of Education (COE) at Valdosta State University
(VSU). The program mission and goals are consistent with those specified by the college and
university. The following text is adapted from official VSU websites and publications.
Mission of Valdosta State University
VSU is a regional university within the University Systems of Georgia. As part of this system,
shared core characteristics include:
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a commitment to excellence and responsiveness within a scope of influence defined by
the needs of a specific region of the state, and by particularly outstanding programs or
distinctive characteristics that have a magnet effect even beyond the region
a commitment to a teaching/learning environment, both inside and outside the classroom,
that sustains instructional excellence, serves a diverse and well-prepared student body,
promotes high levels of student achievement, offers academic assistance, and provides
developmental studies programs for a limited student cohort
a range of disciplinary and interdisciplinary academic programming at the baccalaureate
and master’s levels as well as a range of professional programs at the baccalaureate and
post baccalaureate levels, including a limited number of professionally-oriented doctoral
level programs
a commitment to public service, continuing education, technical assistance, and economic
development activities that address the needs, improve the quality of life, and raise the
educational level within the university’s scope of influence
a commitment to scholarly and creative work to enhance instructional effectiveness and
to encourage faculty scholarly pursuits, and a commitment to research in selected areas of
institutional strength and focused on regional need (see
http://www.valdosta.edu/vsu/about/ for more information).
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Mission of the College of Education
As part of its purpose and mission, the COE provides quality instruction through offering
comprehensive degree programs in the liberal arts, pre-professional, and professional service
areas at the associate, baccalaureate, masters, specialist, and doctoral levels. In addition to a
primary focus on preparing future teachers and other professionals, faculty members of the
College of Education also maintain a commitment to engaging in the scholarly pursuits of
research and service for the advancement and sharing of knowledge (see
http://www.valdosta.edu/coe/ for more information).
The Department of Psychology and Counseling
The Department of Psychology and Counseling provides programs of study at both the
undergraduate and graduate levels. At the graduate level, the Department offers the M.S. degree
in psychology in clinical/counseling or industrial/organizational. Graduates are prepared to
perform services in mental health settings, businesses, community colleges, government or
industries, which require graduate training in psychology at the subdoctoral level. The
Department also offers programs leading to the M.Ed. and Ed.S. degrees in School Counseling
and the Ed.S. in School Psychology (see http://www.valdosta.edu/coe/psychology/ for more
information).
M.S. Program in Clinical/Counseling Psychology
The mission of the M.S. Program in Clinical/Counseling Psychology is to serve the citizens of
the region and state by offering instruction and services designed to improve the quality of life.
Students are prepared to work in community counseling and mental health centers. The faculty
offers training to assure the public of qualified, responsible professionals who provide
assessment, consultation and counseling services. Students aspiring to further training and
education in clinical and/or counseling psychology are given a foundation to pursue advanced
degrees.
Upon successful completion of the program:
1. Students will demonstrate competence in appropriate assessment practices and issues.
3. Students will demonstrate knowledge of DSM diagnostic criteria, skill at applying diagnostic
techniques appropriately, and awareness of issues relevant to specific diagnostic categories.
4. Students will demonstrate the ability to prevent psychological problems through alteration of
pathological environments and early intervention.
5. Students will demonstrate the appropriate use of interventions at the individual and systems
levels.
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6. Students will demonstrate skill in conducting interviews in several formats including intake,
diagnostic, crisis, and termination.
7. Students will demonstrate the integration of information from several sources (e.g., testing,
interviews, etc.) in the writing of assessment reports and intervention notes and plans.
8. Students will demonstrate active and skillful consultation with other professionals and
consumers.
9. Students will demonstrate knowledge and awareness of current issues in the field of
psychology and mental health (e.g., neuropsychological assessment, substance abuse treatment,
managed care practice, health psychology, and other relevant issues).
10. Students will demonstrate awareness of the needs of a culturally diverse clientele.
11. Students will demonstrate ethical decision-making and resolution of moral dilemmas.
ADMISSION
Prerequisites
Undergraduate Coursework
The M.S. Program in Clinical/Counseling Psychology is a minimum 45 semester hour program
based on an adequate background in general psychology. Typically, those holding either the B.S.
or B.A. degree in Psychology, or an undergraduate degree in a related field, with a minimum of
15 semester hours in Fundamentals of Psychology, Abnormal Psychology, Psychological
Statistics, Experimental Psychology, and Tests and Measurements meet this requirement. Other
specific prerequisite courses may be determined by the department admissions committee. The
applicant must have earned a minimum 3.0 undergraduate GPA, calculated on all work
attempted in which letter grades were awarded.
Graduate Record Examination (GRE)
Applicants must present a minimum score of 153 (62nd percentile) on the Verbal Reasoning
section of the GRE and a minimum score of 145 (32nd percentile) on the Quantitative Reasoning
section of the GRE.
Procedures
Regular Admission
To be considered for regular admission, the applicant must submit the following to the Graduate
School:
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1. Completed application for admission to the graduate school. Applicants must apply on
line at https://www.applyweb.com/apply/vsug/menu.html. Submit all supporting
documentation to the Graduate School in paper form.
2. $35 non-refundable application fee paid online by credit card or check card at
https://www.applyweb.com/apply/vsug/menu.html.
3. Certification of Immunization.
4. Official transcripts from every college and university attended. Only transcripts of work
at VSU will be obtained by the Graduate School.
5. Official test scores from the Graduate Record Examination (GRE). For registration
information on the GRE, visit www.ets.org/gre.
6. Three letters of recommendation from professionals acquainted with the applicant’s
academic and/or vocational background and interests. These letters must reflect the
ability, interest, and motivation of the candidate to be successful in the program of study
and the career field. An official recommendation form must be submitted - letters can be
included or attached to VSU's forms.
7. A written statement of no more than 250 words describing the student's interest in this
program and their plans post-degree. This sample must demonstrate articulation, writing
skill, and aims consistent with the mission of the degree program.
Probationary Admission
Students who do not meet one or more of the requirements for regular admission may qualify for
probationary admission, but probationary admission is not guaranteed. Probationary admission
may be considered by the department under the following two conditions:
1. 3.0 or above undergraduate GPA and scores of at least 145 on the Verbal Reasoning
section of the GRE and 141 on the Quantitative Reasoning section of the GRE.*
2. 2.75 or above undergraduate GPA and scores of at least 153 on the Verbal Reasoning
section of the GRE and 145 on the Quantitative Reasoning section of the GRE.*
*In addition to standardized test scores, letters of recommendation, personal statement,
and GPA, the Admission Committee may consider the TOEFFL (where appropriate) and
disaggregated characteristics of academic transcripts (with special attention to grades in
last two years of undergraduate program and psychology coursework).
Students admitted under these conditions remain in probationary status for the first 9 semester
hours of graduate work and must maintain a 3.0 or higher GPA. After completion of the
probationary period, students may be reclassified as "regular" students.
Application Deadlines
Applicants should apply as early as possible. Applications and all supporting materials must be
received by the Graduate School no later than the following dates:
Fall Semester
July 15
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Spring Semester
November 15
Summer Semester May 1
Notification of Acceptance/Denial of Application
Applicants will be notified by a letter from the Graduate School verifying official acceptance or
denial. Acceptance is for the specific semester indicated on the application only. Applicants
wishing to change their date of enrollment should contact the Graduate School.
Additional Considerations for International Applicants
In addition to the procedures above, international applicants must complete and submit the
following:
1. Official TOEFL (Test of English as a Foreign Language) scores.
2. The Certificate of Finances (CoF) must be completed before the I-20 will be issued. The
CoF is available at http://www.valdosta.edu/iss/forms/documents/G_fin_statement.pdf.
3. Official transcripts must be translated and evaluated by an International Educational
Evaluation Service before being sent to the Graduate School.
Transfer Credit
No more than 6 semester hours of academic work may be transferred from another institution
into the College of Education graduate program.
Retention and Graduation
A maximum of 7 calendar years is allowed for completion of the M.S. degree. Work completed
more than 7 years prior to degree completion will not be accepted toward the degree except with
special permission from the clinical faculty and the Dean of the College of Education and
approval from the Dean of the Graduate School.
Candidate Characteristics
Of the 84 graduate students that were admitted and attended the clinical/counseling psychology
program between fall 2003-2008, 38 were admitted as regular students and 46 were admitted on
probationary status. Refer to the table below for average GPA and GRE scores:
GPA Verbal Quantitative Combined
Regular (N=38)
3.5
509
595
1103
Probationary (N=46) 3.1
417
484
906
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FINANCIAL AID FOR GRADUATE STUDENTS
Financial aid is available to eligible students who have been admitted to the University.
Transient students, irregular students, and non-degree students are not eligible for financial aid.
The financial aid application and financial statement may be submitted at any time after the
applicant has applied for admission. Financial aid applications are accepted as long as resources
permit, and priority is given to those submitted by May 1. Applicants may be eligible for aid
from an extensive list of grants, federal programs, loans, work, or scholarships (see
http://www.valdosta.edu/gradschool/finaid.shtml for more information).
In accordance with the Higher Education Act of 1965, as amended, students must be making
satisfactory academic progress, both in quality and quantity, to qualify for and continue to
receive Title IV federal financial aid. Graduate students must maintain a cumulative grade point
average of no less than 2.5 in order to be eligible for financial aid.
Graduate Assistantships
Valdosta State University’s graduate assistantships are designed to promote the research,
teaching, and service responsibilities of the University and to provide students with valuable
professional development opportunities while earning a graduate degree. Therefore, the graduate
assistantship involves the dual responsibilities of maintaining a satisfactory academic
performance and of successfully performing the assigned teaching, research, or other
responsibilities. The tuition for graduate assistants is reduced to a flat rate of $38.00 per semester
(plus other fees including health insurance premiums); this is applicable to both in-state and outof-state students.
Applications for graduate assistantships are submitted online through the Graduate School at
http://www.valdosta.edu/gradschool/grad_assist_info.shtml. Applications can only be submitted
after you have submitted your degree-program application to Graduate Admissions AND you
have been accepted into a degree-seeking program. You will not be able to proceed without your
VSU User name (email address) and password.
In order to apply for an assistantship, students must have been accepted as either “Regular” or
“Probationary” in an approved graduate degree or post-master’s program at VSU. Students are
encouraged to submit applications as soon as the application portal opens each semester. The
Administrative Coordinator to the Graduate Dean works with individual departments in the
assignment of assistantships, employment appointments and other areas dealing with graduate
assistantships. For more information, contact the Graduate School’s Administrative Coordinator
at (229) 333-5694; 800-618-1878 opt. 5; or e-mail gradschool@valdosta.edu.
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REQUIREMENTS FOR CLINICAL/COUNSELING STUDENTS
Advising
At Valdosta State University, advising is a collaborative process designed to help students
succeed academically, develop an appropriate educational plan leading to graduation, focus on
their life beyond the university, and play a responsible and proactive role in their own education.
It is the responsibility of the graduate student to:
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know the requirements of the degree program in which they are enrolled, including
keeping track of any changes each year.
know when to submit required paperwork, including the application for graduation two
semesters before the anticipated date.
work with an advisor to develop a curriculum plan which will allow them to stay on track
for their planned graduation, recognizing other responsibilities they might have including
family and work obligations.
keep careful records of their own progress toward their desired degree.
maintain regular contact with their advisor, including letting the advisor know of any
changes since the last advising session.
prepare, in advance, for each session with their advisor and to bring relevant materials to
advising sessions.
follow through with questions concerning degree requirements, grades, paperwork, or
other matters.
become familiar with resources available to help them.
While the student is expected to be familiar with the degree program and requirements of the
university, advisors will assist students in decision-making by providing timely and accurate
information, making appropriate referrals to campus resources, and encouraging students to use
available technology. More information on general advising policies may be found at
http://www.valdosta.edu/ssc/acad_advising.shtml.
One of the clinical/counseling faculty will be assigned as your advisor after you have been
accepted into the program. The name of your advisor will be listed in your acceptance letter and
also posted on Banner Web. All students are expected to meet with their academic advisor prior
to the semester’s registration window:
Fall Registration
March, July
Spring Registration
October
Summer Registration March
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Comprehensive Examination
Purpose and Content
Students completing the M.S. in Clinical-Counseling psychology will be required to complete a
comprehensive examination. The purpose of the comprehensive examination is to ascertain
whether an individual has acquired necessary content knowledge in the areas of intellectual and
personality assessment, psychopathology, and counseling theory. After completion of PSYC
7100, 7110, 7200, and 7400 with a grade of ‘C’ or better, students must take and pass the
comprehensive examination before registering for practicum.
The comprehensive examination consists of a multiple choice component and a written
component as follows:
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Students will take a multiple choice examination consisting of 100 questions to be drawn
from material pertinent to the four courses noted above. The multiple choice component
of the comprehensive examination is administered in the morning from 9 a.m. to 11 a.m.
No books or notes will be permitted in the examination room. A grade of 70% must be
achieved in order to pass the multiple choice component.
Students will be required to write a psychological evaluation based on a fictional
assessment test battery. The report phase of the comprehensive examination is completed
in the psychology computer lab from 1 p.m. until 4 p.m. the afternoon of test day.
Students will be provided with (a) a partially scored test battery, and (b) a template for
the written report which will include demographic information, behavioral observations,
and suggested subject headings. Students will be permitted to bring in materials relevant
to diagnosis and report writing. In order to achieve a passing grade, the report will
demonstrate an adequate understanding of the purpose and interpretation of the
intellectual and personality components of the test battery, the integration of those
components forming a comprehensive psychological assessment, including
recommendations, and demonstration of the ability to communicate the findings in
writing.
Comps Remediation Plan
It is expected that all students will spend adequate time studying and preparing for the
comprehensive examinations. However, in the event of failure, students will be required to retake
only the component(s) of the examination that are failed. Following the exam, students who have
failed one or both sections of the exam will meet with their advisor and/or instructors of the
relevant courses to discuss the results and recommendations for preparation for retaking those
sections. Specific recommendations must be tailored to the individual student’s performance and
needs as assessed by program faculty. Students are allowed three attempts to successfully
complete the comprehensive examination.
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Following the first “failure”: Recommendations may include meeting with course
instructors about areas of weakness, sitting in on class meetings where appropriate,
working on report-writing and/or diagnostic skills for the report section of the exam.
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Following the second “failure”: Recommendations for remediation are more stringently
suggested, arrived at in conjunction with advisor, course instructors, and Program
Coordinator. The student will be required to provide the study materials used to prepare
for the exam in order for the remediation committee to assess the needs of the student.
Following the third “failure”: The student will be dismissed from the program.
Practicum Guidelines
Placement
As part of a regional state university, the faculty of the Department of Psychology and
Counseling have as their primary aim service of the constituents of the region in the public
sector. Thus, it is desired that students complete the practicum requirement in a state-run or nonprofit setting offering appropriate psychological services as would befit the objectives for the
student’s practicum experience as indicated below.
Supervisor Qualifications
Appropriate, competent supervision is required not only for reasons of legal liability, but also for
the protection of the public receiving services provided by students on practicum. Given the
range of activities typically required of students on practicum (see objectives, below), it is
preferable and in most cases necessary for the supervisor to hold a doctoral degree in applied
psychology (such as Clinical, Counseling, or School Psychology) as well as a license as a
psychologist in the state wherein the student’s practicum activities are being conducted. Given
the legal requirements of the administration of certain test instruments, this is a minimum
standard for supervision of assessment activities. Supervision of therapy activities requires an
appropriate degree for the provision of such services (including MSW, MS in clinical/counseling
psychology, etc.) and at least three years post-degree experience. Supervision must be available
on-site with meetings held regularly (at least twice weekly is desirable), and supervisors are
required to review all products of student work, such as reports and progress notes, with
appropriate signatures where needed.
Process
Students are responsible for securing their own practicum experiences with the assistance of
program faculty. Descriptions of approved practicum sites are located in Appendix A. If a site
requires review by the Practicum Committee prior to approval, it is recommended that the
student submit the application early to facilitate a review (including a site visit and meeting with
the potential supervisor) in a timely manner.
At least one semester before beginning practicum, students must prepare the following
application materials:
1. Resume – Include all relevant skills, experiences, honors, etc. *
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2. Letter of Intent – Cover letter provided to the practicum site expressing your desire to gain
practicum experience. This letter should be specific to the site and the experiences you desire.
Clearly explain why you are a good fit for the site and how the experiences will enhance your
professional growth. *
* You must utilize VSU Career Services in writing/editing your resume and letter of intent.
Career Services is located at Powell Hall West, 2nd Floor 1500 N. Patterson St. Valdosta,
Georgia 31698; 229-333-5942
3. Transcripts – unofficial copies accepted.
4. Letter of Attestation –This letter, provided by the practicum coordinator, certifies you are
enrolled full time and in good standing, and are eligible to undertake practicum experiences.
5. Mock Interview Session (optional) – VSU Career Services offers in vivo mock interviews
and Interview Stream. Interview questions are tailored to your specific situation
(clinical/counseling practicum). Sessions are recorded and played back to provide feedback on
your interview style and responses.
6. Please note that all Behavioral Health Services sites require a state employment application.
7. Once you have your application packet completed, send a copy of your materials along with a
list of sites to which you will apply to the practicum coordinator for approval.
8. Practicum sites have different procedures for accepting applications. Please refer to the list of
approved sites to determine the appropriate method for submitting your application (Appendix
A). After your materials have been approved, (a) the practicum coordinator may forward your
practicum materials to the respective site supervisor(s) or (b) you may email your application
materials with the accompanying letter of intent to the supervisor/director of the practicum site.
Follow up with a telephone call approximately one or two weeks later to confirm receipt of
materials.
8. After you have been interviewed and offered a position, have the on-site supervisor sign the
Practicum Approval Form (Appendix B) and submit to the practicum coordinator with a copy of
your student liability insurance. This form is due 4 weeks prior to the practicum semester start
date.
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Student Liability Insurance
Students are required to purchase liability insurance the semester prior to the practicum
experiences. Liability insurance may be purchased from the American Psychological Association
Insurance Trust ($35 annually) (http://www.apait.org/apait/products/studentliability/) or CPH
and Associates ($24.25 annually) (https://www.cphins.com/Home/tabid/36/Default.aspx).
Student Objectives
Program students are placed in a variety of human service settings which serve a heterogeneous
population. It is difficult to state objectives for students and their field supervisors which can be
realized in all settings. With that limitation, the following goals may provide some clarification
and, at least, offer a basis for further specification. It is intended that:
1. Students will receive a general orientation to the range of services, kinds of clients, types of
professionals, and philosophical outlook of the practicum facility.
2. Students will become acquainted with and participate in the daily provision of services to
clients through observation and then apprenticeship.
3. Students will experience a rotation through representative service functions to acquire a
balanced orientation to clinical services.
4. Students will understand the roles and process of clinical supervision. Students will prepare
for and make effective use of regularly scheduled supervision meetings.
5. Students will provide supervised clinical services. Such services may include:
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Counseling on an individual and/or group basis.
o Individual counseling may include vocational, marital, or personal-adjustment
matters suitable in scope to be adequately addressed during the span of the
practicum experience. Students are expected to exhibit counseling methods
representative of several approaches including those of a cognitive, behavioral
and person-centered nature;
o Group counseling may consist of the student serving as a co- therapist after
acclimation to the group. Such groups may be open or closed and may be a
problem-centered or diffuse as the need of the unit dictates;
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Administer, interpret and report on psychological tests which typically would consist of
as a battery selected on the basis of the presenting problem. Five reports are
recommended, although the scope and nature of the assessment battery would likely
influence the number of reports that would be written. The following instruments are
appropriate to the student’s level of training:
o Intelligence- WISC-IV, WAIS-IV, SB5, WJ III COG, WNV or UNIT
o Personality- MMPI-2, or MCMI-III
o Visual-Motor- Bender Gestalt
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o Achievement- WRAT-IV
o Adaptive Behavior – Vineland
6. Students will maintain a record of professional activities which reflects time spent both in and
out of the facility devoted to practicum-related activities which may include attending
workshops, meetings with supervisors, staffings, reading assigned articles/chapters, writing
reports or conducting research.
7. Students will engage in the application of theory to practice. Students will use theory to
conceptualize and present a case to fellow students and faculty with awareness of how theoretical
approaches influence treatment. Students should also demonstrate awareness of researchvalidated interventions.
8. Students will learn to effectively self-evaluate their skills leading to competencies developed
during the practicum experience.
9. Students will meet all scheduled obligations on a consistent weekly basis and not attempt to
accumulate aggregates of hours in an effort to compensate for lost-time.
10. Students will develop and exhibit professional attitude, manner, commitment and attire.
11. Students will manifest care and sensitivity to the client’s and facility’s needs.
12. Students will follow appropriate professional and institutional guidelines regarding ethical
standards and procedures and will seek assistance as needed.
13. Students will understand the importance of and will engage in continued education and
professional development training opportunities.
Student Evaluation
Formal student evaluations will be completed by the on-site practicum supervisor and returned to
the program faculty twice per academic semester (see Appendix C).
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CURRICULUM OVERVIEW
Program of Study
Required Classes (33 Hours)
PSYC 7100 Intellectual Assessment (4 hrs.)
PSYC 7110 Personality Assessment (4 hrs.)
PSYC 7200 Psychopathology (3 hrs.)
PSYC 7400 Counseling Theories and Practice (3 hrs.)
PSYC 7450 Group Counseling (3 hrs.)
PSYC 7470 Counseling Culturally Diverse Populations (3 hrs.)
PSYC 7900 Prepracticum (3 hrs.)
PSYC 7950 Practicum (two semesters; 4 total hrs.)
PSYC 8000 Research Design (3 hrs.)
PSYC 8800 Legal and Ethical Issues in Psychology (3 hrs.)
Electives (12 hours required)
PSYC7120 Academic and Behavioral Assessment (4 hrs.)
PSYC7420 Counseling Children and Adolescents (3 hrs.)
PSYC7670 Social Psychology
PSYC7820 Career Counseling (3 hrs.)
PSYC8150 Behavioral Health Care Systems
PSYC8200 Child and Adolescent Psychopathology (3 hrs.)
PSYC8250 Developmental Psychology (3 hrs.)
PSYC8400 Special Topics in Applied Psychology (3 hrs.)
PSYC8610 Behavior Modification (3 hrs.)
PSYC8999 Thesis (3 hrs.)
PSYC8600 or PSYC8610 as above (3 hrs.)
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Recommended Course Sequence
The following are suggested sequences of courses for entrance into the program in the fall or
spring semester for students taking three or two courses per semester in the program, and
attending during summer sessions. Students entering in the summer or taking a varying number
of courses per semester will be advised into an optimal course sequence. Additionally, if students
intend to pursue an advanced degree at VSU (e.g., Ed.S. in School Psychology), electives may be
strategically chosen at the master's level to reduce overall completion time of the advanced
degree.
Students Taking Three Courses Per Term
Entering in Fall Semester
1st year
Entering in Spring Semester
1st year
Fall
PSYC7100 (4)
PSYC7400 (3)
PSYC7470 (3)
Spring
PSYC7110 (4)
PSYC7200 (3)
PSYC8000 (3)
Spring
PSYC7110 (4)
PSYC7200 (3)
PSYC8000 (3)
Summer
elective (3)
PSYC7400 (3)
Summer
elective (3)
elective (3)
Comprehensive Examinations
Fall
PSYC7100 (4)
PSYC7900 (3)
PSYC7470 (3)
2nd Year
2nd Year
Fall
PSYC7900 (3)
PSYC8800 (3)
elective (3)
Spring
PSYC7450 (3)
elective (3)
elective (3)
Comprehensive Examinations
Spring
PSYC7971 (2)
PSYC7450 (3)
Summer
PSYC7972 (2)
elective (3)
Summer
PSYC7971 (2)
elective (3)
Fall
PSYC7972 (2)
PSYC8800 (3)
14
Students Taking Two Courses Per Term
Entering in Fall Semester
Entering in Spring Semester
1st year
1st year
Fall
PSYC7100 (4)
PSYC7400 (3)
Spring
PSYC7110 (4)
PSYC7200 (3)
Spring
PSYC7110 (4)
PSYC7200 (3)
Summer
PSYC7400 (3)
elective (3)
Summer
elective (3)
elective (3)
Comprehensive Examinations
Fall
PSYC7100 (4)
PSYC7470 (3)
2nd year
2nd year
Fall
PSYC7900 (3)
PSYC7470 (3)
Spring
PSYC8000 (3)
PSYC7450 (3)
Comprehensive Examinations
Spring
PSYC8000 (3)
PSYC7450 (3)
Summer
elective (3)
elective (3)
Summer
elective (3)
elective (3)
Fall
PSYC7900 (3)
PSY8800 (3)
3rd year
3rd year
Fall
PSYC7971 (2)
PSYC8800 (3)
Spring
PSYC7971 (2)
elective (3)
Spring
PSYC7972 (2)
Summer
PSYC7972 (2)
15
COMMONLY ASKED QUESTIONS
Prerequisites Without a Psychology Degree?
Five undergraduate psychology courses are recommended: Fundamentals of Psychology,
Abnormal Psychology, Psychological Statistics, Experimental Psychology, and Tests and
Measurements. If you did not take these courses as an undergraduate, you can enroll at VSU as a
non-degree student and take them before then applying to the MS program. Keep in mind that
non-degree students are not eligible for financial aid.
Dates and Deadlines?
Graduate students are typically admitted for fall semester, but applicants are considered for other
semesters as well. All applicants are considered for admission as soon as their applications are
complete. Applicants should apply as early as possible. Application deadlines are July 15 for the
fall semester, November 15 for the spring semester, and May 1 for the summer semester.
Chances of Admittance?
Students that do not meet the minimum requirements for regular admission may be admitted
under probationary status at the discretion of the admissions committee. Students admitted on a
probationary basis remain in this category for 9 semester hours of work. The grade-point average
for these 9 semester hours must be 3.0 or higher, unless different conditions were specified at the
time of admission.
Chances of a Graduate Assistantship?
While graduate assistantship positions can not be guaranteed upon admittance into the program,
many students within the program apply for an assistantship through the VSU graduate school
and have acquired positions in various offices/departments across the university.
Do Students Work?
Most students in the graduate program find it manageable to work on a part time basis (less than
20 hours per week) either on or off campus. Evening scheduling of courses facilitates part time
work during the day.
Length of Program?
Students attending the program full time (three classes per semester) typically complete the
program in six academic semesters or two calendar years. On average, part time students (two
classes per semester) complete the program in nine academic semesters or three calendar years.
16
Program Accreditation?
The American Psychological Association does not accredit master’s-level programs.
Accreditation is not required for licensure as a professional in the state of Georgia, or in many
other states for equivalent licensure. While accreditation agencies exist for counselor education
programs, no universally recognized accreditation agency exists for psychology master’s
programs. Thus, the M.S. Program in Clinical/Counseling Psychology is not accredited.
What Do Students Do After Graduation?
Most students who obtain a terminal master’s degree in clinical/counseling psychology seek state
licensure by sitting for the state board examination and completing the necessary supervised
work experience. However, some students seek advanced graduate training at the specialist or
doctoral level after completing their master’s degree.
Job Opportunities?
Students obtaining a terminal master’s degree have obtained professional positions in a variety of
settings including hospitals, residential facilities, day treatment programs, private practice, and/or
community counseling/rehabilitation centers.
17
THE DEPARTMENT FACULTY & STAFF
Dr. Jackson Rainer
Professor and Department Head, Department of Psychology and Counseling
Phone: 229-333-5930
Email: jprainer@valdosta.edu
Dr. Katharine Adams
Associate Professor, Department of Psychology and Counseling
Phone: 229-333-5982
Email: ksadams@valdosta.edu
Dr. Jeremy Bauer
Assistant Professor, Department of Psychology and Counseling
Phone: 229-333-5400
Email: jabauer@valdosta.edu
Dr. Jennifer Branscome
Assistant Professor, Department of Psychology and Counseling
Phone: 229-259-2572
Email: jbrahman@valdosta.edu
Dr. Jennifer Breneiser
Associate Professor, Department of Psychology and Counseling
Phone: 229-333-5613
Email: jebreneiser@valdosta.edu
Dr. Deborah Briihl
Professor, Department of Psychology and Counseling
Phone: 229-333-5994
Email: dbriihl@valdosta.edu
Dr. Blaine Browne
Associate Professor, Department of Psychology and Counseling
Phone: 229-293-6318
Email: blbrowne@valdosta.edu
Dr. Teddi Cunningham
Professor, Department of Psychology and Counseling
Phone: 229-333-5617
Email: tjcunnin@valdosta.edu
Dr. Lee Grimes
Assistant Professor, Department of Psychology and Counseling
Phone: 229-245-6541
Email: legrimes@valdosta.edu
18
Dr. Larry Hilgert
Associate Professor, Department of Psychology and Counseling
Phone: 229-333-5616
Email: lhilgert@valdosta.edu
Dr. Heather Kelley
Assistant Professor, Department of Psychology and Counseling
Phone: 229-259-5078
Email: hkelley@valdosta.edu
Susan Johnson
Department of Psychology and Counseling
Phone: 229-245-4376
Email: sbjohnson@valdosta.edu
Dr. Steven Kohn
Associate Professor, Department of Psychology and Counseling
Phone: 229-333-5979
Email: sjkohn@valdosta.edu
Dr. David Monetti
Professor, Department of Psychology and Counseling
Phone: 229-333-5930
Email: dmmonett@valdosta.edu
Dr. James Reffel
Professor, Department of Psychology and Counseling
Phone: 229-249-2777
Email: jareffel@valdosta.edu
Dr. Joshua S Rodefer
Assistant Professor, Department of Psychology and Counseling
Phone: 229-293-6296
Email: jsrodefer@valdosta.edu
Dr. Natalie Spencer
Assistant Professor, Department of Psychology and Counseling
Phone: 229-245-4376
Email: nfspencer@valdosta.edu
Dr. Charles Talor
Associate Professor, Department of Psychology and Counseling
Phone: 229-249-4914
Email: crtalor@valdosta.edu
Dr. Jeremy Tost
19
Assistant Professor, Department of Psychology and Counseling
Phone: 229-333-5621
Email: jrtost@valdosta.edu
Dr. David Wasieleski
Professor, Department of Psychology and Counseling
Phone: 229-333-5620
Email: dwasiele@valdosta.edu
Dr. Mark Whatley
Professor, Department of Psychology and Counseling
Phone: 229-293-6320
Email: mwhatley@valdosta.edu
Dr. Larry Wiley
Professor, Department of Psychology and Counseling
Phone: 229-333-5962
Email: lwiley@valdosta.edu
Dr. Natalie Wright
Assistant Professor, Department of Psychology and Counseling
Phone: 229-333-5615
Email: nawright@valdosta.edu
Terrie Adrian, Sr. Secretary
Department of Psychology and Counseling
Phone: 229-333-5930
Email: tladrian@valdosta.edu
Psychology Dept Front Office
Phone: 229-259-5071
Psychology Building 2nd Floor
20
Appendix A
Approved Practicum Sites
(Must confirm licensed supervision and establish current MOU)
Archbold Northside: 401 Old Albany Road, Thomasville, GA
Northside's intensive, short-term hospitalization program is designed for adults and older adults (geriatric)
who are in crisis and need 24-hour observation and care for psychiatric and chemical dependency
problems. Depression, anxiety, thought disorders, substance abuse, eating disorders and post-traumatic
stress are among the problems that can be treated at Northside.
Supervisor: Haley Hardegree, LMSW *
Email: hahardegree@archbold.org
Phone: 229-228-8100 or 229-241-9339
* With approval, students may email application materials directly to this site supervisor.
______________________________________________________________________________
Behavioral Health Services Crisis Center: 3116 North Oak Street Extension, Valdosta, GA
Behavioral Health Services of South Georgia is a public nonprofit organization operated by the South
Georgia Community Service Board. The Behavioral Health Crisis Center offers short-term
hospitalization for individuals in acute distress and in need of 24-hour observation and care. Once
stabilized individuals are released into community aftercare programs. Depression, anxiety, thought
disorders, substance abuse, eating disorders and post-traumatic stress are among the problems that can
be treated at the Crisis center.
This site requires a state employment application and prefers for the practicum coordinator to submit all
materials.
Supervisor: Denese Henderson, LMFT
Email: dhenderson@bhsga.com
Phone: 229-671-3500
_____________________________________________________________________________________
Child and Family Guidance, 1803 Canterbury Drive # C, Valdosta, GA 31602
Child and Family Guidance provides in-home mental health services to children and families. Services
include individual and family therapy, behavior modification, psychoeducation (e.g., anger management),
parenting skills, etc.
Supervisor: Angel Jones, LPC *
Email: angjones@bellsouth.net
Phone: 229-247-4237
* With approval, students may email application materials directly to this site supervisor.
_____________________________________________________________________________________
21
Children’s Advocacy Center of Lowndes County, 200 West Moore Street, Valdosta, GA, 31602
The Children's Advocacy Center of Lowndes County, Inc. is a child focused, facility based program
where representatives from law enforcement, child protective services, prosecution, mental health, and the
medical community collaborate to investigate, treat and prosecute child abuse cases. Using a multiagency team approach, we work together to prevent further victimization of the child. Services include
forensic interviewing, clinical therapy, and prevention/education.
This site requires a background check.
Supervisor: Allison Paris Owen, LMFT *
Email: caclowndes.clinicaldirector@gmail.com
Phone: 229-245-5363, 229-245-5362
* With approval, students may email application materials directly to this site supervisor.
_____________________________________________________________________________________
Choices for Life of Georgia, 2200 N. Patterson St., Suite D, Valdosta, GA 31602
Choices for Life provides specialized in-home treatment for children and youth with multiple
psychological, social, and emotional needs who can accept and respond to relationships within a family
but whose special needs require more intensive care as part of its foster care program. Outpatient
counseling services are provided to children who have aged-out the foster care system, been reunified
with their biological families, or have been adopted. Counseling services are also provided in the school
setting on a referral basis, and to the general public as well. Services may include individual and family
treatment, play therapy with traumatized children, PCIT treatment with parent and child, group treatment,
school conferencing, evaluations, and referrals.
Supervisor: Lauren Clarke, LPC *
Email: lclarke@cflfostercare.com
Phone: 229-244-1707
* With approval, students may email application materials directly to this site supervisor.
_____________________________________________________________________________________
Cook Mental Health, 1905 South Hutchinson, Adel, GA 31620
Behavioral Health Services of South Georgia is a public nonprofit organization operated by the South
Georgia Community Service Board. Behavioral Health Services offers an array of outpatient services to
help individuals with mental health, addictive disease and developmental disability issues become healthy
and productive members of society. Service delivery is tailored to the individual and is based on
consumer needs and preferences. It is always our goal to provide high quality services through our caring
and professional staff. Serves Cook, Lanier, Brooks, & Berrien Counties.
Supervisor: Veronica Williams
Email: vwilliams@bhsga.com
Phone: 229-896-4559, 229-896-2181, 229.896.4559
______________________________________________________________________________
22
Lowndes Adult Mental Health Center, 3120 North Oak St Ext, Suite B, Valdosta, GA 31601
Behavioral Health Services of South Georgia is a public nonprofit organization operated by the South
Georgia Community Service Board. Behavioral Health Services offers an array of outpatient services to
help individuals with mental health, addictive disease and developmental disability issues become healthy
and productive members of society. Service delivery is tailored to the individual and is based on
consumer needs and preferences. It is always our goal to provide high quality services through our caring
and professional staff. Serves Lowndes and Echols Counties.
This site requires a state employment application and the following stipulations apply:





Students must plan to be open to remaining in the Valdosta or BHS service area after graduation.
Students should be willing to accept a position with BHS post-graduation if offered and amenable
to the intern. PhD tracked interns are not preferred.
Interns go through mandatory New Employee Orientation held on Wednesdays. It is preferable
for students to go through orientation in the weeks prior to starting internship.
Students must commit to giving at least 15 hours a week and be invested in the internship
experience and the organization.
Three semester practicum applicants are preferred.
This site prefers for the practicum coordinator to submit all materials.
Supervisor: Robert Woodward, LMFT
Email: rwoodward@bhsga.com
Phone: 229-671-6170 (adult)
_____________________________________________________________________________
Lowndes Child & Adolescent Clinic, 3120 North Oak St Ext, Suite E, Valdosta, GA 31601
Behavioral Health Services of South Georgia is a public nonprofit organization operated by the South
Georgia Community Service Board. Behavioral Health Services offers an array of outpatient services to
children and adolescents. Service delivery is tailored to the individual and is based on consumer needs
and preferences. It is always our goal to provide high quality services through our caring and professional
staff. Serves Lowndes and Echols Counties.
This site requires a state employment application and the following stipulations apply:





Students must plan to be open to remaining in the Valdosta or BHS service area after graduation.
Students should be willing to accept a position with BHS post-graduation if offered and amenable
to the intern. PhD tracked interns are not preferred.
Interns go through mandatory New Employee Orientation held on Wednesdays. It is preferable
for students to go through orientation in the weeks prior to starting internship.
Students must commit to giving at least 15 hours a week and be invested in the internship
experience and the organization.
Three semester practicum applicants are preferred.
This site prefers for the practicum coordinator to submit all materials.
Supervisor: Danielle Deloach, LCSW
Email: ddeloach@bhsga.com
23
Phone: 229-671-6150 (child & adolescent)
_____________________________________________________________________________
Lowndes Drug Action Council, Inc. (LODAC), 601 N. Toombs St., Valdosta, GA 31601
LODAC was formed specifically to provide help or assistance to our youth in the areas of alcohol and
other drug related problems. To achieve these goals, we provide prevention, education, intervention, crisis
response, counseling, and employee assistance referrals to
members of the Lowndes-Valdosta community.
This site has an additional intern application form and prefers for the practicum coordinator to submit all
materials.
Director: David Troy, Ed.S.
Email: lodac@mchsi.com
Phone: 229-333-5175
Supervisor: Rachael Dudley, LCSW
Email: rachael.dudley@yahoo.com
Phone: 229-333-6170
____________________________________________________________________________________
New Beginnings Day Services, 252 N. St. Augustine Rd, Valdosta, GA 31602
Behavioral Health Services of South Georgia is a public nonprofit organization operated by the South
Georgia Community Service Board. New Beginnings offers day services (about 5 hours per day) to help
adults with serious and chronic mental illness, addictive disease, and developmental disability issues
become healthy and productive members of society.
This site requires a state employment application.
Supervisor: Rex Crawford, LMFT *
Email: rcrawford@bhsga.com
Phone: 229-245-6400
* With approval, students may email application materials directly to this site supervisor.
_____________________________________________________________________________________
Peace Way Counseling & Mediation Services, Inc., 2405 Bemiss Road, Valdosta, GA 31602
A Valdosta based counseling agency that is committed to providing quality services to its clients. Inhome and on-site services are provided. Services provided include: Marriage and Family Counseling,
Individual Counseling, Anger Management, Domestic Violence Counseling, Parenting Support
Counseling, Substance Abuse Counseling, Mental Health Evaluation & Counseling, DUI School,
Shoplifting Intervention Program, Defensive Driving Program, and Intensive Family Intervention (IFI)
and Community Support Individual Treatment.
This site requires a background check and prefers for the practicum coordinator to submit all materials.
Supervisor: Dr. F. Tirrell Andrews, LMFT, AAMFT Approved Supervisor
24
Email: tandrews@peacewaycms.com
Phone: 229-333-2351
_____________________________________________________________________________________
Tift Adult Mental Health Center, 334 Tifton Eldorado Rd, Tifton, GA 31793
Tift Child & Adolescent Mental Health Center, 334 Tifton Eldorado Rd, Tifton, GA 31793
Behavioral Health Services of South Georgia is a public nonprofit organization operated by the South
Georgia Community Service Board. Behavioral Health Services offers an array of outpatient services to
help individuals with mental health, addictive disease and developmental disability issues become healthy
and productive members of society. Service delivery is tailored to the individual and is based on
consumer needs and preferences. It is always our goal to provide high quality services through our caring
and professional staff. Serves Tift, Ben Hill, Irwin, and Turner Counties.
Supervisor: Amanda Hall
Email: amhall@bhsga.com
Phone: 229-382-1054; 229-391-2300
_____________________________________________________________________________________
VSU Access Office, 1500 N. Patterson St. Valdosta, Georgia 31698
The mission of the Access Office is to create an accessible, inclusive, sustainable learning environment,
where disability is recognized as an aspect of diversity that is integral to the campus community and to
society. Students completing practicum experiences with the Access Office will engage in psychoeducational assessment and academic coaching.
This site also requires a writing sample.
Supervisor: Jennifer Branscome, Ph.D. *
Email: jbrahman@valdosta.edu
Phone: (229) 259-2572
* With approval, students may email application materials directly to this site supervisor.
_____________________________________________________________________________________
VSU Counseling Center, Powell Hall, East 2nd Floor 1500 N. Patterson St. Valdosta, Georgia 31698
The mission of the Valdosta State University Counseling Center is to provide a broad range of mental
health services to the university community aimed at maximizing the personal growth and development of
its members. These services are primarily offered to students and include a wide variety of preventive,
remedial, educational, and crisis management activities (e.g., individual personal counseling, group
information, educational counseling, seminars and workshops).
Supervisor: Ryan J. Couillou, Ph.D. *
Email: rjcouillou@valdosta.edu
Phone: 229-333-5940
* With approval, students may email application materials directly to this site supervisor.
_____________________________________________________________________________________
25
VSU Alcohol & Other Drug Education, Powell Hall, East 1st Floor, 1500 N. Patterson St. Valdosta,
Georgia 31698
One of the most important services offered by the AOD Education Office is that of assessments and
evaluations. This service is provided at no cost to students enrolled at VSU. Students may seek this
service on their own, or may be referred by friends and/or family members. Services are also available for
students who have friends or family members who are addicted to alcohol or other drugs. Also, students
who violate the VSU Alcohol and Drugs Policies in the Student Handbook may be sanctioned to
complete an assessment and evaluation and/or Alcohol 101 or Marijuana 101. If it is deemed necessary by
the Student Conduct Officer, Resident Hall Directors, judicial system, or substance abuse counselors,
students may, also, be required to complete counseling sessions.
Supervisor: Mark Williams*
Email: mfwillia@valdosta.edu
Phone: 229-259-5111
* With approval, students may email application materials directly to this site supervisor.
______________________________________________________________________________
26
Appendix B
M.S. Program in Clinical-Counseling Psychology
Practicum Approval Form
This form must be completed one month prior to the end of the semester prior to practicum
and submitted to the Program Coordinator. Be sure to attach a photocopy of proof of
liability insurance to this form.
Student’s name:______________________________ ID#______________________________
Date of Application: ____________ Practicum course instructor:_________________________
Student’s Phone: Home:_____________________Cell:_______________________
Student’s email address:__________________________________________
Semester of Practicum: term:________ year:________
Practicum Site name:__________________________________________
Site Address:___________________________________________________________
On-Site Supervisor: _______________________Phone:(______)__________________
Supervisor’s License:_____________________
Please check spaces indicating types of activities and populations student will be
engaged in and working with at this site:
__Cognitive testing __Geriatric (65+) adults
__Personality testing __Adults
__Diagnosis/treatment planning __Adolescents (12-18y/o)
__Individual counseling __Children (under age 12)
__Group counseling __Substance abuse/dual diagnosis
__Couples or family counseling __Forensic adults/juvenile detention
__Other (please explain:_____________________________________________________)
Term Prepracticum was completed with grade of B or better: term/year:_________
Term Comprehensive Exams were successfully completed: term/year:_________
_____________________________________ _______________________
Signature of Student
Date
_____________________________________ _______________________
Signature of Site Supervisor
Date
_____________________________________ _______________________
Signature of Academic Advisor
Date
27
Appendix C
Clinical-Counseling Psychology Practicum Student Evaluation
Trainee’s Name:__________________________________________
Supervisor:_________________________
Training Period:___________
# Assessments Supervised: __________
# Individual Cases Supervised: _____________
# Groups Supervised: ________________
Supervision Hours This Period:
Supervision Methods:
 Observation  Tape
 Individual  Group
Supervisor’s experience and knowledge of intern’s clinical performance:
Very Limited
1
2
3
4
5
Extensive
*See evaluation guide for description of 0-5 ratings.
Assessment Activities
1.
Ability to Build Rapport
0
1
2
3
4
5
NA
2.
Interview Skills
0
1
2
3
4
5
NA
3.
Initial Assessment Accuracy
0
1
2
3
4
5
NA
4.
Test Use/Interpretation
0
1
2
3
4
5
NA
5.
Behavioral Assessment
0
1
2
3
4
5
NA
6.
Recognition of Cultural and
Individual Factors
0
1
2
3
4
5
NA
Use of Diagnostic System
0
1
2
3
4
5
NA
7.
Comments: ___________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
Intervention Activities
1.
Case Conceptualization
0
1
2
3
4
5
NA
28
2.
Treatment Planning
0
1
2
3
4
5
NA
3.
Mgt. of Treatment Relationship
0
1
2
3
4
5
NA
4.
Response to Client-Specific Factors
0
1
2
3
4
5
NA
5.
Adapts Interventions to Process
0
1
2
3
4
5
NA
6.
Case Management
0
1
2
3
4
5
NA
7.
Crisis Intervention
0
1
2
3
4
5
NA
8.
Knowledge of Group Treatment
0
1
2
3
4
5
NA
Comments: ___________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
Communication and Consultation
1.
Written Reports (Info. & Conclusions) 0
1
2
3
4
5
NA
2.
Writing Style
0
1
2
3
4
5
NA
3.
Consultation with Other Disciplines
0
1
2
3
4
5
NA
4.
Participation in Conferences/Meetings 0
1
2
3
4
5
NA
Comments: ___________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
Scholarship and Research Activities
1.
Relates Science to Practice
0
1
2
3
4
5
NA
2.
Research Activities
0
1
2
3
4
5
NA
3.
Engages in Specialized Readings/Study 0
1
2
3
4
5
NA
29
4.
Provides Expertise
0
1
2
3
4
5
NA
Comments: ___________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
Use of Supervision
1.
Preparation for Supervision Meetings
0
1
2
3
4
5
NA
2.
Accuracy of Self-Perception
0
1
2
3
4
5
NA
3.
Autonomy v. Need for Supervision
0
1
2
3
4
5
NA
4.
Acceptance of Feedback
0
1
2
3
4
5
NA
Comments: ___________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
Professional Development
5.
Observance of Ethical Guidelines
0
1
2
3
4
5
NA
6.
Organization/Time Management
0
1
2
3
4
5
NA
7.
Conscientiousness/Responsibility
0
1
2
3
4
5
NA
8.
Punctuality
0
1
2
3
4
5
NA
9.
Attendance
0
1
2
3
4
5
NA
10.
Relationships with Others
0
1
2
3
4
5
NA
11.
Grooming/Attire
0
1
2
3
4
5
NA
Comments: ___________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
30
____________________________________________________________________________________
Please write in your comments following each question.
1.
What strengths did this student bring or develop during practicum under your supervision?
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
2.
As you see it, what are some areas that continue to be challenges for this student?
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
3. In your opinion, are there some areas in which the student needs more experience?
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
4. What is your overall impression of this student?
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
Overall Appraisal

Overall performance is satisfactory.
OR

Significant performance weaknesses are noted, and the following remedial actions should be
completed:
31
Comments: __________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
Student’s comments on own performance:
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
Clinical Supervisor
Signature/Date
Intern/Trainee
Signature/Date
32