Practicum Program Home   
Counseling Center Home

University of Washington

Counseling Center

Practicum Program 
2005 - 2006



Name:

 

Current Doctoral Program:
 

Highest Degree Earned:
 

Field:
 

Year:
 

Home Address :
 

Telephone:    (Home)

                       (Work)

                       (Cell)

Email Address:
 
 

Previous Practicum and Counseling Experience

Practicum Course, Placement/Site, or Work Site
Name, Telephone Number, and E-Mail of Supervisor Number of Hours per Week
Dates of Service at Site
Direct Client Contact Hours With How Many Clients









































 


University of Washington

Counseling Center
Practicum Counselor Application

Please answer the following questions using the space provided.  If needed, you may use a separate sheet of paper. 

1.  What psychological theories do you use in your therapy with clients?
 
 
 
 
 
 
 
 
 

2.  What feedback have you received in previous practicum about your strengths and target areas of improvement regarding:

A.  Counseling Skills
Strengths:

 
 
 
Areas for Improvement:


 

B.  Understanding Client Dynamics
Strengths:
 
 
 

 
Areas for Improvement:

 
 
 
C.  Understanding of Process
Strengths:

 
 
 
 
Areas for Improvement:





3.  What specific areas would you like to concentrate on during your practicum experience?

 
 
 
 
 
 
 
 
 
 
 
 

  4.  How do you see this experience at our University Counseling Center fitting into your educational goals and into your career aspirations?


 
 
 
 
 
 
 
   
Send all application materials to:

Chris S.Grant, Ph.D.
Associate Director/Director of Training 
University of Washington
Counseling Center

401 Schmitz Hall, Box 355830

Seattle, WA 98195-5830
Phone:  (206) 543-1240

FAX:    (206) 616-6910
Email:    csgrant@u.washington.edu

The Counseling Center will be accepting applications beginning March 21, 2005.
Applications will be accepted until positions are filled.

Center Director
 
M. Kathryn Hamilton, Ph.D.
University of Washington
Counseling Center

401 Schmitz Hall, Box 355830
Seattle, WA 98195-5830
Phone:   (206) 543-1240

FAX:     (206) 616-6910


© 2005 UW Counseling Center