Microsoft Word - Counseling Fieldwork Manual Revised 2.8.2023.docx

HUNTER COLLEGE

COUNSELING PROGRAM

FIELDWORK MANUAL

Hunter College City University of New York

Educational Foundations and Counseling Department

695 Park Ave, Room 1016W

New York, NY 10065

Counseling Program Website

Rev

February 2023

FIELDWORK MANUAL

Table of Contents

INTRODUCTION .............................................................................................................................................................. 5

ORGANIZATION AND FOCUS OF FIELD PLACEMENTS .......................................................................................... 5

SAFETY AND LIABILITY ................................................................................................................................................. 6

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&OCUMENTATION FOR 'IELD "LACEMENT!########################################################################################################################!(!

DEPARTMENTAL REQUIREMENTS FOR STUDENTS ................................................................................................ 8

)ECORDING OF *OURS!#####################################################################################################################################################!+!

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5SSIGNMENT TO 5GENCY;-CHOOL!#################################################################################################################################!3<!

ROLE AND RESPONSIBILITY OF PRACTICUM INSTRUCTOR .............................................................................. 14

ROLE AND RESPONSIBILITY OF INTERNSHIP INSTRUCTOR ............................................................................. 15

ROLE AND RESPONSIBILITY OF AGENCY SUPERVISOR ....................................................................................... 15

ROLE AND RESPONSIBILITIES OF FIELDWORK PLACEMENT COORDINATOR ............................................... 16

EVALUATIONS ............................................................................................................................................................... 16

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SUMMARY OF STUDENT, AGENCY AND SCHOOL RESPONSIBILITIES IN RELATION TO FIELDWORK .... 17

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HUNTER COLLEGE RESPONSIBILITIES .................................................................................................................... 18

APPENDICES ................................................................................................................................................................... 20

FIELDWORK MANUAL

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'%/9&!"950/A/17!9EARNING CONTRACT ............................................................................................................. 30

UTILIZATION AND INSTRUCTIONS FOR THE TUITION VOUCHER ....................................................................... 34

REQUIREMENTS FOR TUITION VOUCHER ............................................................................................................... 35

FIELDWORK MANUAL

INTRODUCTION

This manual is a guide for counseling students (Clinical Rehabilitation Counseling, Mental

Health Counseling, and School Counseling), fieldwork course instructors, and site supervisors

who are involved in practicum and internships through Hunter College. It is intended to help

you understand policies, roles, and expectations, and to assist you in the planning process.

Counseling proficiency, professional values, and knowledge of the social service system cannot be

learned in a classroom alone. It is because we are deeply committed to a partnership of field and

coursework that our program emphasizes fieldwork as an essential element in the student's

education. The site supervisor is central to learning, serving as teacher, role model and mentor. We

welcome supervisors to this task, stand ready to offer assistance and hope that you will undertake this

process with interest and pleasure. Your contribution to the mutual work of developing new and

competent colleagues is greatly appreciated and valued.

This handbook represents policies and procedures relating to trainee (student) placement in the field.

It is given to students, site supervisors, fieldwork program coordinator, and instructors so that all

individuals involved in the fieldwork courses will be aware of the policies and procedures of the

Department of Educational Foundations and Counseling. It is assumed that it will be read carefully

and that students will be responsible for the information included herein.

Since field placements (placement in a field setting) are an integral part of the student's graduate

training, the curriculum is built around the skills and experiences that are developed in the

placement. The department acknowledges that a successful field placement is a mutual arrangement,

whereby the training setting receives services and input from students and where students gain

experience. It is, therefore, vital that all parties are knowledgeable about the procedures and

expectations of the field placement, and have clear and open channels of communication.

Counseling Program Objectives

The counseling programs (Clinical Rehabilitation Counseling, School Counseling, and Clinical

Mental Health Counseling) at Hunter College prepares graduates who will:

1. Demonstrate an awareness of self and others in order to provide culturally competent

personal, academic, and career counseling to individuals, groups, families, and communities.

2. Demonstrate competencies to work both individually and systemically within complex

systems (e.g. agencies, schools, and hospitals) by advocating for access, equity, and social

justice.

3. Demonstrate the awareness, knowledge, and skills to effectively work with clients who

represent the diversity of race, gender, religion, ethnicity, ability status, nationality, and

sexual orientation as relevant to professional counselors working in contemporary urban

contexts.

4. Demonstrate comprehension of ethical and legal issues and practices relative to rehabilitation

counseling in urban contexts.

5. Demonstrate a professional identity with the role and function of a rehabilitation counselor.

FIELDWORK MANUAL

ORGANIZATION AND FOCUS OF FIELD PLACEMENTS

All three counseling programs require that each student successfully complete a one-semester

practicum starting in either fall or spring semester. Upon successful completion with a grade of B or

higher, students may start their two-semester internship the following fall semester. Students in

practicum must spend a minimum of eight hours per week in the field for the semester. Interns are

required to spend a minimum of 20 hours per week in the field for two consecutive semesters. All

internship hours must be completed at the same site. Some agencies ask for more than the minimum

number of hours required by this program. In these cases, students and placement sites must

negotiate the number of hours. Students should not contact agencies before attending the fieldwork

orientation scheduled each semester.

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SAFETY AND LIABILITY

Fieldwork students are required to purchase liability insurance coverage while enrolled in coursework

that requires work in community agencies and schools. Students are required to purchase insurance

that covers them throughout their practicum and internship fieldwork experiences. Insurance must

meet the following limits:

•

$2,000,000 per Incident

•

$4,000,000 Aggregate

Students may be training in a variety of agencies situated in all geographic locations in the New York

City Area and serving a wide variety of client populations. It is department policy that no student

should ever be alone in any agency at any time, and that weekend and evening work should occur only

if the location and facility are considered to be safe and well-staffed. If a student has any concern

about personal safety in an agency setting, he/she must leave the agency and contact his/her Faculty

Instructor (COUNR 718, 725, 726) or the Fieldwork Placement Coordinator immediately.

DISTINCTION BETWEEN PRACTICUM AND INTERNSHIP

The Department approves students in fieldwork settings for a total of three semesters. The first

semester fieldwork experience is called a practicum, while the second two semesters of fieldwork

experience is called an internship.

The department distinguishes between the practicum and internship as follows:

Practicum

•

Practicum represents 100 hours in the clinical setting with the student having the opportunity to

develop basic counseling skills, with 40 hours of direct client contact required. If a student exceeds

this 100-hour minimum, which occurs at many sites, these additional hours cannot count towards

their 300-hour internship requirement, even if the student completes both fieldwork experiences

at the same site.

•

Students are required to meet an hour per week with their site supervisor for onsite supervision.

•

Students are required to meet weekly in Practicum Seminar (COUNM/COUNR/COUNS 71800)

for small group supervision; scheduled at 5:10 – 6:50 PM or 7:10 – 8:50 PM throughout the

semester.

•

For Clinical Rehabilitation Counseling students, practicum is only offered in the Spring

semester. For School Counseling and Mental Health Counseling students, practicum is offered

in both fall and spring semester.

Internship

•

This is a one-year (two-consecutive semesters) field placement experience that must start in the fall semester

and end in the spring semester.

•

COUNM/COUNR/COUNS 725 (fall semester) & COUNM/COUNR/COUNS 726

(spring semester) are the courses in which counseling instruction in support of the

internship takes place.

•

Students are required to meet an hour per week with their site supervisor for onsite supervision.

•

Students are required to meet weekly in Internship Seminar (COUNM/COUNR/COUNS

725 and COUNM/COUNR/COUNS 726) for two consecutive semesters of internship, with

FIELDWORK MANUAL

faculty supervisors while engaged in internship. Students are required to meet for small group supervision,

scheduled at 5:10 – 6:50 PM or 7:10 – 8:50 PM throughout each semester (fall and spring.)

•

Internship represents a minimum of 600 hours over two consecutive semesters (300 hours per

semester) during one academic year. These include a minimum of 240 hours of direct service

(120 hours per semester).

SECURING A FIELDWORK PLACEMENT

1. Identify a Site

• Use Hunter Resources

- Hunter provides a List of Agencies/Schools with contact information on Blackboard Counseling

Program Fieldwork Information Site (under My Organizations)

• Contact the site, introduce yourself and explain that you are a Hunter College student in a Master’s degree

program seeking a field site. Ask if they would be interested in having a student intern.

• If they are interested:

- Mental Health Trainees: Ask about the number of NYS licensed mental health counselors (LMHC),

licensed psychologists, psychiatrists or NYS licensed clinical social workers (LCSW only, NOT

LMSW) they have on site. You are required to be supervised by someone with either of these

credentials with a minimum of 2 years pertinent professional experience.

- Clinical Rehabilitation Trainees: Ask about the number of Certified Rehabilitation Counselors (CRC)

they have on site. You are required to be supervised by someone with this credential with a minimum

of 2 years pertinent professional experience.

- Mental health and Clinical Rehabilitation trainees: ask if the site allows for audio recording of

counseling sessions with clients.

• Ask the representative at the site what is the best way to find out if those licensed/certified professionals

would accept an intern or practicum student.

- Interview with Several Sites:

o Treat this process similar to a job interview (wear professional attire, bring/forward your

resume, etc.)

o During the interview, ask questions about the job responsibilities of the professionals at their

sites. You are looking for a site that can meet all course and program requirements as well as

provide an excellent learning experience.

o Follow up with a thank you email after each interview

o Be sure Site Supervisor allows audio recording of counseling sessions with client and will

provide weekly individual supervision for one hour. Supervision must be provided by a NYS

Licensed Professional (for MH counseling students) or a Certified Rehabilitation Counselor

(for Clinical Rehabilitation counseling students). The site supervisor must have a minimum of

2 years pertinent professional experience.

o Ask what days & times would be reserved for on-site supervision.

2. Site Approval

Once a prospective site has confirmed your candidacy for interning at their site, the site and site supervisor

must be approved by the Counseling Program’s Fieldwork Placements Clinical Coordinator.

FIELDWORK MANUAL

Documentation for Field Placement

Forms to document field placement may be downloaded and printed from the heading "Basic

Information" on Blackboard Counseling Program Fieldwork Information site. Students will be

enrolled in that Blackboard site by the Fieldwork Program Coordinator once they attend the

fieldwork orientation meeting prior to starting fieldwork, scheduled each semester.

The following forms must be printed immediately and given to the fieldwork program coordinator

upon completion:

Type of Form

#of copies

Due Date

Fieldwork Placement Agreement Form

Fall: 1

week in December

Spring: 1

week in May

Fieldwork Placement Information Sheet

Fall: 1

week in December

Spring: 1

week in May

New Fieldwork Application Form (only if this is a

new site)

Fall: 1

week in December

Spring: 1

week in May

Letter Confirming all Requirements Can be Met

Fall: 1

week in December

Spring: 1

week in May

PETS Clearance (school counseling program only)

Fall: 1

week in December

Spring: 1

week in May

Memorandum of Insurance as proof of liability

insurance

Fall: 1

week in December

Spring: 1

week in May

Activity Logs to document fieldwork hours

4x/each semester of fieldwork

Students are responsible for knowing the contents of this handbook. An electronic copy of this

manual will be forwarded to site supervisors at the start of each semester.

DEPARTMENTAL REQUIREMENTS FOR FIELD PLACEMENT SETTINGS

(AGENCIES/SCHOOLS)

•

Students are expected to complete their field placement in a setting with a supervisor who has

the appropriate credentials in their specific counseling discipline. Furthermore, students must

receive one hour of individual supervision per week during each semester. Although group

supervision can be used in conjunction with weekly individual supervision, this does not

obviate departmental expectations for individual supervision. Group supervision, in addition

to individual supervision, is recommended and encouraged.

•

Students are encouraged to seek out field placement sites within New York City; however sites

outside this area may be acceptable pending Fieldwork Placement Coordinator approval that

all requirements can be met.

•

The setting must provide an appropriate variety of clients and professional activities and

FIELDWORK MANUAL

involve the student in moving into relevant functions, taking into account the student’s

readiness and interests.

•

The department will not approve any field placement where students must pay a fee at the site

for supervision, training, or client contact.

•

There should be an opportunity for student participation in staff meetings, in-service training

and relevant interpersonal and inter-professional contacts.

•

The agency must have a professional staff that is available and representative of high levels of

training and background.

•

There needs to be an opportunity for audio recording of some individual client contacts. It is

mandatory that recordings of individual client contacts be reviewed by Hunter fieldwork

instructors. Some of the students’ recordings must be done using English as the medium of

communication so that the recordings can be reviewed by fieldwork instructors. There are

special requirements for students in the Bilingual Extension Program. Please see guidelines for

details.

•

All placements must be deemed appropriate for each individual student based on learning

needs as determined by the Counseling faculty. It is possible that a placement may be

appropriate for one student but not appropriate for another.

DEPARTMENTAL REQUIREMENTS FOR STUDENTS

•

Hours in the Field required for all Specializations (School, Rehabilitation, Mental Health)

During the first year of field placement, a minimum of eight hours per week during the

academic semester is required to gain credit for the field placement. A minimum of 100

hours each including at least 40 direct clients contact hours must be recorded during the

first semester. During the year of internship, a 600 hours internship need to be completed

(300 hours per semester, 120 direct client contact hours).

•

Credit for each semester will be given only if the student has recorded the required number of

hours, has a satisfactory evaluation from the field supervisor and from the Hunter faculty

(COUNM/COUNR/SOUNS 718: Practicum; COUNM/COUNR/SOUNS 725/726

Internship).

•

Students are expected to negotiate with the trainee setting to meet the setting’s requirements

for hours (e.g., many agencies/schools will require more than the minimum for placement as a

condition for accepting a student with more than 20 hours often required).

FIELDWORK MANUAL

•

School Counseling Field Placement Requirements

Students seeking a School Counseling (Pupil Personnel Services) Credential must demonstrate

knowledge and skill in areas of educational assessment, personal and social counseling, academic and

career counseling, program development, program coordination and supervision, consultation, legal

aspects and professional ethics.

Recording of Fieldwork Hours

•

All hours must be recorded on the appropriate log forms included in the appendix of this manual.

A minimum of four logs must be completed during each semester of field placement. Students

will receive credit only if hours are properly documented. The department is unable to provide for

copies of these logs.

•

Work done must fall within the scope of practice of the specialization for which the hours are

recorded.

•

Logs must be completed, signed and turned in to the fieldwork instructors on or before the last

day of instruction of each semester. Students will not receive credit for the field placement if logs

are not turned in on time or if the appropriate number of hours have not been completed (i.e.,

100 hours for practicum and 300 hours per semester for internship).

•

Students may count all of the hours spent in the placement toward the total sum of the required

hours per semester. If a client does not show for a counseling session that may count toward ‘other

hours’, but not toward ‘direct client contact hours’. Direct client contact hours are hours spent in

face-to-face counseling with clients, consultation with agency staff, consultation with client’s

family, and family/support network.

Winter Semester Break

Hunter College has a break between the fall and spring semesters, the end of December through the

end of January. While students are not required by the college to attend fieldwork during this time,

we recognize that this is an unusually long period to be away from clients. Students are required to

work out an arrangement with the agency so that service to clients is not compromised during this

time. Most often students continue to attend field placements during part of the winter break.

Summer Break

Summer fieldwork placement sites are not offered.

Expected Start Date for Field Placements

Students are expected to begin field placements on the first day of each semester. The specific start

date must be coordinated with the site supervisor, which may be earlier or later than the first day of

the semester. Students may begin field placement no earlier than one week prior to the official start of

the semester.

Credit for Field Placement

In order to receive credit for field placement, students must also pass their practicum and internship

courses (COUNM/COUNR/SOUNS 718, 725, 726) with a grade of no less than B.

A student receiving any grade below a B in any of these clinical courses is dismissed from the program.

FIELDWORK MANUAL

If logs are not received or if too few hours are reported, this will adversely affect the grade, which may

lead to a grade below B.

Number of Ongoing Individual Clients Per Week:

Estimated Guidelines

Minimum

Maximum

Practicum

Internship

Based upon practicum, a minimum 8-10 hours per week.

Based upon internship, a minimum 20 hours per week.

Audio Recording/ Privacy and Confidentiality

Students are required to make audio recordings of most interviews with clients with client consent to

do so. These recordings will be reviewed by the practicum and internship instructors. Students must

be aware of this requirement and plan for this with their site supervisors. Students need to discuss

with site supervisors to select clients who are appropriate for recordings. In settings where the

student and most of the client population speaks a language other than English, the student must be

able to work with some clients who are able to engage in counseling using English, and the student

must be able to record some of those sessions. Once students obtain informed consent from clients,

students can conduct audio recordings using their personal devices.

To protect client privacy and maintain confidentiality, audio recordings need to be upload to a

password-protected Google Classroom site for practicum or internship instructors to review.

Students should not share their recordings outside of the classroom, except their site supervisors.

Once uploaded to Google Classroom, the recordings should be deleted from students’ personal

devices. All audio recordings must be destroyed at the end of each semester once the practicum or

internship student has completed the fieldwork experience.

Bilingual Education Students Only

The bilingual education students will be required to provide translated transcripts of the entire

interview or parts of interviews as deemed appropriate by the practicum and internship course

instructor.

Group Counseling Suggestions

Each student is encouraged to co-lead groups during the course of work in field placements. Co-

leading groups may take place at any time during the practicum and internship and must be

supervised by agency supervisors.

Professional Conduct

Students are expected to adhere to the ethical and professional guidelines of the American

Counseling Association Professional Standards and the Hunter College of the City University New

York. Agency staffs invest a considerable amount of time and energy for training and it is expected

that students are respectful of staff’s efforts and time. As such, students must represent the highest

standards of professional behavior consistent with the values of the setting and personal and

professional ethics. This relates to standards of dress, punctuality, client, staff and professional

contacts and all other interpersonal relationships.

Failure to maintain these standards will result in negative evaluations that reflect poorly on the

Counseling Programs, and may, in extreme cases, result in termination of placement and a letter grade

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of “F.” Termination for cause from your fieldwork experience will require withdrawal from your

fieldwork courses (COUNM/COUNR/SOUNS 718, 725, 726), if this occurs during the college’s

withdrawal period. Failure to withdraw within five business days of termination will result in a grade

of “F” on your transcript and will result in termination from the program. Termination from your

place of employment, if this is also your fieldwork site, will result in termination from your fieldwork

site. Termination from your fieldwork site will be reviewed on an individual basis; typically a student

will not be eligible to restart an internship until the following fall semester.

A practicum student will not be eligible to restart practicum until the following semester. In most

cases, after a fieldwork student is terminated from a fieldwork site, a behavioral contract is

established and reviewed with the student prior to being allowed to restart a fieldwork experience. A

student who is terminated may have a second opportunity to train at a new fieldwork site, however a

third opportunity will not be allowed.

Different Field Placement Settings for Practicum and Internship

The department strongly recommends that students have a different field placement for the second

year in the program. If a student believes that it is in his/her interest to remain in the same setting for

the second year, the following procedure must be followed:

The Hunter College Dept. of Educational Foundations & Counseling Programs now offers fieldwork

students in the Mental Health, Rehabilitation, and School Counseling Programs the opportunity to

complete their practicum and internship fieldwork experiences at the same site, provided that the

fieldwork site accepts both practicum and internship placements. While completing practicum and

internship at the same site is now an option, students remain eligible to have a different trainee

placement for the two experiences, practicum, and internship, if they feel this is in their best interest.

Students are required to reapply at their current practicum site to be eligible to continue their training

at the same site for their internship. You must reapply to your internship site using the standard

internship application process (documentation, deadline, and all required paperwork) to complete

your internship at your practicum field placement site. Both the site supervisor and Fieldwork

Placement Coordinator must approve reapplication.

Decisions about field placement training are important for your professional development as a

counselor. Counseling Program faculty strongly recommend you discuss field placement training

options with your faculty advisor during advisement week, held toward the end of each semester.

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Field Placement Termination

If a student’s field placement is terminated for any reason, the student shall notify the Fieldwork

Placement Coordinator immediately in writing. The Fieldwork Placement Coordinator will then

initiate the process of investigation and make recommendations with the appropriate departmental

faculty. Students should be aware that an unsatisfactory resolution of this issue requires the student to

withdraw from fieldwork courses (COUNM/COUNR/SOUNS 718, 725 or 726), if this occurs

during the college’s withdrawal period. Failure to withdraw within five business days of termination

will result in a grade ‘F’ and will result in termination from the program. Termination from your

place of employment, if this is also your fieldwork site, will result in termination from your

fieldwork site. Termination from your fieldwork site will be reviewed on an individual basis;

typically a student will not be eligible to restart an internship until the following fall semester. A

practicum student will not be eligible to restart practicum until the following semester. In most

cases, after a fieldwork student is terminated from a fieldwork site, a behavioral contract is

established and reviewed with the student prior to being allowed to restart a fieldwork experience. A

student who is terminated may have a second opportunity to train at a new fieldwork site, however a

third opportunity will not be allowed.

Field Placement in Setting Where Employed

Field Placement is for the purpose of the acquisition and development of skills in relation to the

training curriculum. The department is willing to consider field placements in settings where students

are newly employed for no more than three months prior to starting field placement.

In addition, the student may not be supervised for the field placement by his/her work supervisor and

the student must have a client caseload selected specifically for purposes of the field placement.

Students cannot work and complete their field placement at the same site unless the following two

circumstances exist: 1) The student has worked at the site less than three months, or, 2) the student

does train in a completely different department with a different supervisor. In the latter case, the

student must provide the Fieldwork Placement Coordinator with a description of the job and of the

training to delineate the difference, and the Fieldwork Placement Coordinator will follow up with the

student’s site supervisor for approval.

Student Termination of Field placement Before End of Semester

Students wanting to terminate a field placement, for any reason, must consult with their academic

advisor, fieldwork course instructor (COUNR 718, 725 or 726), Fieldwork Placement Coordinator

and site supervisor. A placement may be terminated only with the approval of those parties and with

consideration of ethical and professional responsibility to clients and to agencies/schools.

Termination by a student without consultation will result in a grade of ‘F’ for the semester. If a

student feels unsafe, the student must consult with the fieldwork course instructor and Fieldwork

Placement Coordinator immediately.

FIELDWORK MANUAL

If a student's field placement is terminated for any reason, the student shall notify the Fieldwork

Placement Coordinator immediately in writing. The Fieldwork Placement Coordinator will then

initiate the process of investigation and make recommendations with the appropriate departmental

faculty. Students should be aware that an unsatisfactory resolution of this issue requires the student to

withdraw from your fieldwork courses (COUNM/COUNR/SOUNS 718, 725 or 726), if this occurs

during the college’s withdrawal period. Failure to withdraw within five business days of termination

will result in a grade of ‘F’ and will result in termination from the program. Termination from your

place of employment, if this is also your fieldwork site, will result in termination from your fieldwork

site. Termination from your fieldwork site will be reviewed on an individual basis; typically a student

will not be eligible to restart an internship until the following fall semester. A practicum student will

not be eligible to restart practicum until the following semester. In most cases, after a fieldwork

student is terminated from a fieldwork site, a behavioral contract is established and reviewed with

the student prior to being allowed to restart a fieldwork experience. A student who is terminated may

have a second opportunity to train at a new fieldwork site, however a third opportunity will not be

allowed.

Fieldwork Evaluation by Site Supervisor

Evaluation is an ongoing process in any educational enterprise. In this field, learning is not simply a

cognitive act; it involves changes in attitudes and feelings and an integration of complex processes,

which include intellectual mastery, a developing sense of the professional role, and the student's use of

self. Evaluation is part of the student's fieldwork experience and is a process in which agency site

supervisor, student and clinical course instructor all are involved. Hunter practicum students have

several supervisors, both on-site and in-class. It’s important that all supervisors have consistent

knowledge of how each student is performing both experientially and academically.

The Fieldwork Placement Coordinator discusses feedback from the site supervisor with the clinical

course instructor twice per semester to learn of student’s progress. Integration of all supervisory

feedback is necessary for the student to have the most cohesive experience. All Hunter instructors

working with a student in a supervisory capacity (COUNM/COUNR/SOUNS 718, 725 or 726),

will communicate consistently throughout the semester.

Written evaluations must be completed, signed, and returned to the clinical course instructor two

weeks prior to the last week of instruction. Students will not receive credit for the field placement if

forms are not returned on time or if the evaluation is not satisfactory. The clinical course instructor

will determine the grade to be given for the semester based upon input from the site supervisor and

the student’s academic coursework.

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Faculty Liaison (COUNM/COUNR/SOUNS 718, 725 or 726 Instructors)

All students will be assigned a member of the faculty who will act as a liaison between the Counseling Program,

the agency and the student. For practicum students, this liaison will be your practicum instructor from

COUNM/COUNR/SOUNS 718. For internship students, this liaison will be your internship instructor, from

(COUNM/COUNR/SOUNS 725 or 726). The faculty liaison's role is:

•

Meet with students weekly for group supervision

•

Critiques weekly journals, transcriptions, and audio recordings

•

Communicates with site supervisors by email and/or phone contact twice each semester.

•

Provides all final grading with site supervisor input

•

Participate in the clinical instructor meeting each semester

•

To work with the student and field supervisor in the event of any difficulty. It is important to

involve the liaison early in such situations before a poor evaluation is given or a field placement is

threatened. The Fieldwork Placement Coordinator is available for ongoing and/or crisis

consultation.

•

To work with the agency supervisor and the student to support and assess the student's growth

and the student's process of learning.

Fieldwork students may not start fieldwork until one week prior to the official start of the semester.

Practicum students may start one week prior to Fall or Spring semesters. Internship students may start

one week prior to Fall semester only.

Some students placed in a school site are contracted to complete the placement through the end of

the school year, not the college schedule.

FIELDWORK MANUAL

ROLE AND RESPONSIBILITY OF FACULTY/LIAISON

Each student who is in practicum field placement (COUNM/COUNR/SOUNS 718) is also in a

practicum seminar that meets weekly and is designed to support the activities of the field placement.

Each student who is in an internship field placement (COUNM/COUNR/SOUNS 725, 726) is also

in an internship seminar that meets weekly and is designed to support the activities of the field

placement. Such support should come from learning of basic skills, development of more advanced

techniques and case management skills, and a focus on relevant professional issues. The curriculum

differentiates particular instructional goals and objectives for each semester of practicum experience

and each of the two semesters of internship experience. (see Appendix 2).

Assignment to Agency/School

•

Faculty Instructor is assigned to act as the liaison for a particular student placed in that

setting.

Responsibilities of the Academic Instructor acting as liaison (COUNM/COUNR/SOUNS 718, 725,

726 instructors):

•

Maintain contact with students and site supervisors, as determined by the needs of individual

situations. Academic instructors will contact all site supervisors via email twice/semester. Visits to

the field placement site are determined by the counseling department, Fieldwork Placement

Coordinator and field supervisors and are to be scheduled as needed.

•

Collect and review electronic field placement evaluation forms from students each semester

(December and May) and follow up where necessary.

•

Through contact with site supervisors, the site supervisor's judgment regarding the adequacy of

the student's performance will be integrated into the student’s grade at the end of each semester.

•

Be notified of problems with field placements by field supervisors and students, and be available

to discuss issues with all parties, using appropriate channels of communication, including the

Fieldwork Placement Coordinator when indicated.

•

When needed, communicate with practicum or internship seminar instructors

(COUNM/COUNR/SOUNS 718, 725, 726) regarding student's progress in the field placement

and any areas of performance concern.

Responsibilities of the Practicum Seminar Instructor (COUNM/COUNR/SOUNS 718):

•

To be available to consult with site supervisors regarding student's progress in placement

regarding counseling skill development for the practicum student consistent with

expectations and supervision in the setting.

•

Meet with students weekly for group supervision

•

Critiques weekly journals, transcriptions, and audio recordings

•

Communicates with site supervisors by email and/or phone contact twice each semester.

•

Provides all final grading with site supervisor input

•

Participate in the clinical instructor meeting each semester

FIELDWORK MANUAL

ROLE AND RESPONSIBILITY OF INTERNSHIP INSTRUCTOR

Responsibilities of the Internship Seminar Instructor (COUNM/COUNR/SOUNS 725, 726):

•

To be available to consult with site supervisors regarding student's progress in placement

regarding counseling skill development for the practicum student consistent with

expectations and supervision in the setting.

•

Meet with students weekly for group supervision

•

Critiques weekly journals, transcriptions, and audio recordings

•

Communicates with site supervisors by email and/or phone contact twice each semester.

•

Provides all final grading with site supervisor input

•

Participate in the clinical instructor meeting each semester

ROLE AND RESPONSIBILITY OF SITE SUPERVISOR

Conscious and continuous planning is necessary. It will be necessary to clarify the student's role,

function, title, and lines of communication. Provision of adequate workspace and regular individual

supervision (one hour per week) creates the necessary foundation and environment for a good field

experience. Consistent individual supervision can reduce staff inconvenience and extremes of student

helplessness or initial anxiety.

The site supervisor bears primary responsibility for insuring that the student's placement leads to

learning and professional growth. The supervisor represents the setting and should expect that the

student's presence will contribute to the welfare of the setting. The student can also expect that the

supervisor will present an appropriate professional model and will provide clear and regular

supervision, as well as continuing support and assistance within the setting. A minimum of one hour

per week of regularly scheduled supervision is a requirement.

Within the context described above, the site supervisor must be aware of the objectives of the

student's graduate training program and be able to work with the student's developing skills. This can

be accomplished through discussions with the student and consultation with the

COUNM/COUNR/SOUNS 718, 725, 726 instructors assigned to the student. The Field Placement

Coordinator will be involved if additional intervention/support is needed.

Supervisors are expected to give students ongoing, timely, and accurate feedback with regards to the

supervisee’s strengths and areas for growth. Site supervisors are responsible for evaluating the student

on an ongoing basis and complete final evaluations at the end of each semester. These evaluations

must be submitted on the form provided. A narrative evaluation may be submitted in addition. Logs of

hours spent in the setting must also be approved and signed by agency supervisors.

FIELDWORK MANUAL

CUNY COURSE VOUCHER: Internship supervisors are entitled to a CUNY Course voucher. This

incentive is available to all site supervisors who have supervised students for 2-consecutive semesters.

In May of the year you supervise your intern, you’ll receive an email informing you of how to retrieve

your CUNY Course Voucher.

ROLE AND RESPONSIBILITIES OF FIELDWORK PLACEMENT COORDINATOR

The Fieldwork Placement Coordinator is a member of the faculty who assists students and faculty in

the identification and selection of trainee placements and placement of students in those settings.

Given the large number of agency and school settings and the large number of students seeking

placement, the coordinator works with practicum faculty and students in the placement process but

does not assume sole responsibility for placements.

Given these constraints, the functions of the Fieldwork Placement Coordinator are as follows:

•

Maintains a list of currently acceptable and appropriate agencies and schools for field placement,

including names of contact persons, kinds of activities and clients, procedures for application,

requirements for placement.

•

Schedule two fieldwork orientation meetings each semester for students to learn of the fieldwork

application process, new site information and meet site supervisors interested in working with

Hunter interns &/or practicum students.

•

Meet individually with all fieldwork students requiring additional support in their fieldwork

search process.

•

Contact site supervisors on behalf of students to advocate for student placements.

•

Make information regarding field placements for first- and second-year students available and

assist students in selecting appropriate placements.

•

Develop new field placement situations; maintain ongoing relationships with approved trainee

sites; consult with agencies so that they can meet Hunter’s requirements and standards.

•

Facilitate faculty supervisor meetings and ongoing communications.

•

Facilitate supervisor trainings.

•

Facilitate fieldwork placement orientation once/each semester Fall and Spring

FIELDWORK MANUAL

EVALUATIONS

All evaluation data are maintained in strict professional confidentiality, and used for individual

advising or program evaluation consistent with due process. Online evaluations are maintained in

Qualtrics.

The following formal evaluations are required:

Fieldwork Final Evaluations

To be completed at the end of each semester. Should be done in consultation with the student. The

site supervisor will be emailed this online evaluation directly and submits the information via email.

Site supervisors complete a final evaluation as a part of the students’ final grade in both the

internship and practicum courses. Supervisors evaluate students’ clinical skills, knowledge, and

professionalism which are aligned to the counseling program objectives. Site supervisor evaluations

are sent to all the supervisors at the end of the practicum (COUNR 718) and internship (COUNR

725, 726) courses.

Counseling Student Evaluation of the Fieldwork Experience

At the end of practicum and internship, the Office of Institutional Research, Assessment and

Accreditation send out this survey to all fieldwork students completing their internship (COUNR

726) or practicum (COUNR 718) experience. The goal is to evaluate their fieldwork site and the

tasks performed during their clinical experience. The results of this survey are used by program

faculty to improve the program's clinical experiences and better understand the needs of students in

the field. It does not impact the students’ final course grade.

SUMMARY OF STUDENT, AGENCY/SCHOOL, AND SCHOOL RESPONSIBILITIES IN RELATION

TO FIELDWORK

SUMMARY FOR PRACTICUM STUDENTS:

YOU MUST MEET THE FOLLOWING REQUIREMENTS to successfully complete your PRACTICUM Fieldwork

Experience:

• Audio recording clients with their consent or their parent's consent

• 100 hours/semester = 8 - 10 hours/week minimum

- 40 hours of direct service/semester

- The following services ARE considered DIRECT SERVICE ACTIVITIES:

o 1:1 Individual Counseling

o Group Counseling

o Family Meetings

- The following services ARE NOT DIRECT SERVICE ACTIVITIES:

o Face to Face Supervision

o Progress Note Documentation/Recordkeeping

o Case Management

o Research

o Professional Development

o Information and Referral

o In-service meetings

o Staff meetings

o Telephone Contacts w/ client and or client's team

• Direct supervision by a licensed or certified professional depending on your academic program:

FIELDWORK MANUAL

- Mental Health Counseling Student:

o Licensed Mental Health Counselor (LMHC) or NYS Licensed Professional (LCSW only, NOT

LMSW) or Licensed Psychologist with a minimum of 2 years pertinent professional experience

- Clinical Rehabilitation Counseling Student:

o Certified Rehabilitation Counselor (CRC) with a minimum of 2 years pertinent professional

experience.

• Supervision.

- 1 hour of weekly on-site, face to face supervision by a Licensed Mental Health Counselor (LMHC) or

another NYS Licensed Professional (LCSW only, NOT LMSW)

- Certified Rehabilitation Counselor (CRC) – dependent on your academic track

• Assigned a caseload of 2 – 3 clients/semester

• The student CANNOT BE CURRENTLY EMPLOYED at this fieldwork site

SUMMARY FOR INTERNSHIP STUDENTS:

YOU MUST MEET THE FOLLOWING REQUIREMENTS to successfully complete your

INTERNSHIP Fieldwork Experience:

• Audio recording clients with their consent or the parent's consent

• 300 hours/semester = 20 hours/week minimum for 2 consecutive semesters.

• All internship hours must be completed at the same site.

- 120 hours of direct service/semester (same as above)

• Direct supervision by a licensed or certified professional depending on your academic program:

- Mental Health Counseling Student:

o Licensed Mental Health Counselor (LMHC) or another NYS Licensed Professional (LCSW only, NOT

LMSW) or Licensed Psychologist with a minimum of 2 years pertinent professional experience.

- Clinical Rehabilitation Counseling Student:

o Certified Rehabilitation Counselor (CRC) with a minimum of 2 years pertinent professional experience.

• Supervision:

- 1 hour of weekly on-site, face to face supervision by a Licensed Mental Health Counselor (LMHC) or another

NYS Licensed Professional (LCSW only, NOT LMSW)

- Certified Rehabilitation Counselor (CRC) – dependent on your academic program

• Assigned a caseload of 5 – 6 clients/semester

• The student CANNOT BE CURRENTLY EMPLOYED at this fieldwork site

FIELDWORK MANUAL

SUMMARY FOR SITE SUPERVISORS

•

Plan for student's arrival, space, and phone, and alert the staff. Consider the role of the

student and help the student develop a professional identity.

•

Familiarize the student with the structure and function of the agency/school and its

relationship with other community agencies and resources.

•

Provide appropriate clients for students to have direct experiences in working with clients. An individual

counseling caseload of approximately 2-3 clients for practicum students and 5-6 for internship students,

chosen with regard to the student's background, experiences, skills and educational needs, is suggested.

•

Provide a minimum of one hour per week for individual supervision. Review students’ written

material (e.g., case notes, intake reports)

•

Provide students with opportunities to participate in staff meetings, and in-service training, as

well as consultations with professionals in other disciplines.

•

Complete final evaluations of students at the end of each semester. Site supervisor should

involve students in the evaluation process and provide each student with a copy of the evaluation.

•

Communicate with Hunter College faculty and the fieldwork coordinator as necessary.

HUNTER COLLEGE COUNSELING PROGRAM RESPONSIBILITIES

•

Conduct site supervisor orientation each semester.

•

Conduct clinical meetings with COUNM/COUNR/COUNS 718, 725, 726 instructors.

•

Provide contact information of COUNM/COUNR/COUNS 718, 725, 726 instructors to site

supervisors.

•

Provide clear expectations of students and site supervisors in the field

•

Provide feedback to students, field and practicum instructor, and site supervisors.

FIELDWORK MANUAL

REQUIRED FIELDWORK DOCUMENTATION FOR

MENTAL HEALTH & CLINICAL REHABILITATION COUNSELING

PROGRAM STUDENTS:

Once a Prospective Site has confirmed your candidacy for working at their site, the site and site supervisor

must be approved by the program by Michelle Lask.

Complete Required Paperwork (5 Documents):

1. If the site has been used by Hunter students previously, then no advance clearance is required. Fill

out Field Placement Information Sheet (Document 1). Or, if the site has not previously been used

by Hunter students, then advance clearance is required. For new sites, students must submit a New

Site Application Form (Document 1A) in addition to the Field Placement Information Sheet. The

New Site Application Form provides site information to be reviewed by Michelle Lask, who will

confirm that all requirements may be met at this site.

a. Please Print clearly or type this form and include all information requested. Your

supervisor’s name, address, professional email, and phone must all be included or the

paperwork will not be accepted.

b. Be sure you have an established start date with your supervisor. This is critical. Ideally,

starting 1 week before classes start at Hunter is the best choice. If you start late, you will

have more difficulty with recordings, etc.

2. Fieldwork Agreement Letter. This form is signed by you & your site supervisor (Document 2).

3. Copy of your Liability Insurance Certificate/Memorandum of Insurance (page 4 of your policy) –

not the whole policy, (Document 3).

4. Copy of your Hunter Counseling (graduate) Program UNOFFICIAL Transcript, retrieved from

CUNYfirst (If unable to print, I’ll print it for you. DO NOT PAY for a copy from the registrar)

(Document 4).

5. Letter Confirming All Requirements Can Be Met - Signed by you & your site supervisor

(Document 5).

Re: Signatures: Site Supervisors & students are required electronically sign the necessary documents. If a site

supervisor cannot sign the documents, students are required to follow this procedure:

a) Supervisor emails the completed form

b) Subject line of email: “This email serves as my electronic signature.”

c) Supervisor attaches the completed documents (Fieldwork Agreement Form & Letter Confirming All

Requirements Can Be Met.)

d) Student uploads this email as part of their online application.

FIELDWORK MANUAL

Purchase Liability Insurance

Liability Insurance must be purchased. Each student will be required to purchase a one or two-year policy and all

insurance must be on the same policy. Since Hunter’s Counseling Programs require that students have active

membership in a professional counseling organization (ex: ACA; AMHCA or NRCA), you may have some level of

coverage through your active membership. However, this insurance does NOT MEET REQUIRED LIMITS. NOTE: All

insurance coverage must come from the same policy; you may not have coverage from 2 different policies.

• You will need to purchase a professional liability student policy that covers ($2,000,000 per incident and

$4,000,000 aggregate).

• Toll free number is 1-800-375-2764 or go-online to proliability.com.

• Order Today – it can take several weeks. If you purchased a two-year policy prior to your practicum,

please submit a copy of your current policy with your paperwork. We cannot retrieve previously

submitted insurance policy statements.

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FIELDWORK MANUAL

Department of Educational Foundations &

Counseling Programs, West 1016

695 Park Avenue

New York, NY 10065

Agreement between Fieldwork Supervisor, Student and Hunter College

Student’s Name: _____________________________________

Term Beginning: ___________

____ Clinical Rehabilitation Counseling Program

____ Mental Health Counseling Program

____ Practicum

Dear Fieldwork (Practicum or Internship) Site Supervisor,

I am writing to ask your assistance in providing the above-named individual, a graduate student in the Hunter College

Counseling Program with an opportunity to fulfil her/his required fieldwork experience at your site.

All counseling students complete two fieldwork placements during their course of study in our program. The first

placement is the Practicum and the student must spend at least one day each week during the semester engaging in

counseling related activities. The second placement is the Internship and the student must spend at least 20 hours each

week engaging in counseling related activities during the academic year (fall and spring semesters). Such activities

should include individual and group counseling, testing and assessment, educational and career development, etc. To

facilitate the professional growth of the student, s/he must have counseling relationships, preferably of twenty minutes or

more in length, with individual clients. Additionally, students are required to make audiotape recordings of counseling

sessions for evaluation. The student is not currently employed at this fieldwork site for longer than three months prior to

the start of the fieldwork experience. To ensure both ethical practice and confidentiality, the client (or guardian) must

consent in writing to the taping, and the tape is destroyed after it has served its purpose. A sample of a consent form has

been given to the student and is available for your review and modifications.

Site Supervisor Qualifications:

• For Clinical Rehabilitation Counseling students: The on-site supervisor must be a certified rehabilitation counselor

(CRC) with a minimum of 2 years pertinent professional experience.

• For Mental Health Counseling students: The on-site supervisor must be a NYS licensed mental health counsellor

(LMHC), or another NYS Licensed Professional (LCSW, not LMSW), or licensed psychologist/psychiatrist with a

minimum of 2 years pertinent professional experience.

FIELDWORK MANUAL

Site Supervisor Responsibilities:

• One hour of weekly on-site supervision by permanently Certified Rehabilitation Counselor (CRC)

• Allows audio recording clients w/ their consent or their parent's consent

• Site Supervisor is responsible for facilitating client assignments throughout the semester

• Student will be provided an orientation to become familiarized with the fieldwork setting.

• Student will be informed of crisis protocols

• Student will be informed of ancillary support staff available to them when site supervisor may not be available

• Site Supervisor completes an on-line evaluation of each fieldwork students at the end of the semester.

Site Supervisor Roles:

It is expected that supervisors will choose various roles at different times in the supervision process depending on the

needs of the supervisee, as well as on the supervisor’s own style.

• First, a supervisor may prefer a didactic stance (e.g., supervisor describes or models a specific treatment

intervention) in order to help a counselor increase his or her skill acquisition.

• Second, a supervisor may behave similarly to a counselor where she or he focuses on the student’s personal

reactions and/or struggles that are hindering and/or facilitating the student’s counseling work.

• Last, a supervisor may behave as a “consultant”. In this role, the supervisor acts more collaboratively and

collegially as they address counseling issues with their students.

Student Responsibilities:

• Students are expected to approach supervision with openness to learning and developing as a counselor.

• Students are required to audio record a minimum of two client sessions, and the course Instructor will listen to

parts of these audio records throughout the semester. Recording is done to protect the client as well as the

counselor.

• Students are expected to discuss cases in supervision as well as explore personal issues that are affecting their

counseling work.

• Students are expected to be on time for supervision and attend all supervision sessions.

• If a student is experiencing a conflict with her or his on-site supervisor, it is expected that he or she will try to

speak with the supervisor about the conflict and/or seek guidance from the course Instructor.

• Students are required to attend weekly practicum/internship seminars (COUNM/COUNR/COUNS 718, 725, or

726).

All supervisors should make a copy of this agreement for their files. Each student keeps a copy and the original is given

to the Fieldwork Coordinator at Hunter College. If you require any additional information, please do not hesitate to

contact me. Please sign this agreement.

Respectfully submitted,

Michelle Lask, CRC, LMHC

Clinical Coordinator of Fieldwork Placements

email: [email protected].edu

________________________ ________________________

Supervisor’s Signature Supervisor’s Printed Name

________________________ ________________________

Fieldwork Agency/Site Name Supervisor’s License # or Certification #

________________________

Date

________________________ ________________________

Student’s Signature Student’s Printed Name

FIELDWORK MANUAL

Department of Educational Foundations &

Counseling Programs, West 1016

695 Park Avenue

New York, NY 10065

Mental Health Counseling Fieldwork Site Supervisor Checklist

Dear Mental Health Counseling Fieldwork Site Supervisor,

Please review all 4 requirements and confirm, by checking each box and signing below, that all may be met at your

agency next semester:

c Audio recording clients w/ their consent or their parent's consent

c Direct supervision by a Licensed Mental Health Counselor (LMHC) or another NYS Licensed Professional

(LCSW, not LMSW), Licensed Psychologist or Psychiatrist with a minimum of 2 years pertinent,

professional experience

c 1 hour of weekly on-site supervision by that Licensed Mental Health Counselor (LMHC) or another NYS

Licensed Professional (LCSW, not LMSW), Licensed Psychologist or Psychiatrist - Weekly supervision is best

provided in a regularly scheduled weekly/hourly meeting so that students are able to prepare for your meeting.

c The student is not currently employed at this fieldwork site for more than 3 months

Complete EITHER practicum or internship section:

PRACTICUM: Please review all 4 requirements and confirm, by checking each box and signing below, that all may

be met at your agency next semester:

c 100 hours/semester = a minimum of 8 - 10 hours/week

c Of these 100 hours/semester, 40 hours include direct services, engaging with assigned students in the practice

of mental health counseling including social and emotional counseling activities.

c Assigned a caseload of 2 - 3 clients/semester

c An online evaluation of this student's performance will be completed at the end of the semester. This online

evaluation will be emailed to you in May.

INTERNSHIP: Please review all 4 requirements and confirm, by checking each box and signing below, that all may

be met at your agency next semester:

c 600 hours (300 hours/semester) = a minimum of 20 hours/week

c Of these 300 hours/semester, 120 hours include direct services, engaging with assigned students in the practice

of mental health counseling including social and emotional counseling activities.

c Assigned a caseload of 5 - 6 clients/semester

c An online evaluation of this student's performance will be completed at the end of the semester. This online

evaluation will be emailed to you in December (Fall semester) and May (Spring semester).

________________________ ________________________ ________________

Supervisor’s Signature Supervisor’s Printed Name Date

________________________ ________________________

Fieldwork Agency/Site Name Supervisor’s License #

________________________ ________________________ ________________

Student’s Signature Student’s Printed Name Date

FIELDWORK MANUAL

Department of Educational Foundations &

Counseling Programs, West 1016

695 Park Avenue

New York, NY 10065

Clinical Rehabilitation Counseling Fieldwork Site Supervisor Checklist

Dear Clinical Rehabilitation Counseling Fieldwork Site Supervisor,

Please review all 4 requirements and confirm, by checking each box and signing below, that all may be met at your

agency next semester:

c Audio recording clients w/ their consent or their parent's consent

c Direct supervision by a Certified Rehabilitation Counselor with a minimum of 2 years pertinent,

professional experience

c 1 hour of weekly on-site supervision by that Certified Rehabilitation Counselor - Weekly supervision is best

provided in a regularly scheduled weekly/hourly meeting so that students are able to prepare for your meeting.

c The student is not currently employed at this fieldwork site for more than 3 months

Complete EITHER practicum or internship section:

PRACTICUM: Please review all 4 requirements and confirm, by checking each box and signing below, that all may

be met at your agency next semester:

c 100 hours/semester = a minimum of 8 - 10 hours/week

c Of these 100 hours/semester, 40 hours include direct services, engaging with assigned students in the practice

of mental health counseling including social and emotional counseling activities.

c Assigned a caseload of 2 - 3 clients/semester

c An online evaluation of this student's performance will be completed at the end of the semester. This online

evaluation will be emailed to you in May 2023.

INTERNSHIP: Please review all 4 requirements and confirm, by checking each box and signing below, that all may

be met at your agency next semester:

c 300 hours/semester = a minimum of 20 hours/week

c Of these 300 hours/semester, 120 hours include direct services, engaging with assigned students in the practice

of mental health counseling including social and emotional counseling activities.

c Assigned a caseload of 5 - 6 clients/semester

c An online evaluation of this student's performance will be completed at the end of the semester. This online

evaluation will be emailed to you in December 2023 & May 2024.

________________________ ________________________ ________________

Supervisor’s Signature Supervisor’s Printed Name Date

________________________ ________________________

Fieldwork Agency/Site Name Supervisor’s CRC Number

________________________ ________________________ ________________

Student’s Signature Student’s Printed Name Date

FIELDWORK MANUAL

Department of Educational Foundations &

Counseling Programs, West 1128

695 Park Avenue, New York, NY 10065

FIELDWORK PLACEMENT INFORMATION SHEET

STUDENT CUNYFIRST ID# (8 digits): _______________________

Student Name: _______________________ Program: ___ Mental Health

Address: _______________________ ___ Clinical Rehabilitation

_______________________

Preferred Phone: _______________________ Email: _____________________

Fieldwork (circle one): Practicum

Semester:

Name and Address of Site: ____________________________

____________________________

Website Address: ____________________________

Site Supervisor Name: ____________________________

Site Supervisor Office Phone: ____________________________

Site Supervisor Work Email Address: ____________________________

Site Supervisor Certification (circle all that apply):

CRC

LMHC LCSW Licensed Psychologist

Additional certifications:______________________

Fieldwork Schedule: (notify Michelle Lask if schedule changes)

Start Date: ___________________

Day(s): Hours: Day(s): Hours:

Monday _____________ Friday _____________

Tuesday _____________ Saturday _____________

Wednesday _____________ Sunday _____________

Thursday _____________

Form signed by Michelle Lask, Clinical Coordinator of Fieldwork Placements:

Placement Approval: ___ Yes ____No Date: ________

Signed: _____________

FIELDWORK MANUAL

Department of Educational Foundations &

Counseling Programs, West 1128

695 Park Avenue, New York, NY 10065

APPLICATION FORM FOR NEW FIELDWORK SITE

STUDENT CUNYFIRST ID# (8 digits): _______________________

Student Name: _______________________ Program: ___ Mental Health

Address: _______________________ ___ Clinical Rehabilitation

_______________________

Preferred Phone: ___________________ Email Address: __________________

Fieldwork (circle one): Practicum

Semester:

Name and Address of Site: ____________________________

____________________________

Website Address: ____________________________

Site Supervisor Name: ____________________________

Site Supervisor Office Phone: ____________________________

Site Supervisor Work Email Address: ____________________________

Site Supervisor Certification (circle all that apply):

CRC

LMHC LCSW Licensed Psychologist

Additional certifications: ______________________

Site Services: Please provide a list and brief description of the site’s services. Use back page if necessary. A

brochure may be attached if available:

__________________________________________________________________________

FIELDWORK MANUAL

Department of Educational Foundations &

Counseling Programs, West 1128

695 Park Avenue, New York, NY 10065

Student Checklist of Requirements for Enrollment in Practicum

c Pre-requisite Courses: COCO 701 & COCO 702

c Pre or Co-requisite Courses: COCO 700 & COUNM 716 or COUNR 716 (according to your program area of

specialization)

c Co-Requisite Courses: COUNM or COUNR 71800 & 71900 (according to your program area of specialization)

c Become a student member of ACA or ASCA or AMHCA or ARCA

c Obtain a field site

c Complete and submit to the Agreement Between Fieldwork Supervisor, Student and Hunter College Form –

Signed by Site Supervisor & Student

c Letter of Confirmation that Requirements Can be met – Signed by Site Supervisor & Student

c Complete and submit to Fieldwork Placement Clinical Coordinator the Fieldwork Placement Information Sheet

OR Complete and submit to Fieldwork Placement Clinical Coordinator the Application Form for New Fieldwork

Site (when applicable)

c Submit Memorandum of Insurance as proof of liability insurance with required limits

c Submit a copy of your Hunter Counseling (graduate) Program Unofficial Transcript, from CUNYfirst (If unable

to print, Coordinator will print it for you. No need to pay for a copy from the registrar)

c MH Counseling placed in a DOE school only. Inform Fieldwork Placement Clinical Coordinator of the date of

PETS Enrollment and Fingerprinting Processing – NO WRITTEN PROOF NECESSARY.

c Obtain permission to enroll in practicum courses:

o Meet with your academic advisor during Advisement Week to review that all pre-requisites courses

have been met to be eligible to apply for practicum.

o COUNM or COUNR 71800: Practicum Seminar:

§ Indicate a time preference for COUNM or COUNR 71800 when you submit your completed

fieldwork paperwork. Every effort will be made to accommodate your preference; however, this

cannot be guaranteed.

o Michelle Lask will email you VIA YOUR HUNTER EMAIL with the information required to register

for your assigned section of COUNM or COUNR 71800 & 71900.

FIELDWORK MANUAL

Department of Educational Foundations &

Counseling Programs, West 1128

695 Park Avenue, New York, NY 10065

Student Checklist of Requirements for Enrollment in Internship

c Pre-requisite Courses: COUNM or COUNR 71800 & 71900 (according to your program area of specialization)

& COCO 706

c Pre or Co-requisite Courses: COUNM 717 or COUNR 720 (according to your program area of specialization)

c Become a student member of ACA or ASCA or AMHCA or ARCA

c Obtain a field site

c Complete and submit to Fieldwork Placement Clinical Coordinator the Fieldwork Placement Agreement Form –

Signed by Site Supervisor & Student

c Letter of Confirmation that Requirements Can be met – Signed by Site Supervisor & Student

c Complete and submit to Fieldwork Placement Clinical Coordinator Fieldwork Placement Information Sheet

c Complete and submit to Fieldwork Placement Clinical Coordinator the New Fieldwork Placement Information

Sheet (when applicable)

c Submit Memorandum of Insurance as proof of liability insurance with required limits

c Submit a Copy of your Hunter Counseling (graduate) Program Unofficial Transcript, from CUNYfirst (If unable

to print, Coordinator print it for you. No need to pay for a copy from the registrar)

c Obtain permission to enroll in internship course:

o Meet with your academic advisor to review that all pre-requisites courses have been met to be eligible to

apply for internship.

o Indicate a time preference for COUNM or COUNR 72500 (when you submit your completed fieldwork

paperwork). Every effort will be made to accommodate your preference however this cannot be

guaranteed. This is a year-long course, you will be assigned to this same section in fall and spring

semesters.

o The Fieldwork Coordinator will email you VIA YOUR HUNTER with the information required to

YOUR HUNTER EMAIL with the information required to register for corresponding section of

COUNM or COUNR 726: Internship 2 in spring semester.

FIELDWORK MANUAL