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Request to Initiate Fieldwork

This form may be submitted anytime after accruing a minimum of 24 coursework units or 8 units for Advanced Standing students. Please note that Master's in Counseling Psychology students additionally need to have successfully completed the course, Career Development.

Name

Email

Program

Academic Information

Have you completed a minimum of 24 coursework units (or 8 coursework units if Advanced Standing)?

If in the Master's in Counseling Psychology program, have you completed the Career Development course?

Are you on academic probation?

Are you on financial probation

Do you have any courses with Incomplete, Low Pass, or No Credit grades?

How many hours have you fulfilled towards the Personal Psychotherapy requirement to date?

Students in Psychology programs are required to participate in their own personal psychotherapy. Personal Psychotherapy Requirement

List all fieldwork sites to which you are planning to apply

Date

Signature

By signing this form you acknowledge that you have read the fieldwork handbook in the Knowledge Base, including this page about the fieldwork agreement.

Signature