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FP-P Checklist Fall 2013 1

Field Placement-Practicum Checklist


_____Enroll in PSY800 _____ Complete 8 Prerequisite Classes - PSY501 Foundations of Counseling Psychology - PSY517 Psychology of Culture and Identity - PSY529 Human Development - PSY635 Concepts of Mental Health - PSY642 Assessment - PSY660 Theories and Techniques 1 - PSY661 Theories and Techniques II - PSY672 Group Counseling _____ Figure out the type of site you want - Discussion with advisor and/or FPC - Looking through site listing guide - Discussions with other students - Identifying sites that have trained Chatham students before - Sites that are accepting students - Visit a site (go with a student who is there now) _____ Thorough reading of the Field Placement Handbook - Online, PSY800 Moodle DEADLINE: ASAP . Yesterday _____ Practicum Application Competed, signed, turned into FPC DEADLINE if starting in Spring 2014: November 15 DEADLINE if starting in Summer 2014: March 14 _____ Complete and pass online Ethics exam (more details to come). Attach to Practicum Application. DEADLINE if starting in Spring 2014: November 15 DEADLINE if starting in Summer 2014: March 14 _____ Print and attach unofficial transcript to Practicum Application. DEADLINE if starting in Spring 2014: November 15 DEADLINE if starting in Summer 2014: March 14 _____ Update resume DEADLINE: Before calling sites and going out on interviews

_____ Begin calling sites and setting up interviews o Done at least 6 months in advance of anticipated start date o For example, if you plan to start in Spring 2014, you should have your Practicum Application completed and submitted and begin scheduling interviews by September 2013. o Only done after you submit your Practicum Application.

FP-P Checklist Fall 2013 2

_____ Register for Practicum $$ - NOW DONE ONLINE LIKE YOUR OTHER CLASSES!!!!!! - One form are needed: 1. Site Declaration form - completed, signed, turned into FPC DEADLINE if starting in Spring 2014: December 5 DEADLINE if starting in Summer 2014: April 4 _____TB Test (may or may not be necessary) $$

_____Obtain professional liability insurance $$ ACA Free if you join ACA ($92) http://www.acait.com/students/index.cfm APA About $35 with APA student membership $53 http://www.apait.org/apait/products/studentliability/ http://www.hpso.com/ The annual rate is $36.75 Steps to Apply 1. Go to the above website 2. Choose your state (Pennsylvania) 3. Select Licensed Professional Counselor as your Profession/Area of Study 4. Click on Student option 5. Continue with rest of application and payment (must have a credit card or debit card in your own name) _____Obtain necessary clearances Act 33 and 34 (Child Abuse and Criminal Record) $$ - Some sites may require a FBI Background check as well Act 33 Child Abuse History Clearance Directions for completing the form:
http://www.dpw.state.pa.us/findaform/childabusehistoryclearanceforms/index.htm The Application Form is now online and applicants can type directly on the form and then print it out, however, the form still must be mailed in with a $10 Money Order The application will be rejected if students do not list their parents, guardians, siblings and the addresses they lived at with these people. Students should try to list everywhere and everyone they have lived with since 1975, however, if they cannot remember everything about their past addresses or roommates, they can list what they can remember and note this on the form. You can have this clearance mailed back to your program at Chatham by having the student complete and sign the attached Waiver Form we have found this to work well so they dont get lost in the mail, or returned to a students mailing address out of state, etc

print clearly in ink or type, if use your permanent address purpose of clearance--check school employment

FP-P Checklist Fall 2013 3

fee--$ 10 money order (no checks or cash) payable to "Department of Public Welfare "send to Childline and Abuse Registry address in the box at the top of the form processing time--approximately 3 weeks when the clearance is processed and returned to you by the Department of Public Welfare, YOU keep the original and make a photocopy for us.

Pennsylvania Deptment of Public Welfare Web Site (link) http://www.dpw.state.pa.us/findaform/childabusehistoryclearanceforms/index.htm ACT 34/Criminal Record Check Directions for completing the form:

Click on the link below Go to the page "Submit A New Record Check" Read through "Terms and Conditions", and click the "Accept" button Complete the form, and at "Reason for Request", make sure to go to "Education" You will be prompted to pay $10 by credit card If you wish to mail in your request and check, go to the top left hand of the screen under the "Help" menu, and download the SP4-164 Form.

Pennsylvania Access To Criminal History Web site (link) https://epatch.state.pa.us/Home.jsp ACT 114/FBI Clearance Overview on how to register : The fingerprint-based background check is a multiple-step process:

The applicant must register prior to going to the fingerprint site. Walk in service without prior registration will not be provided at any fingerprinting location. Registration is completed online or over the phone. Registration is available online 24 hours/day, seven days per week at www.pa.cogentid.com. Telephonic registration is available at 1-888-439-2486 begin_of_the_skype_highlighting 1-888-4392486 end_of_the_skype_highlighting Monday through Friday, 8am to 6pm EST. During the registration process, all demographic data for the applicant is collected (name, address, SSN, etc.) there is no data entry required at the fingerprint collection site. The applicant will pay a fee of $40.00 for the fingerprint service and to secure the Criminal History Record. Applicants may make their payment online at www.pa.cogentid.com using a credit card or debit card. Money orders or cashiers checks payable to Cogent Systems will be accepted on site for those applicants who do not have the means to pay electronically. No cash transactions or personal checks are allowed. You must choose the Pennsylvania Department of Education (PDE) option once you link on to the Cogent website. After completing Step 1 of the Registration form on-line, you will be asked if you want to request an unofficial copy of your Criminal History Background Check. (This will be your only chance to request this document.) It will cost an additional $2.50 processing fee. Please request a copy of this document, as you must have it to do any and all fieldwork.

Federal Applicant Fingerprinting Services Web site (link) http://www.pa.cogentid.com/index.htm

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