Counseling Work Experience
Please indicate how you have met the experience requirement: a minimum of six months of counseling
experience in an educational setting to represent a minimum of 450 hours which may include paid or unpaid
field work. The information below should be reflective of the information stated on your resume.
Educational Institution/Position Held
Dates Worked
mo./year to mo./year
Paid (P) or
Hours per week
Total Counseling
hours at this site
Total hours of counseling experience
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