PSYCHOLOGY PRACTICUM REGISTRATION FORM
Revised July 2018 Psychology Department
Use this form to request registration in PSYCH 394: Practicum: Counseling Psychology Course.
PSYCH 394 provides practical application of assessment, counseling, consultation and case management skills in an
approved mental health setting.
Students are required to complete a minimum of 300 clinical hours during the program. A maximum of 75 hours
performing client-centered advocacy may be accrued, with the remaining hours consisting of face-to-face
counseling with individuals (adults, children, adolescents), couples, families or groups.
Supervision must be provided by an on-site practicum supervisor as per Board of Behavioral Science regulations.
Students will attend a practicum seminar that will provide group consultation utilizing written case studies and
oral case presentations. Additional topics of human diversity and legal/ethical concerns will be highlighted.
Students are required to meet with clients and their families in volunteer and in-class settings.
Students are required to enroll in the PSYCH 394 seminar course during every term that they will be
participating in their traineeship placement. If the placement will cover five weeks or less of the term and the
hours gained during that period are not needed to fulfill the 300-hour requirement, then registration in the
PSYCH 394 seminar course is not required that term.
Students are expected to complete their placement through the dates as agreed upon in the Supervised
Fieldwork Agreement.
*Students in the MA.PSY.MFT or MA.PSY.MFINO programs will have different hour and unit requirements depending on
the academic catalog year your program started. See your Graduate Advisor for details.
Prerequisite: PSYCH 320 and PSYCH 326; Co-requisites: PSYCH 321, PSYCH 323, PSYCH 324, PSYCH 325, and PSYCH 339.
Consent of the department chair is required.
TRAINEESHIP REGISTRATION PROCEDURES:
Note: Procedures for finding a traineeship are listed in the Psychology Student Handbook. The instructions below
describe steps required after you have found a placement offer.
First term in the traineeship:
1) Submit a copy of your offer letter to the Psychology Department Chair, Dr. Tom Wooldridge, along with this
form. Indicate the term, the number of units, and the section you prefer. Note: For students starting their
program Fall 2017 or later, the course must be taken for 3 units each term.
2) If this site has not been approved before, you must also submit the External Field Placement Application form.
3) Once Dr. Wooldridge has approved your placement, your supervisor will need to fill out the Supervised
Fieldwork Agreement and BBS Form 37A-523 - Supervisor Responsibility form.
4) International students only: If you are in F-1 or J-1 student status, you will also need to obtain approval and
employment authorization from your Graduate Advisor (DSO). Submit this form along with a copy of your offer
letter to your Graduate Advisor (DSO) after the Department Chair has signed to indicate approval. Allow five
business days for processing.
5) Submit this form to the Registrar’s Office for registration in PSYCH 394. Check your registration in GGU4YOU.
After the first term in the traineeship:
1) Submit a new copy of this form to the Psychology Department Chair, Dr. Tom Wooldridge to indicate the term,
the number of traineeship units, and the section in which you are requesting to be registered. If any details of
your offer have changed, such as the offer dates, please submit an updated letter.
2) International students only: After the Department Chair has signed your form, submit a copy to your Graduate
Advisor (DSO) to obtain a new CPT authorization for the upcoming term. You must obtain the new CPT
authorization before the prior authorization ends in order to continue. Allow five business days for processing.
3) Submit this form to the Registrar’s Office for registration in PSYCH 394. Check your registration in GGU4YOU.
