California State University Counseling Verification
This file serves as verification for completed individual counseling sessions for students in the Counselor Education Program. It outlines key information necessary for documenting the counseling experience. Completion of this form is required to confirm counseling hours for the Practicum course.
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How do I fill this out?
To fill out this form, start by entering the student's name at the top. Next, provide the counselor's name, address, and contact details. Finally, complete the session dates and total sessions before signing.
How to fill out the California State University Counseling Verification?
1
Print your name on the line designated for the student's name.
2
Fill in the counselor's name, address, and phone number.
3
Indicate if the counselor is a Master's student and provide their details if not.
4
Document the start and end dates of counseling, as well as the total number of sessions.
5
Sign and date the form to complete your submission.
Who needs the California State University Counseling Verification?
1
Students in the Counselor Education Program need this form to verify their counseling hours.
2
Counselors may require this document for their professional records.
3
Graduate programs may ask for this verification during application evaluations.
4
University administration utilizes this form to track student compliance.
5
Accreditation bodies may need this information for program reviews.
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What are the instructions for submitting this form?
To submit this form, ensure that it is completely filled out and signed by both the student and the counselor. You may submit the form via email to your program coordinator at program_coordinator@csun.edu, or fax it to 818/677-2345. If in-person submission is required, please bring it to the Office of Educational Psychology & Counseling located at 18111 Nordhoff Street, Northridge, CA 91330-8265.
What are the important dates for this form in 2024 and 2025?
Important deadlines for submitting the Counseling Verification Form are aligned with course submissions in the academic calendar. Ensure your forms are submitted by the end of the semester for consideration in your records. Check with your program for specific dates relevant for 2024 and 2025.
What is the purpose of this form?
The purpose of this form is to certify the completion of individual counseling sessions required by the Counselor Education Program. It ensures students document their counseling experiences, helping to satisfy academic and professional requirements. Additionally, this verifiable documentation is crucial for both institutional and accreditation processes.
Tell me about this form and its components and fields line-by-line.
- 1. Name of Student: Field for the student to print their name.
- 2. Name of Counselor/Therapist: Field for the counselor or therapist to print their name.
- 3. Address: The counselor's or therapist's address.
- 4. Phone(s): Contact numbers for the counselor.
- 5. Counselor Status: Indication of whether the counselor is a Master's student.
- 6. Session Dates: Fields for documenting the start and end dates of the counseling.
- 7. Total Sessions: Field for indicating the total number of counseling sessions.
- 8. Signatures: Sections for both student and counselor signatures.
What happens if I fail to submit this form?
Failure to submit this form may impede your progress in the counseling program. This could delay your graduation or prevent you from meeting certification requirements. It is crucial to adhere to submission guidelines to avoid these complications.
- Delayed Graduation: Not submitting the form may result in missed requirements for graduation.
- Missing Certification: Counseling hours that are not verified can prevent certification.
- Non-compliance: Failure to meet program requirements may hinder program completion.
How do I know when to use this form?
- 1. Practicum Requirement: To document counseling hours completed during practicum.
- 2. Program Compliance: Required for maintaining compliant status in the educational program.
- 3. Accreditation Purposes: Provides necessary documentation for program accreditation.
Frequently Asked Question
What is the purpose of the Counseling Verification Form?
The form verifies that a student has completed a specified number of counseling sessions required for their program.
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How many counseling sessions need to be verified?
A minimum of six hours of individual counseling must be documented on the form.
Is a signature required on the form?
Yes, both the student and counselor must sign the form for it to be valid.
Can I print the form immediately after editing?
Absolutely! After editing, you can choose to print the form right away.
How do I submit the form once it's filled out?
You can submit the form according to your program's guidelines, either via email or in person.
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