{"id":274,"date":"2017-08-01T19:27:19","date_gmt":"2017-08-01T19:27:19","guid":{"rendered":"https:\/\/nau.edu\/ed-psych\/?page_id=274"},"modified":"2026-03-16T15:31:51","modified_gmt":"2026-03-16T15:31:51","slug":"forms-checklists-manuals","status":"publish","type":"page","link":"https:\/\/in.nau.edu\/department-educational-psychology\/forms-checklists-manuals\/","title":{"rendered":"Forms, Checklists &amp; Manuals"},"content":{"rendered":"<h1>Forms, checklists, and manuals<\/h1>\n<p>Find forms and policies that apply to all Department of Educational Psychology master&#8217;s and doctoral programs.<\/p>\n<!-- shortcode-accordion -->\n<div class=\"shortcode-accordion shortcode-accordion--closed\" style=\"position: relative;\" >\n        <a class=\"shortcode-accordion__trigger\" data-header=\"General forms for EPS department & all EPS programs_0\" href=\"#\">\n      <div class=\"shortcode-accordion__header\">\n          <h4>General forms for EPS department & all EPS programs <span class=\"screen-reader-text\">Accordion Closed<\/span><\/h4>\n          <span class=\"shortcode-accordion__header__arrow\"><\/span>\n      <\/div>\n    <\/a>\n    <div class=\"shortcode-accordion__body\">\n        <!DOCTYPE html PUBLIC \"-\/\/W3C\/\/DTD HTML 4.0 Transitional\/\/EN\" \"http:\/\/www.w3.org\/TR\/REC-html40\/loose.dtd\">\n<html><body>\n<p><a href=\"https:\/\/in.nau.edu\/department-educational-psychology\/wp-content\/uploads\/sites\/362\/EPS-697-and-CPP-697-Independent-Studies-Instructions-Form.docx\">EPS 697 and CPP 697 Independent Studies Instructions &amp; Form<\/a><\/p>\n<p><a href=\"https:\/\/in.nau.edu\/department-educational-psychology\/wp-content\/uploads\/sites\/362\/Incomplete-Form-3-12-2020.docx\">&ldquo;Incomplete&rdquo; form<\/a><\/p>\n<p><a href=\"https:\/\/legacy.nau.edu\/graduate-college\/graduation\/\">Graduation Application Information<\/a> (Graduation Application section)<\/p>\n<p><strong>New EPS EdS and Masters graduate student orientation documentation<\/strong><\/p>\n<ul>\n<li><a href=\"https:\/\/qualtrics.nau.edu\/jfe\/form\/SV_e4zXxdlXq0kAB9Q\">Professional Disposition Evaluation Form (PDE)<\/a>\n<ul>\n<li><a href=\"https:\/\/in.nau.edu\/department-educational-psychology\/wp-content\/uploads\/sites\/362\/Professional-Growth-Plan-PDF-Version-7-12-22.pdf\">Professional Growth Plan (PGP) Form (PDF version)<\/a><\/li>\n<li><a href=\"https:\/\/in.nau.edu\/department-educational-psychology\/wp-content\/uploads\/sites\/362\/Professional-Growth-Plan-10-18-21.docx\">Professional Growth Plan (PGP) Form (Word version)<\/a><\/li>\n<\/ul>\n<\/li>\n<li><a href=\"https:\/\/in.nau.edu\/department-educational-psychology\/wp-content\/uploads\/sites\/362\/New-EPS-Grad-Stdt-Orient-Fall-2019.pptx\">New EPS EdS and Masters Graduate Student Orientation Presentation<\/a><\/li>\n<li><a href=\"https:\/\/in.nau.edu\/department-educational-psychology\/wp-content\/uploads\/sites\/362\/EPS-Program-Agreement-Contract-Fall-19.docx\">EPS Program Agreement Contract<\/a><\/li>\n<li><a href=\"https:\/\/\/wp-content\/uploads\/Bookmarks-New-Stdt-Orient-Fall-19.docx\">EPS New Graduate Student Bookmark Document<\/a><\/li>\n<\/ul>\n<p><strong>Graduate assistantship<br>\n<\/strong><\/p>\n<ul>\n<li>EPS Graduate Assistant Application (application will reopen in January)<\/li>\n<\/ul>\n<p><strong>Graduate scholarship (tuition waiver)<\/strong><\/p>\n<ul>\n<li>EPS Graduate Scholarship (Tuition Waiver) Application (application will reopen in January)<\/li>\n<\/ul>\n<p><strong>Student Professional Development Funding<\/strong><\/p>\n<p><a href=\"https:\/\/in.nau.edu\/department-educational-psychology\/wp-content\/uploads\/sites\/362\/EPS-Student-Professional-Development-Application-9-9-25.docx\">EPS Student Professional Development Application <\/a><\/p>\n<p><em>SPECIAL INFORMATION &amp; INSTRUCTIONS:<\/em><br>\n* Submit within the semester in which travel will occur only<br>\n* Fall semester applications will be accepted starting July 1, and must be submitted no later than September 15 (for conferences occurring 7-1 thru 12-31; all travel must be completed by 12-31)<br>\n* Spring semester applications will be accepted starting January 1, and must be submitted no later than March 1 (for conferences occurring 1-1 thru 6-30; all travel must be completed by 6-30)<br>\n* Funding can be used towards conference registration, transportation, or lodging expense only<br>\n* Ensure your letter\/email of support and required support documentation are submitted promptly.<br>\n* Your application will not be reviewed until a letter\/email of support is received<\/p>\n<p><em>Also consider applying for student travel funding through the following sources:<\/em><br>\n<a href=\"https:\/\/legacy.nau.edu\/graduate-college\/travel-research-grants\/\">Graduate Student Organization (GSO)<\/a><br>\n<a href=\"https:\/\/legacy.nau.edu\/coe\/travel-research-grants\/\">COE Dean&rsquo;s Graduate Research\/Travel Grant Program Application<\/a><\/p>\n<p><strong><br>\nTravel Related Information:<\/strong><\/p>\n<p><strong>NOTE:<\/strong> As of July 1, 2023 Personal Funds cannot be used for Conference Registration, Airfare or Lodging.&nbsp; Please review the EPS Department Travel Workbook for travel restrictions and instructions<\/p>\n<ul>\n<li><a href=\"https:\/\/in.nau.edu\/department-educational-psychology\/wp-content\/uploads\/sites\/362\/EPS-Department-Travel-Workbook-10-28-25.pdf\">EPS Department Travel Workbook<\/a><\/li>\n<li><a href=\"https:\/\/in.nau.edu\/department-educational-psychology\/wp-content\/uploads\/sites\/362\/COE-Travel-Request-Form-New-2-7-31-23.docx\">COE Travel Request Form&nbsp;<\/a><\/li>\n<li><a href=\"https:\/\/in.nau.edu\/environmental-health-and-safety\/occupational-safety\/\">Authorized Driver Information<\/a> &ndash; Certification valid for three-years<\/li>\n<li><a href=\"https:\/\/in.nau.edu\/comptroller\/travel-forms\/\">Annual Travel Certification Form<\/a> &ndash; Required once per fiscal year<\/li>\n<li><a href=\"https:\/\/in.nau.edu\/comptroller\/travel-welcome\/\">Current Meals and Lodging Cost Index<\/a><\/li>\n<li><a href=\"https:\/\/in.nau.edu\/department-educational-psychology\/wp-content\/uploads\/sites\/362\/Title-IX-Multiple-Occupancy-Form-Instructions_7-18-24.pdf\">Multiple Occupancy Form Instructions<\/a>\n<ul>\n<li><a href=\"https:\/\/in.nau.edu\/department-educational-psychology\/wp-content\/uploads\/sites\/362\/03-01-24-Multiple-Occup-Form_.pdf\">Multiple Occupancy Form<\/a><\/li>\n<\/ul>\n<\/li>\n<li><a href=\"https:\/\/in.nau.edu\/department-educational-psychology\/wp-content\/uploads\/sites\/362\/Trip.Itinerary_BLANK-9-15-23.docx\">Post-Travel Itinerary<\/a>\n<ul>\n<li><a href=\"https:\/\/in.nau.edu\/department-educational-psychology\/wp-content\/uploads\/sites\/362\/Sample-EPS-Travel-Itinerary.docx\">Sample EPS Travel Itinerary<\/a><\/li>\n<\/ul>\n<\/li>\n<li><a href=\"https:\/\/in.nau.edu\/department-educational-psychology\/wp-content\/uploads\/sites\/362\/2023-Mileage-log.xlsx\">Post-Travel Mileage Log<\/a><\/li>\n<li><a href=\"https:\/\/in.nau.edu\/department-educational-psychology\/wp-content\/uploads\/sites\/362\/NAU.Travel_CostComparisons_How-To-Run_8.4.2023.pdf\">NAU Travel: Cost Comparisons Instructions<\/a><\/li>\n<li><a href=\"https:\/\/legacy.nau.edu\/university-policy-library\/travel-policies\/\">Travel Policy<\/a><\/li>\n<li><a href=\"https:\/\/in.nau.edu\/rpsu\/nau-travel-training\/\">Travel Training<\/a> &ndash; Required once per fiscal year<\/li>\n<li><a href=\"https:\/\/in.nau.edu\/department-educational-psychology\/wp-content\/uploads\/sites\/362\/PolicyandComplianceReview_How-To-Submit_1.23.2024-1.pdf\">Policy Compliance Review Instructions<\/a><\/li>\n<\/ul>\n<p><strong>Purchase or Reimbursement Related Information (non-travel related):<\/strong><\/p>\n<ul>\n<li><a href=\"https:\/\/in.nau.edu\/department-educational-psychology\/wp-content\/uploads\/sites\/362\/EPS-Departmental-Non-Travel-Purchase-Instructions-9-22-23.docx\">EPS Department Non-Travel Purchase Instructions<\/a><\/li>\n<\/ul>\n<p><strong>Records Retention Schedule<\/strong><\/p>\n<ul>\n<li><a href=\"https:\/\/legacy.nau.edu\/library\/records-management\/\">Records Management at NAU<\/a><\/li>\n<\/ul>\n<h3><\/h3><\/body><\/html>\n\n    <\/div>\n<\/div>\n<\/h3>\n<!-- shortcode-accordion -->\n<div class=\"shortcode-accordion shortcode-accordion--closed\" style=\"position: relative;\" >\n        <a class=\"shortcode-accordion__trigger\" data-header=\"Practicum (for Clinical Mental Health and School Counseling only)_0\" href=\"#\">\n      <div class=\"shortcode-accordion__header\">\n          <h4>Practicum (for Clinical Mental Health and School Counseling only) <span class=\"screen-reader-text\">Accordion Closed<\/span><\/h4>\n          <span class=\"shortcode-accordion__header__arrow\"><\/span>\n      <\/div>\n    <\/a>\n    <div class=\"shortcode-accordion__body\">\n        <!DOCTYPE html PUBLIC \"-\/\/W3C\/\/DTD HTML 4.0 Transitional\/\/EN\" \"http:\/\/www.w3.org\/TR\/REC-html40\/loose.dtd\">\n<html><body>\n<p><a href=\"https:\/\/in.nau.edu\/department-educational-psychology\/wp-content\/uploads\/sites\/362\/Practicum-Manual-Spring-2025.pdf\">EPS Practicum Clinic Manual (current)<\/a><br>\n<a href=\"https:\/\/in.nau.edu\/department-educational-psychology\/wp-content\/uploads\/sites\/362\/EPS-692-Practicum-Syllabus-2023.pdf\">Practicum Master Syllabus (rev. 2023)<\/a><br>\n<a href=\"http:\/\/nau.co1.qualtrics.com\/jfe\/form\/SV_8eUWzbg03XhABNj\">Practicum Student Confidentiality Statement<\/a><\/p>\n<p><strong>Client file documents (for Clinic)<br>\n<\/strong>All client file documents for the Clinic are available through our electronic health records (TherapyNotes)<\/p>\n<p><strong>Statewide Campus: Before Practicum Begins:<br>\n<\/strong>Before a counselor-in-training&rsquo;s practicum field experience can begin, there must be an NAU Affiliation Agreement in place. This is required per NAU Policy on&nbsp;<a href=\"https:\/\/legacy.nau.edu\/university-policy-library\/affiliation-agreements\/#:~:text=Affiliation%20Agreements%20are%20used%20to,other%20fieldwork%20experiences%20or%20internship\">Affiliation Agreements<\/a>.&nbsp; Please review <a href=\"https:\/\/in.nau.edu\/department-educational-psychology\/wp-content\/uploads\/sites\/362\/Affiliation-Agreement-Process-Practicum-Internship_2-2025.pdf\">this document<\/a> for further information regarding Affiliation Agreements and instructions on how to set up an Affiliation Agreement with your desired Practicum Field Site.<\/p>\n<p><strong>Documents for practicum students&rsquo; notebooks<br>\n<\/strong>All documents, supervision forms and time logs needed for practicum can be found in Tevera<\/p>\n<p><strong>Evaluation documents (completed by NAU Practicum Clinic Faculty)<br>\n<\/strong>All documents and surveys can be found in Tevera<\/p>\n<p><strong>Evaluation documents (completed by Field Supervisor)<br>\n<\/strong>All field supervisor forms can be found in Tevera<\/p>\n<p><strong>Recruiting clients<br>\n<\/strong><a href=\"https:\/\/in.nau.edu\/department-educational-psychology\/wp-content\/uploads\/sites\/362\/Free-Counseling-Form-1-17-23.docx\">Free Counseling Form<\/a><\/p>\n<h3><\/h3><\/body><\/html>\n\n    <\/div>\n<\/div>\n<\/h3>\n<!-- shortcode-accordion -->\n<div class=\"shortcode-accordion shortcode-accordion--closed\" style=\"position: relative;\" >\n        <a class=\"shortcode-accordion__trigger\" data-header=\"Clinical Mental Health Counseling Internship_0\" href=\"#\">\n      <div class=\"shortcode-accordion__header\">\n          <h4>Clinical Mental Health Counseling Internship <span class=\"screen-reader-text\">Accordion Closed<\/span><\/h4>\n          <span class=\"shortcode-accordion__header__arrow\"><\/span>\n      <\/div>\n    <\/a>\n    <div class=\"shortcode-accordion__body\">\n        <!DOCTYPE html PUBLIC \"-\/\/W3C\/\/DTD HTML 4.0 Transitional\/\/EN\" \"http:\/\/www.w3.org\/TR\/REC-html40\/loose.dtd\">\n<html><body>\n<p><strong>Before Internship Begins:<\/strong><\/p>\n<ol>\n<li>Before an internship can begin, there must be an NAU Affiliation Agreement in place. This is required per NAU Policy on <a href=\"https:\/\/legacy.nau.edu\/university-policy-library\/affiliation-agreements\/#:~:text=Affiliation%20Agreements%20are%20used%20to,other%20fieldwork%20experiences%20or%20internship\">Affiliation Agreements<\/a>. Please review <a href=\"https:\/\/in.nau.edu\/department-educational-psychology\/wp-content\/uploads\/sites\/362\/Affiliation-Agreement-Process-Field-Sites_2-6-2025.pdf\">this document<\/a>&nbsp;for further information regarding Affiliation Agreements and instructions for how to set-up an Affiliation Agreement with your desired Internship site.<\/li>\n<li><a href=\"https:\/\/in.nau.edu\/department-educational-psychology\/wp-content\/uploads\/sites\/362\/EPS-694-Internship-Manual_April-2025.pdf\">CMHC Internship Manual &amp; Syllabus<\/a><\/li>\n<li><a href=\"https:\/\/in.nau.edu\/department-educational-psychology\/wp-content\/uploads\/sites\/362\/694CMHC-Sample-Contract-qualtrics-pdf-anon-.pdf\">Sample of a Completed CMHC internship Contract<\/a><\/li>\n<li><a href=\"https:\/\/in.nau.edu\/department-educational-psychology\/wp-content\/uploads\/sites\/362\/EPS-694-CMHC-Contract-Rough-Draft.pdf\">Step 1, Rough Draft of CMHC Internship Contract&nbsp;<\/a><\/li>\n<li>Counseling Internship Contract can be found and completed through Tevera<\/li>\n<li><a href=\"https:\/\/in.nau.edu\/risk-management\/student-internship-coverage\/\">NAU&rsquo;s Internship Coverage Statement<\/a> (in addition to the required individual liability all Practicum and internship students must carry)<\/li>\n<\/ol>\n<p><strong>Before Internship Begins &ndash; Supervisor Orientation, Consultation &amp; Professional Development:<\/strong><\/p>\n<p>All Site Supervisor Orientation videos and handouts&nbsp;are accessible for review and completion through the Tevera platform<\/p>\n<p><strong>Throughout internship:<\/strong><\/p>\n<p>Hours logs are updated, signed and maintained through Time Track in Tevera<\/p>\n<p><strong>Mid-Point (before reaching 300 total hours):<\/strong><\/p>\n<p>All intern feedback and agency supervisor forms can be found in Tevera. Site supervisors and students may use the following forms as drafts before&nbsp;completing official evaluations in Tevera<\/p>\n<ol>\n<li><a href=\"https:\/\/qualtrics.nau.edu\/jfe\/form\/SV_8k9Vl8jMAAMQhlc\">CMHC mid-point and final Evaluation by Site Supervisor and Student<\/a><\/li>\n<li><a href=\"http:\/\/nau.co1.qualtrics.com\/jfe\/form\/SV_3rtcTsJEKxkIuRD\">Intern Feedback for Agency Site<\/a> (mid-pt)<\/li>\n<li><a href=\"http:\/\/nau.co1.qualtrics.com\/jfe\/form\/SV_eD5glcT4TlZeKep\">Intern Feedback for Agency Supervisor<\/a>&nbsp;(mid-pt)<\/li>\n<li><a href=\"http:\/\/nau.co1.qualtrics.com\/jfe\/form\/SV_cAdxyBTB7yuhwsl\">Intern Feedback for NAU Faculty<\/a> (mid-pt)<\/li>\n<li><a href=\"https:\/\/nau.co1.qualtrics.com\/jfe\/form\/SV_5dlgxisToVCO0HH\">CMHC Faculty Link for First Contact&nbsp;<\/a><\/li>\n<li><a href=\"https:\/\/nau.co1.qualtrics.com\/jfe\/form\/SV_eLGqxJFvRf6Yy7H\">CMHC Faculty Link for Second Contact&nbsp;<\/a><\/li>\n<li><a href=\"https:\/\/nau.co1.qualtrics.com\/jfe\/form\/SV_8GuLWkSJyRtnzjD\">CMHC Faculty Link for Third Contact&nbsp;<\/a><\/li>\n<\/ol>\n<p><strong>Final (Near the end of internship &ndash; just before reaching 600 total hours):<\/strong><\/p>\n<p>All intern feedback and agency supervisor forms can be found in Tevera. Site supervisors and students may use the following forms as drafts prior to completing official evaluations in Tevera<\/p>\n<ol>\n<li><a href=\"https:\/\/qualtrics.nau.edu\/jfe\/form\/SV_8k9Vl8jMAAMQhlc\">CMHC mid-point and final Evaluation by Site Supervisor and Student<\/a><\/li>\n<li><a href=\"http:\/\/nau.co1.qualtrics.com\/jfe\/form\/SV_3rtcTsJEKxkIuRD\">Intern Feedback for Agency Site<\/a> (final)<\/li>\n<li><a href=\"http:\/\/nau.co1.qualtrics.com\/jfe\/form\/SV_eD5glcT4TlZeKep\">Intern Feedback for Agency Supervisor<\/a>&nbsp;(final)<\/li>\n<li><a href=\"http:\/\/nau.co1.qualtrics.com\/jfe\/form\/SV_cAdxyBTB7yuhwsl\">Intern Feedback for NAU Faculty<\/a> (final)<\/li>\n<li><a href=\"http:\/\/nau.co1.qualtrics.com\/jfe\/form\/SV_0fbQvMnEgsQWNRH\">Agency Supervisor End of Internship Program Evaluation Form<\/a> (final)<\/li>\n<li><a href=\"https:\/\/nau.co1.qualtrics.com\/jfe\/form\/SV_5dlgxisToVCO0HH\">CMHC Faculty Link for First Contact&nbsp;<\/a><\/li>\n<li><a href=\"https:\/\/nau.co1.qualtrics.com\/jfe\/form\/SV_eLGqxJFvRf6Yy7H\">CMHC Faculty Link for Second Contact&nbsp;<\/a><\/li>\n<li><a href=\"https:\/\/nau.co1.qualtrics.com\/jfe\/form\/SV_8GuLWkSJyRtnzjD\">CMHC Faculty Link for Third Contact&nbsp;<\/a><\/li>\n<\/ol>\n<\/body><\/html>\n\n    <\/div>\n<\/div>\n\n<!-- shortcode-accordion -->\n<div class=\"shortcode-accordion shortcode-accordion--closed\" style=\"position: relative;\" >\n        <a class=\"shortcode-accordion__trigger\" data-header=\"School Counseling Internship_0\" href=\"#\">\n      <div class=\"shortcode-accordion__header\">\n          <h4>School Counseling Internship <span class=\"screen-reader-text\">Accordion Closed<\/span><\/h4>\n          <span class=\"shortcode-accordion__header__arrow\"><\/span>\n      <\/div>\n    <\/a>\n    <div class=\"shortcode-accordion__body\">\n        <!DOCTYPE html PUBLIC \"-\/\/W3C\/\/DTD HTML 4.0 Transitional\/\/EN\" \"http:\/\/www.w3.org\/TR\/REC-html40\/loose.dtd\">\n<html><body>\n<p><strong>Before Internship Begins:<\/strong><\/p>\n<ol>\n<li>Before an internship can begin, there must be an NAU Affiliation Agreement in place. This is required per NAU Policy on <a href=\"https:\/\/legacy.nau.edu\/university-policy-library\/affiliation-agreements\/#:~:text=Affiliation%20Agreements%20are%20used%20to,other%20fieldwork%20experiences%20or%20internship\">Affiliation Agreements<\/a>. Please review <a href=\"https:\/\/in.nau.edu\/department-educational-psychology\/wp-content\/uploads\/sites\/362\/Affiliation-Agreement-Process-Field-Sites_2-6-2025.pdf\">this document<\/a>&nbsp;for further information regarding Affiliation Agreements and instructions for how to set-up an Affiliation Agreement with your desired Internship site.<\/li>\n<li><a href=\"https:\/\/in.nau.edu\/department-educational-psychology\/wp-content\/uploads\/sites\/362\/EPS-Internship-Manual-MEd-School-Counseling_2-2022.pdf\">School Counseling Internship Manual<\/a> (March 2022)<\/li>\n<li><a href=\"https:\/\/in.nau.edu\/department-educational-psychology\/wp-content\/uploads\/sites\/362\/Timeline-and-Checklist-for-Internship_SC-9-20-19.pdf\">Internship timeline &amp; checklist<\/a><\/li>\n<li>All Counseling Internship contracts can be found and completed through Tevera<\/li>\n<li><a href=\"https:\/\/in.nau.edu\/department-educational-psychology\/wp-content\/uploads\/sites\/362\/Sample-of-Completed-SC-Internship-Contract-9-20-19.pdf\">Sample of Completed School Counseling Internship Contract<\/a><\/li>\n<\/ol>\n<p><strong>Supervisor Orientation, Consultation &amp; Professional Development:<\/strong><\/p>\n<ol>\n<li><a href=\"https:\/\/mediaspace.nau.edu\/media\/Video+1A+Orientation+to+NAU%27s+SC+Supervision\/0_5ncy935w\">Video #1: Overview of NAU&rsquo;s School Counseling Internship, expectations and evaluation forms<\/a><\/li>\n<li><a href=\"https:\/\/mediaspace.nau.edu\/media\/Supervision%20Models\/1_hab4478z\">Video #2: Overview of Supervision Models and Methods&nbsp;<\/a><\/li>\n<li><a href=\"https:\/\/mediaspace.nau.edu\/media\/AQAL\/1_dz582j9p\">Video #3: One Free Continuing Education Unit (CEU) for Site Supervisors: Case Conceptualization Via Integral Theory<\/a>\n<ol>\n<li><a href=\"https:\/\/nau.co1.qualtrics.com\/jfe\/form\/SV_bjwNxSPv12A3JQO\">Brief 1-CEU quiz for Integral Supervision video<\/a><\/li>\n<\/ol>\n<\/li>\n<li><a href=\"https:\/\/nau.co1.qualtrics.com\/jfe\/form\/SV_5nazuTFUt4YFVs1\">Site Supervisor Orientation Quiz<\/a><\/li>\n<\/ol>\n<p><strong>Throughout Internship:<\/strong><\/p>\n<p>Hours logs are updated, signed and maintained through Time Track in Tevera<\/p>\n<p><strong>Mid-Point (before reaching 300 total hours):<\/strong><\/p>\n<ol>\n<li><a href=\"https:\/\/qualtrics.nau.edu\/jfe\/form\/SV_73TOA7ugiaeheiq\">Mid &amp; Final Evaluation by School Supervisor and Student Self Evaluation<\/a><\/li>\n<li><a href=\"http:\/\/nau.co1.qualtrics.com\/jfe\/form\/SV_afcohinZRC90hIV\">Intern Feedback for School Site<\/a><\/li>\n<li><a href=\"http:\/\/nau.co1.qualtrics.com\/jfe\/form\/SV_3C38UAByy8M15tz\">Intern Feedback for School Supervisor<\/a><\/li>\n<li><a href=\"http:\/\/nau.co1.qualtrics.com\/jfe\/form\/SV_3OeiWUdK1LGFZt3\">Intern Feedback for NAU Faculty<\/a><\/li>\n<li><a href=\"https:\/\/qualtrics.nau.edu\/jfe\/form\/SV_9F6gqfsYxXMTyeO\">SC Reflection Paper Rubri<\/a>c<\/li>\n<\/ol>\n<p><strong>Final (Near the end of internship &ndash; just before reaching 600 total hours):<\/strong><\/p>\n<ol>\n<li><a href=\"https:\/\/qualtrics.nau.edu\/jfe\/form\/SV_73TOA7ugiaeheiq\">Mid &amp; Final Evaluation by School Supervisor and Student Self Evaluation<\/a><\/li>\n<li><a href=\"http:\/\/nau.co1.qualtrics.com\/jfe\/form\/SV_0fbQvMnEgsQWNRH\">School Supervisor End of Internship Program Evaluation Form<\/a><\/li>\n<li><a href=\"http:\/\/nau.co1.qualtrics.com\/jfe\/form\/SV_0MptUjtT4OrVg0J\">Intern Feedback for School Site<\/a><\/li>\n<li><a href=\"http:\/\/nau.co1.qualtrics.com\/jfe\/form\/SV_diep7fRwES1PHWB\">Intern Feedback for School Supervisor<\/a><\/li>\n<li><a href=\"http:\/\/nau.co1.qualtrics.com\/jfe\/form\/SV_6YyMxRoi7N5vuFT\">Intern Feedback for NAU Faculty<\/a><\/li>\n<li><a href=\"https:\/\/qualtrics.nau.edu\/jfe\/form\/SV_73TOA7ugiaeheiq\">SC Reflection Paper Rubric<\/a><\/li>\n<\/ol>\n<p><strong>Additional Intern Resources:<\/strong><\/p>\n<ol>\n<li><a href=\"https:\/\/www.schoolcounselor.org\/getmedia\/a8d59c2c-51de-4ec3-a565-a3235f3b93c3\/SC-Competencies.pdf\">ASCA Professional Standards &amp; Competencies<\/a><\/li>\n<li><a href=\"https:\/\/www.schoolcounselor.org\/getmedia\/7428a787-a452-4abb-afec-d78ec77870cd\/Mindsets-Behaviors.pdf\">ASCA Mindsets and Behaviors<\/a><\/li>\n<li><a href=\"https:\/\/www.schoolcounselor.org\/About-School-Counseling\/Careers-in-School-Counseling\/State-Requirements-Programs\">State Certification Requirements<\/a><\/li>\n<\/ol>\n<p><strong>NAU Faculty Forms:<\/strong><\/p>\n<ol>\n<li><a href=\"https:\/\/nau.co1.qualtrics.com\/jfe\/form\/SV_5dlgxisToVCO0HH\">Faculty Supervisor Contact Form<\/a><\/li>\n<\/ol>\n<\/body><\/html>\n\n    <\/div>\n<\/div>\n\n<!-- shortcode-accordion -->\n<div class=\"shortcode-accordion shortcode-accordion--closed\" style=\"position: relative;\" >\n        <a class=\"shortcode-accordion__trigger\" data-header=\"For MEd Counseling \/ Student Affairs_0\" href=\"#\">\n      <div class=\"shortcode-accordion__header\">\n          <h4>For MEd Counseling \/ Student Affairs <span class=\"screen-reader-text\">Accordion Closed<\/span><\/h4>\n          <span class=\"shortcode-accordion__header__arrow\"><\/span>\n      <\/div>\n    <\/a>\n    <div class=\"shortcode-accordion__body\">\n        <!DOCTYPE html PUBLIC \"-\/\/W3C\/\/DTD HTML 4.0 Transitional\/\/EN\" \"http:\/\/www.w3.org\/TR\/REC-html40\/loose.dtd\">\n<html><body>\n<p><a href=\"https:\/\/in.nau.edu\/department-educational-psychology\/wp-content\/uploads\/sites\/362\/2018\/03\/692-Practicum-Lab-Manual-Spring-2017.docx\">EPS Practicum Clinic Manual (Spring 2017)<\/a><\/p>\n<ul>\n<li><a href=\"https:\/\/in.nau.edu\/department-educational-psychology\/wp-content\/uploads\/sites\/362\/2017\/08\/PLM-AUG2012-Authorization-for-Release-of-Information-Form.pdf\">Authorization for Release of Information Form<\/a><\/li>\n<li><a href=\"https:\/\/in.nau.edu\/department-educational-psychology\/wp-content\/uploads\/sites\/362\/2017\/08\/PLM-AUG2012-Case-Review-for-Quality-Assurance-Checklist.pdf\">Case Review for Quality Assurance Checklist<\/a><\/li>\n<li><a href=\"https:\/\/in.nau.edu\/department-educational-psychology\/wp-content\/uploads\/sites\/362\/2017\/08\/PLM-AUG2012-Class-Credit-Form.pdf\">Class Credit Form<\/a><\/li>\n<li><a href=\"https:\/\/in.nau.edu\/department-educational-psychology\/wp-content\/uploads\/sites\/362\/2017\/08\/PLM-AUG2012-Confrimation-of-Group-Supervision.pdf\">Confirmation of Group Supervision Form<\/a><\/li>\n<li><a href=\"https:\/\/in.nau.edu\/department-educational-psychology\/wp-content\/uploads\/sites\/362\/2017\/08\/PLM-AUG2012-Counseling-Supervision-Log.pdf\">Counseling Supervision Log<\/a><\/li>\n<li><a href=\"https:\/\/in.nau.edu\/department-educational-psychology\/wp-content\/uploads\/sites\/362\/2017\/08\/PLM-AUG2012-Documentation-of-Observation.pdf\">Documentation of Observation Form<\/a><\/li>\n<li><a href=\"https:\/\/in.nau.edu\/department-educational-psychology\/wp-content\/uploads\/sites\/362\/2017\/08\/PLM-AUG2012-EPS-Counseling-Psychology-Doctoral-Practicum-Evaluation-Form.pdf\">EPS Counseling Psychology Doctoral Practicum Evaluation Form<\/a><\/li>\n<li><a href=\"https:\/\/in.nau.edu\/department-educational-psychology\/wp-content\/uploads\/sites\/362\/2017\/08\/PLM-AUG2012-Free-Counseling-Form.pdf\">Free Counseling Form<\/a><\/li>\n<li><a href=\"https:\/\/cmswork.nau.edu\/uploadedFiles\/Academic\/COE\/Ed_Psych\/Forms\/PLM%20AUG2012%20Informed%20Consent%20Agreement.pdf\">Informed Consent Agreement Form<\/a><\/li>\n<li><a href=\"https:\/\/in.nau.edu\/department-educational-psychology\/wp-content\/uploads\/sites\/362\/2017\/08\/PLM-AUG2012-Intake-Interview-Report-Form.pdf\">Intake Interview Report Form<\/a><\/li>\n<li><a href=\"https:\/\/in.nau.edu\/department-educational-psychology\/wp-content\/uploads\/sites\/362\/2017\/08\/PLM-AUG2012-List-of-Clients-Log.pdf\">List of Clients Log<\/a><\/li>\n<li><a href=\"https:\/\/in.nau.edu\/department-educational-psychology\/wp-content\/uploads\/sites\/362\/2017\/08\/PLM-AUG2012-No-Suicide-Contract.pdf\">No-Suicide Contract<\/a><\/li>\n<li><a href=\"https:\/\/in.nau.edu\/department-educational-psychology\/wp-content\/uploads\/sites\/362\/2017\/08\/PLM-AUG2012-Progress-Notes-Form.pdf\">Progress Notes Form<\/a><\/li>\n<li><a href=\"https:\/\/in.nau.edu\/department-educational-psychology\/wp-content\/uploads\/sites\/362\/2017\/08\/PLM-AUG2012-Request-for-Services-Form-Families-Couples.pdf\">Request for (Families &ndash; Couples) Services Form<\/a><\/li>\n<li><a href=\"https:\/\/in.nau.edu\/department-educational-psychology\/wp-content\/uploads\/sites\/362\/2017\/08\/PLM-AUG2012-Request-for-Services-Form-Individuals.pdf\">Request for (Individuals) Services Form<\/a><\/li>\n<li><a href=\"https:\/\/in.nau.edu\/department-educational-psychology\/wp-content\/uploads\/sites\/362\/2017\/08\/PLM-AUG2012-Session-Rating-Form.pdf\">Session Rating Form<\/a><\/li>\n<li><a href=\"https:\/\/in.nau.edu\/department-educational-psychology\/wp-content\/uploads\/sites\/362\/2017\/08\/PLM-AUG2012-Termination-Summary-Form.pdf\">Termination Summary Form<\/a><\/li>\n<li><a href=\"https:\/\/in.nau.edu\/department-educational-psychology\/wp-content\/uploads\/sites\/362\/2017\/08\/PLM-AUG2012-Treatment-Planning-Form.pdf\">Treatment Planning Form<\/a><\/li>\n<li><a href=\"https:\/\/in.nau.edu\/department-educational-psychology\/wp-content\/uploads\/sites\/362\/2017\/08\/660-692-Practicum-Lab-Confidentiality-Statement1.docx\">Practicum Clinic Confidentiality Statement<\/a><\/li>\n<\/ul>\n<p><a href=\"https:\/\/in.nau.edu\/department-educational-psychology\/wp-content\/uploads\/sites\/362\/Student-Affairs-EPS-608-Fieldwork-Handbook-11-20-19-1.pdf\">EPS 608 Student Affairs Fieldwork Handbook (11-20-19)<\/a><\/p>\n<ul>\n<li><a href=\"https:\/\/in.nau.edu\/department-educational-psychology\/wp-content\/uploads\/sites\/362\/CSA-EPS-608_Fieldwork-Contract_2022-23_Unprotected.docx\">Student Affairs Fieldwork Contract<\/a><\/li>\n<li><a href=\"https:\/\/in.nau.edu\/department-educational-psychology\/wp-content\/uploads\/sites\/362\/Student-Affairs-Fieldwork-Faculty-Supervisor-Contact-1-2023.docx\">Student Affairs Fieldwork Faculty Supervisor Contact Form<\/a><\/li>\n<li><a href=\"https:\/\/in.nau.edu\/department-educational-psychology\/wp-content\/uploads\/sites\/362\/Student-Affairs-Fieldwork-Student-Evaluation-1.2023.docx\">Student Affairs Fieldwork Student Evaluation Form<\/a><\/li>\n<li><a href=\"https:\/\/in.nau.edu\/department-educational-psychology\/wp-content\/uploads\/sites\/362\/Student-Affairs-Fieldwork-Student-Evaluation-of-Faculty-Supervisor-1-2023.docx\">Student Affairs Fieldwork Student Evaluation of Faculty Supervisor Form<\/a><\/li>\n<li><a href=\"https:\/\/in.nau.edu\/department-educational-psychology\/wp-content\/uploads\/sites\/362\/Student-Affairs-Fieldwork-Student-Evaluation-of-On-Site-Supervisor-1-2023.docx\">Student Affairs Fieldwork Student Evaluation of On-Site Supervisor Form<\/a><\/li>\n<li><a href=\"https:\/\/in.nau.edu\/department-educational-psychology\/wp-content\/uploads\/sites\/362\/Student-Affairs-Fieldwork-Student-Evaluation-of-Site-1-2023.docx\">Student Affairs Fieldwork Student Evaluation of Site Form<\/a><\/li>\n<li><a href=\"https:\/\/in.nau.edu\/department-educational-psychology\/wp-content\/uploads\/sites\/362\/Student-Affairs-Fieldwork-Weekly-Narrative-Reflection-1-2023.docx\">Student Affairs Fieldwork Weekly Narrative Reflection Form<\/a><\/li>\n<\/ul>\n<p><a href=\"https:\/\/in.nau.edu\/department-educational-psychology\/wp-content\/uploads\/sites\/362\/EPS682-CSA-Practicum-Handbook-12-2020.docx\">EPS 682 Student Affairs Practicum (Internship) Handbook<\/a><\/p>\n<ul>\n<li><a href=\"https:\/\/in.nau.edu\/department-educational-psychology\/wp-content\/uploads\/sites\/362\/2017\/08\/M.Ed_.-Counseling-SA-Internship-Contract-0316171.docx\">M.Ed. Student Affairs Internship Contract<\/a><\/li>\n<li><a href=\"https:\/\/in.nau.edu\/department-educational-psychology\/wp-content\/uploads\/sites\/362\/2017\/08\/Eval-of-Students-Intern-Experiences-MEd-Student-Affairs.docx\" target=\"_blank\" rel=\"noopener noreferrer\">Evaluation of Student&rsquo;s Internship Experiences<\/a><\/li>\n<li><a href=\"https:\/\/in.nau.edu\/department-educational-psychology\/wp-content\/uploads\/sites\/362\/2017\/08\/Faculty-Supervisor-Contact-Form-MEd-Student-Affairs.docx\">Faculty Supervisor Contact Form<\/a><\/li>\n<li><a href=\"https:\/\/in.nau.edu\/department-educational-psychology\/wp-content\/uploads\/sites\/362\/2017\/08\/Intern-Eval-of-NAU-Faculty-MEd-Student-Affairs.docx\">Intern Evaluation of NAU Faculty<\/a><\/li>\n<li><a href=\"https:\/\/in.nau.edu\/department-educational-psychology\/wp-content\/uploads\/sites\/362\/2017\/08\/Intern-Eval-of-On-Site-Supervisor-MEd-Student-Affairs.docx\">Intern Evaluation of On-Site Supervisor<\/a><\/li>\n<li><a href=\"https:\/\/in.nau.edu\/department-educational-psychology\/wp-content\/uploads\/sites\/362\/2017\/08\/Intern-Eval-of-Site-MEd-Student-Affairs.docx\">Intern Evaluation of Site<\/a><\/li>\n<\/ul>\n<\/body><\/html>\n\n    <\/div>\n<\/div>\n\n<!-- shortcode-accordion -->\n<div class=\"shortcode-accordion shortcode-accordion--closed\" style=\"position: relative;\" >\n        <a class=\"shortcode-accordion__trigger\" data-header=\"EdS School Psychology_0\" href=\"#\">\n      <div class=\"shortcode-accordion__header\">\n          <h4>EdS School Psychology <span class=\"screen-reader-text\">Accordion Closed<\/span><\/h4>\n          <span class=\"shortcode-accordion__header__arrow\"><\/span>\n      <\/div>\n    <\/a>\n    <div class=\"shortcode-accordion__body\">\n        <!DOCTYPE html PUBLIC \"-\/\/W3C\/\/DTD HTML 4.0 Transitional\/\/EN\" \"http:\/\/www.w3.org\/TR\/REC-html40\/loose.dtd\">\n<html><body>\n<ul>\n<li><a href=\"https:\/\/in.nau.edu\/department-educational-psychology\/wp-content\/uploads\/sites\/362\/2017\/08\/EdS-School-Psychology-Handbook-2016.pdf\">Ed.S. School Psychology Handbook (Fall 2016)<\/a><\/li>\n<li><a href=\"https:\/\/in.nau.edu\/department-educational-psychology\/wp-content\/uploads\/sites\/362\/2017\/08\/EdSschool-psychhandbook-revision-April-2016.pdf\">Ed.S. School Psychology Handbook (April 2016)<\/a><\/li>\n<li><a href=\"https:\/\/in.nau.edu\/department-educational-psychology\/wp-content\/uploads\/sites\/362\/Summer-2020-EdS-Handbook-8.12.20-003.pdf\">Ed.S. School Psychology Handbook (Summer 2020)<\/a><\/li>\n<li><a href=\"https:\/\/in.nau.edu\/department-educational-psychology\/wp-content\/uploads\/sites\/362\/Spring-2021-EdS-School-Psychology-Handbook.pdf\">Ed.S. School Psychology Handbook (Spring 2021)<\/a><\/li>\n<li><a href=\"https:\/\/in.nau.edu\/department-educational-psychology\/wp-content\/uploads\/sites\/362\/School-Psychology-EdS-Student-Handbook-Sp22.pdf\">Ed.S. School Psychology Handbook (Spring 2022)<\/a><\/li>\n<li><a href=\"https:\/\/in.nau.edu\/department-educational-psychology\/wp-content\/uploads\/sites\/362\/Fall-2025-School-Psychology-EdS-Handbook-1-1.pdf\">Ed.S. School Psychology Handbook (Fall 2025)<\/a><\/li>\n<\/ul>\n<\/body><\/html>\n\n    <\/div>\n<\/div>\n\n<!-- shortcode-accordion -->\n<div class=\"shortcode-accordion shortcode-accordion--closed\" style=\"position: relative;\" >\n        <a class=\"shortcode-accordion__trigger\" data-header=\"Combined Counseling\/School Psychology PhD program_0\" href=\"#\">\n      <div class=\"shortcode-accordion__header\">\n          <h4>Combined Counseling\/School Psychology PhD program <span class=\"screen-reader-text\">Accordion Closed<\/span><\/h4>\n          <span class=\"shortcode-accordion__header__arrow\"><\/span>\n      <\/div>\n    <\/a>\n    <div class=\"shortcode-accordion__body\">\n        <!DOCTYPE html PUBLIC \"-\/\/W3C\/\/DTD HTML 4.0 Transitional\/\/EN\" \"http:\/\/www.w3.org\/TR\/REC-html40\/loose.dtd\">\n<html><body>\n<ul>\n<li>Combined Counseling\/School Psychology <a href=\"https:\/\/in.nau.edu\/department-educational-psychology\/wp-content\/uploads\/sites\/362\/2024-2025-Combined-PhD-Handbook-Revised-Nov-21-2024.pdf\">Doctoral Student Handbook<\/a><\/li>\n<li>Combined Counseling\/School Psychology <a href=\"https:\/\/in.nau.edu\/department-educational-psychology\/wp-content\/uploads\/sites\/362\/Combined-PhD-Doctoral-Practicum-Handbook-2000.pdf\">Doctoral Practicum Handbook&nbsp;<\/a><\/li>\n<li>Combined Counseling\/School Psychology <a href=\"https:\/\/in.nau.edu\/department-educational-psychology\/wp-content\/uploads\/sites\/362\/PhD-Checklist-4-30-20.pdf\">Doctoral Student Checklist<\/a><\/li>\n<li>Intent to take Discipline Specific Knowledge (DSK) \/ Doctoral Comprehensive Examinations <a href=\"https:\/\/in.nau.edu\/department-educational-psychology\/wp-content\/uploads\/sites\/362\/Intent-to-Take-Exams-10-15-25.pdf\">form<\/a><\/li>\n<li><a href=\"https:\/\/nau.co1.qualtrics.com\/jfe\/form\/SV_0CfvAazk87oEK7H\">NAU PhD Practicum and Fieldwork Midpoint &amp; Final Evaluation<\/a><\/li>\n<li><a href=\"https:\/\/in.nau.edu\/department-educational-psychology\/wp-content\/uploads\/sites\/362\/PhD-Dissertation-Funding-Application-4-4-24.docx\">Dissertation Funding Support Application<\/a><\/li>\n<\/ul>\n<\/body><\/html>\n\n    <\/div>\n<\/div>\n\n<!-- shortcode-right-column -->\n<div class=\"shortcode-right-column\" >\n    <div class=\"shortcode-right-column__container\"><\/p>\n<p><!-- shortcode-contact -->\n<div class=\"shortcode-contact\">\n    <div class=\"contact-header\">\n        <h3>Contact the Department of Educational Psychology<\/h3>\n    <\/div>\n    <div class=\"contact-body\">\n                <a href=\"mailto:eps@nau.edu\" aria-label=\"Contact the Department of Educational Psychology: Email Address\" title=\"Email Address\">\n            <div class=\"contact-icon-container\">\n                <i class=\"fas fa-envelope\" aria-hidden=\"true\"><\/i>\n                <span class=\"sr-only\">Email:<\/span>\n            <\/div>\n            <div class=\"contact-email\">eps&#8203;@nau.edu<\/div>\n        <\/a>\n                        <a href=\"tel:928-523-7103\" aria-label=\"Contact the Department of Educational Psychology: Telephone Number\" title=\"Telephone Number\">\n            <div class=\"contact-icon-container\">\n                <i class=\"fas fa-phone\" aria-hidden=\"true\"><\/i>\n                <span class=\"sr-only\">Call:<\/span>\n            <\/div>\n            <div class=\"contact-phone\">928-523-7103<\/div>\n        <\/a>\n            <\/div>\n<\/div>\n\n<\/p>\n<p><\/div>\n<\/div>\n\n","protected":false},"excerpt":{"rendered":"<p>Forms, checklists, and manuals Find forms and policies that apply to all Department of Educational Psychology master&#8217;s and doctoral programs.<\/p>\n","protected":false},"author":84,"featured_media":888,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_relevanssi_hide_post":"","_relevanssi_hide_content":"","_relevanssi_pin_for_all":"","_relevanssi_pin_keywords":"","_relevanssi_unpin_keywords":"","_relevanssi_related_keywords":"","_relevanssi_related_include_ids":"","_relevanssi_related_exclude_ids":"","_relevanssi_related_no_append":"","_relevanssi_related_not_related":"","_relevanssi_related_posts":"","_relevanssi_noindex_reason":"","ring_central_script_selection":"","footnotes":""},"class_list":["post-274","page","type-page","status-publish","has-post-thumbnail","hentry"],"_links":{"self":[{"href":"https:\/\/in.nau.edu\/department-educational-psychology\/wp-json\/wp\/v2\/pages\/274","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/in.nau.edu\/department-educational-psychology\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/in.nau.edu\/department-educational-psychology\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/in.nau.edu\/department-educational-psychology\/wp-json\/wp\/v2\/users\/84"}],"replies":[{"embeddable":true,"href":"https:\/\/in.nau.edu\/department-educational-psychology\/wp-json\/wp\/v2\/comments?post=274"}],"version-history":[{"count":104,"href":"https:\/\/in.nau.edu\/department-educational-psychology\/wp-json\/wp\/v2\/pages\/274\/revisions"}],"predecessor-version":[{"id":8086,"href":"https:\/\/in.nau.edu\/department-educational-psychology\/wp-json\/wp\/v2\/pages\/274\/revisions\/8086"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/in.nau.edu\/department-educational-psychology\/wp-json\/wp\/v2\/media\/888"}],"wp:attachment":[{"href":"https:\/\/in.nau.edu\/department-educational-psychology\/wp-json\/wp\/v2\/media?parent=274"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}