TX BHEC Practicum/Graduate Internship Documentation Form 2020-2025 free printable template

TEXAS BEHAVIORAL HEALTH EXECUTIVE COUNCIL TEXAS STATE BOARD OF EXAMINERS OF PROFESSIONAL COUNSELORS Practicum Documentation Form PRACTICUM/GRADUATE INTERNSHIP DOCUMENTATION Please type or print legibly.

How to fill out TX BHEC PracticumGraduate Internship Documentation Form

How to fill out TX BHEC Practicum/Graduate Internship Documentation Form

1. Obtain the TX BHEC Practicum/Graduate Internship Documentation Form from your institution or the official TX BHEC website.
2. Carefully read the instructions provided on the form to understand the required information.
3. Fill in your personal details such as name, contact information, and student ID at the top of the form.
4. Provide information about your practicum or internship site, including the name, address, and contact details of the supervisor.
5. Document your internship start and end dates, along with the total hours you will complete.
6. Clearly outline the objectives of your practicum/internship, detailing how they align with your educational goals.
7. Include a summary of the tasks you will perform during your internship.
8. Obtain your supervisor’s signature, confirming their support of your practicum/internship plan.
9. Review the completed form for accuracy and completeness before submission.
10. Submit the form to the designated authority at your educational institution by the deadline.

Who needs TX BHEC Practicum/Graduate Internship Documentation Form?

1. Students enrolled in programs that require a practicum or graduate internship as part of their curriculum.
2. Educational institutions that oversee and evaluate the practicum/internship process.
3. Internship supervisors who need documentation for student participation in their programs.

People Also Ask about

What counts as direct hours for LPC Texas?

Direct client contact hours include face to face counseling experiences in individual, group, couples and family counseling. A few other activities are counted as direct, and your Internship professor will discuss this in greater detail.

What counts as LPC hours Texas?

How Many Hours of Supervision do LPC Associates Need? LPC Associates in the state of Texas are required to document a total of 3,000 hours before they are able to upgrade to LPC status (what many refer to as fully licensed). Half of these hours, 1,500, must be direct client contact hours.

What is a direct client contact hour?

DIRECT: A direct client contact hour is a service that the student provides to the client face-to- face, where the student and the client are both in the same room, for at least most of the hour. SOME EXAMPLES: (1) BTI-- Student is the primary therapist and is in the room with the client during the practicum.

What is the difference between direct and indirect hours in counseling?

Direct hours include hours that are direct counseling contact with clients/students at your site and indirect hours are those that you are working at your site but not seeing clients.

Can an LPC have a private practice in Texas?

(d) An LPC Associate may practice counseling only as part of his or her internship and only under the supervision of a Licensed Professional Counselor Supervisor (LPC-S). The LPC Associate shall not engage in independent practice.

How many supervised hours are required for LPC in Texas?

Texas Administrative Code. (a) All applicants for LPC licensure must complete supervised experience acceptable to the Council of 3,000 clock-hours under a Council-approved supervisor.

How many interns can a LPC supervisor have in Texas?

681.92(e) The LPC Intern must receive direct supervision consisting of a minimum of four (4) hours per month of supervision in individual (up to two Interns) or group (three or more) settings while the intern is engaged in counseling unless an extended leave of one month or more is approved in writing by the board

What are the pre degree practicum and internship requirements for LPC in Texas?

The practicum should consist of at least 300 hours, with a minimum of 100 hours of direct client contact. This practicum requirement is distinct from post-graduate supervision, which is also necessary for LPC licensure in Texas.

For pdfFiller’s FAQs

What is practicum documentation form?

A practicum documentation form is a record or report that is used to document the activities, progress, and achievements of a student during their practicum or internship experience. It may include details such as the tasks performed, the skills developed, the challenges faced, the goals achieved, and the overall learning outcomes. The purpose of the form is to provide evidence of the student's practical experience and to evaluate their performance during the practicum.

Who is required to file practicum documentation form?

The specific individuals or groups required to file a practicum documentation form may vary depending on the context. In general, it is typically required for students or practitioners who are completing a practicum or internship as part of their educational or professional training. It is often necessary to document the hours, tasks, and experiences undertaken during the practicum, and this form is often used for that purpose.

How to fill out practicum documentation form?

Filling out a practicum documentation form typically involves providing accurate information and details about your practicum experience. Here are the steps to help you fill out the form: 1. Read the form thoroughly: Familiarize yourself with the form and understand the sections or fields that need to be filled. 2. Personal information: Begin by providing your personal details such as your name, student ID, contact information, and the name of your educational institution. 3. Practicum details: Include the details of your practicum experience, such as the organization or site where you completed your practicum, the dates you started and finished, and the number of hours completed. 4. Practicum objectives: Describe the objectives or goals of your practicum. This could include the skills or knowledge you aimed to develop or the areas you wanted to explore during your practicum. 5. Activities and tasks performed: Provide a detailed account of the specific activities and tasks you undertook during your practicum. Be specific and use action verbs to clearly articulate your responsibilities. 6. Learning outcomes: Explain the key things you learned during your practicum. Focus on the skills, knowledge, and experiences gained and how they contribute to your professional development. 7. Challenges faced: If you encountered any challenges or obstacles during your practicum, describe them briefly and explain how you dealt with or overcame them. This shows your ability to problem-solve and adapt. 8. Supervision and feedback: Detail the support and guidance you received from your supervisor or mentor during your practicum. Mention any feedback, evaluations, or assessments you received. 9. Reflection: Reflect on your overall practicum experience. Explain how it has influenced your career goals, areas of improvement, and any future steps you plan to take. 10. Sign and date: Review the form, ensure all sections are complete, and sign and date the document where required. Make copies for your own records if necessary. Remember, each practicum form may differ slightly, so carefully follow any specific instructions provided on the form itself or by your educational institution.

What is the purpose of practicum documentation form?

The purpose of a practicum documentation form is to provide a structured format for students to document their learning experiences and achievements during their practicum or internship. This form helps track the progress made by the student in achieving learning objectives and fulfilling the requirements of the program. It serves as a record of the tasks performed, skills learned, challenges faced, and solutions implemented during the practicum. The documentation form also facilitates communication between the student, the supervisor, and the educational institution to ensure that the practicum is aligned with the curriculum objectives and to address any concerns or issues that may arise during the placement.

What information must be reported on practicum documentation form?

The specific information that must be reported on a practicum documentation form can vary depending on the institution or organization. However, common elements that are typically included are: 1. Practicum details: This includes the name of the institution/organization providing the practicum, the name and contact information of the supervisor or preceptor, the practicum start and end dates, and the total number of practicum hours required. 2. Student information: This section includes the student's name, student ID or enrollment number, contact information, and possibly the program or course of study they are pursuing. 3. Objectives and goals: This section outlines the specific objectives and goals that the student is supposed to achieve during the practicum. These may include learning outcomes, skills development, and professional growth targets. 4. Tasks and activities: Here, the student can report the various tasks and activities they have completed during the practicum. This may include specific projects, assignments, or responsibilities undertaken. 5. Reflection and self-assessment: Some practicum documentation forms may have space for students to reflect on their experiences, challenges faced, lessons learned, and self-assessment of their performance and progress. This helps students evaluate their own growth and development during the practicum. 6. Supervision and feedback: This section allows for the supervisor or preceptor to provide feedback and evaluation of the student's performance. It may include comments on the student's strengths, areas for improvement, and overall assessment of their competencies. 7. Signatures: Finally, practicum documentation forms typically have spaces for both the student and the supervisor/preceptor to sign and date the form, indicating that the information provided is accurate and complete. It's important to note that these elements are not exhaustive, and specific practicum documentation requirements may vary depending on the educational institution or organization. Therefore, it's advisable to refer to the guidelines or instructions provided by the institution/organization to ensure accurate reporting on the practicum documentation form.

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What is TX BHEC Practicum/Graduate Internship Documentation Form?

The TX BHEC Practicum/Graduate Internship Documentation Form is a required document that students must complete to verify their participation in practicum or internship experiences as part of their educational program.

Who is required to file TX BHEC Practicum/Graduate Internship Documentation Form?

Students enrolled in programs that require a practicum or internship component are required to file the TX BHEC Practicum/Graduate Internship Documentation Form.

How to fill out TX BHEC Practicum/Graduate Internship Documentation Form?

To fill out the TX BHEC Practicum/Graduate Internship Documentation Form, students should provide their personal information, details of the practicum or internship experience, including dates, hours completed, and supervisor information, and then submit it as per their program's guidelines.

What is the purpose of TX BHEC Practicum/Graduate Internship Documentation Form?

The purpose of the TX BHEC Practicum/Graduate Internship Documentation Form is to officially document and verify the internship or practicum hours completed by the student and ensure that they meet the educational requirements set by the Texas Behavioral Health Executive Council.

What information must be reported on TX BHEC Practicum/Graduate Internship Documentation Form?

The information that must be reported on the TX BHEC Practicum/Graduate Internship Documentation Form includes the student's name, program of study, internship site details, dates of the practicum or internship, total hours completed, and contact information for the site supervisor.