Lindenwood University



Counseling - Internship / Field Placement


Prior to enrolling in a Field Placement, Counseling Internship, or Internship in Diagnostic Assessment course, the appropriate application must be completed and submitted for approval. Complete application packets can be found in the Program Handbooks.

Field Placement Applications Must Include:

1. Field Placement Request Form
2. Field Placement Preparation Form
3. Philosophy of School Counseling
4. Acknowledgement of Handbook Review
5. Field Placement Pre-Hours Contract (if applicable)
6. Unofficial copy of LU Graduate Transcripts
7. Copy of background check clearance. Students should complete a Family Care Safety Registry (FCSR) Background Screening. The clearance letter must be dated no earlier than six months prior to the submission of the Field Placement Application Packet. Directions for completing a background check can be found in the Field Placement Handbook.
   • Family Care Safety Registry
8. Copy of TB Test Results. Results must be dated no earlier than six months prior to the submission of the Field Placement Application Packet.
   • St. Charles County Health Department
9. Proof of Student Liability Insurance
   • Healthcare Providers Service Organization
10. Copy of 3M/Cogent Fingerprinting registration receipt. The registration receipt must be dated no earlier than six months prior to the submission of the Field Placement Application Packet. Directions for completing the 3M/Cogent Fingerprinting through the Missouri Automated Criminal History Site can be found in the Field Placement Handbook.
   • Missouri Automated Criminal History Site

Counseling Internship Applications Must Include:

1. Internship Approval Form
2. Internship Description
3. Internship Learning Goals
4. Acknowledgement of Handbook Review
5. Internship Program Contract
6. Copy of Site Supervisor's Resume or License
7. Proof of Student Liability Insurance
   • Healthcare Providers Service Organization
8. Internship Site Brochure (if available)

Internship in Diagnostic Assessment Application Must Include:

1. Internship in Diagnostic Assessment Approval Form
2. Internship in Diagnostic Assessment Preparation Form
3. Copy of background check clearance. Students should complete a Family Care Safety Registry (FCSR) Background Screening. The clearance letter must be dated no earlier than six months prior to the start of Internship in Diagnostic Assessment. Directions for completing a background check can be found in the School Psychological Examiner Program Handbook.
   • Family Care Safety Registry
4. Acknowledgement of Handbook Review

The following items may be included in the Internship in Diagnostic Assessment Application, but are only required if the school district requires them:

1. Proof of Student Liability Insurance
   • Healthcare Providers Service Organization
2. Copy of TB Test Results. Results must be dated no earlier than six months prior to the start of Internship in Diagnostic Assessment.
   • St. Charles County Health Department
3. Copy of 3M/Cogent Fingerprinting registration receipt. The registration receipt must be dated no earlier than six months prior to the submission of the Internship in Diagnostic Assessment Application Packet. Directions for completing the 3M/Cogent Fingerprinting through the Missouri Automated Criminal History Site can be found in the School Psychological Examiner Program Handbook.
   • Missouri Automated Criminal History Site




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