Clinical Supervision Guide and Forms
All forms are to be completed electronically (i.e. on the computer) and by the practicum or intern student, faculty supervisor (FS), doctoral student supervisor (DSS), or field site supervisor (FSS) and emailed to FS and DSS. Specific emailing instructions are on each form. All graduate student interns and doctoral students are supervised by FSs and FSSs.
Forms Used After Each Counseling Session
- Client Feedback for Counselor Form - E: Client gives feedback after each counseling session on printed form. Student later converts client's responses to electronic version of form.
- Counselor Self-Review of Counseling Session Form - E: Student reflects on each counseling session on this form.
- Practicum Supervision Log Form - Supervisors (doctoral, faculty and field-site) document supervision sessions, hours, and interventions on this form. At the completion of Practicum the form is given to the faculty member teaching the course.
- Internship Supervision Log Form - Supervisors (faculty and field-site) document supervision sessions, hours, and interventions on this form. At the completion of Internship the form is given to the faculty member teaching the course.
- Counseling Session Feedback Form – E (CSF – E): Optional form completed by FS/DSS periodically on segments of counseling session tapes & client files. Student receives a copy and one copy for student file. The tick marks are only necessary for the microskills indicated by an asterisk. Mark the "needs improvement", "Acceptable", "Very Good", or "Not Observed" categories for all items including the microskills. (Optional form depending on the faculty teaching Practicum or Internship).
Forms Used for Mid-Term or Final Evaluation
Forms Students are Responsible for Initiating
1. Practicum and Internship Manuals (send to FSS & last page signatures)
SACC Counseling Practicum Manual
- SACC Internship Manual
2. Field Site/Supervisor Information for Practicum Form- E (FSSIF-E)
3. Field Site/Supervisor Information for Internship Form - E (FSSIF-E):
5. Consent for Audio/Video Taping Form
6. Client Feedback for Counselor Form – E
7. Counselor Self-Review of Counseling Session Form – E
8. Supervisor Evaluation of Supervisee Form – E (send to FSS)
9. Supervisee Evaluation of Supervision Form – E (SESF)
10. Practicum Supervision Log Form
11. Internship Supervision Log Form
12. Master Practicum Hours Summary Sheet – E
13. Master Internship/Supervision Hour Summary Sheet - E
Forms Faculty are Responsible for Initiating
- Practicum Supervision Log Form
- Internship Supervision Log Form
- Counseling Session Feedback Form- E (CSF)
- Individualized Counselor Evaluation Form- E (ICE)
- Supervisor Evaluation Forms – E (SES)
Case Recording Forms
- Assessment Summary
- Case Progress Notes