Phone: (706) 737-1497
Fax: (706) 667-4490

Counseling Forms

To download these forms, simply click on the link and save them to your hard drive. All forms are in Adobe (pdf) format and can be viewed via Adobe Acrobat Reader. If you do not have Adobe Acrobat Reader, you can download it free.

Counseling Admissions
Information for Prospective Students
Masters of Education: Counselor Education Recommendation Form


Practicum Forms
Background Check Form
Application for Field Experience

Practicum Contract *Download by Permission of Faculty ONLY*
Practicum Contract - Columbia County Schools *Download by Permission of Faculty ONLY*
Checklist of Field Experience
Tape Consent Form (Adults)
Tape Consent Form (Children)

Weekly Log (PDF Version)
Weekly Log (Excel Version)
On-Site Supervision Attendance Log
Evaluation by School Counselor Supervisor
Evaluation by Community Counselor Supervisor
Evaluation by Clincial Mental Health Counselor Supervisor
Student Evaluation of Site Supervisor
Log Summary Sheet
Case Presentation of Recordings
Counseling Skills Scale (CSS - Student)
Counseling Skills Scale (CSS- Peer Review)
Counseling Skills Scale (CSS- Instructor Review)
Counseling Skills Scale (CSS - Career)


Internship Forms
Background Check Form
Application for Field Experience

Internship Contract *Download by Permission of Faculty ONLY*
Internship Contract -Columbia County Schools *Download by Permission of Faculty ONLY*
Checklist of Field Experience
Tape Consent Form (Adults)
Tape Consent Form (Children)

Weekly Log (PDF Version)
Weekly Log (Excel Version)
On-Site Supervision Attendance Log
Evaluation by School Counselor Supervisor
Evaluation by Community Counselor Supervisor
Evaluation by Clincial Mental Health Counselor Supervisor
Student Evaluation of Site Supervisor
Log Summary Sheet
Case Presentation of Recordings
Counseling Skills Scale (CSS - Student)
Counseling Skills Scale (CSS- Peer Review)
Counseling Skills Scale (CSS- Instructor Review)
Counseling Skills Scale (CSS - Career)
Case Conceptualization Form


Other Forms/Documents
Student Handbook (.doc format)
Additional Requirements to Remain in the Counselor Education Program
Student Advising Worksheet
Instructions for Students for Completing Graduation Paperwork
Counselor Education Portfolio Matrix
Mentor Teacher Update Form (Stipend)

Approved Site List