Practicum Student Application

Practicum Student Application
Name

First NameLast Name
Email
example@example.com
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number

Area CodePhone Number
High School
College
Graduate Level
How would you describe your relationship with God?
Describe the reason(s) as to why you would like to work in a Christian setting.
What do you hope to gain from working in a Christian counseling environment?
How do you see counseling in relation to the Christian ministry?
Do you have any other experiences in teaching or counseling in a Christian-related environment? If yes, please explain.
Which Julianna Poor Memorial Counseling Center site(s) are you interested in working at?
What population of clients do you want experience with?
Do you currently have a job or plan to have a job during your practicum that affect the hours you are available to see clients?
Ministry Related Reference
Other References
Baptist Faith and Message 2000 Agreement
Baptist Faith and Message 2000

*Please contact Steve Crain (Steve.Crain@HoustonsFirst.org) or Greg Curnutte (Greg.Curnutte@HoustonsFirst.org) if you have any questions or concerns about this requirement.
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