Course Verification

Course Verification
Applicants who are interested in pursuing a doctoral degree in Clinical Counseling are required to have graduated from a master's degree program that focuses on the development of a counselor identity and includes core competency prerequisite coursework in the specific areas listed below.

Please complete the fields below as it relates to your academic experience at the master's level.

*For each prerequisite course, include the course number and title as it appears on your transcript.
Name

First Last
Email
Date

Month Day Year
Did you complete a CACREP-accredited master’s degree? *

Yes No
Social and Cultural Diversity
Master's course (number and title of course) fitting this prerequisite area (if you haven't taken a course like this, please write "NA") *
University
Course Grade
Semester/Year Course Completed
Human Growth and Development
Master's course (number and title of course) fitting this prerequisite area (if you haven't taken a course like this, please write "NA") *
University
Course Grade
Semester/Year Course Completed
Group Counseling
Master's course (number and title of course) fitting this prerequisite area (if you haven't taken a course like this, please write "NA") *
University
Course Grade
Semester/Year Course Completed
Career Counseling
Master's course (number and title of course) fitting this prerequisite area (if you haven't taken a course like this, please write "NA") *
University
Course Grade
Semester/Year Course Completed
Helping Relationships
Master's course (number and title of course) fitting this prerequisite area (if you haven't taken a course like this, please write "NA") *
University
Course Grade
Semester/Year Course Completed
Ethics
Master's course (number and title of course) fitting this prerequisite area (if you haven't taken a course like this, please write "NA") *
University
Course Grade
Semester/Year Course Completed
Research
Master's course (number and title of course) fitting this prerequisite area (if you haven't taken a course like this, please write "NA") *
University
Course Grade
Semester/Year Course Completed
Assessment/Testing
Master's course (number and title of course) fitting this prerequisite area (if you haven't taken a course like this, please write "NA") *
University
Course Grade
Semester/Year Course Completed
Advanced/Abnormal
Master's course (number and title of course) fitting this prerequisite area (if you haven't taken a course like this, please write "NA") *
University
Course Grade
Semester/Year Course Completed
Practicum/Internship
Master's course (number and title of course) fitting this prerequisite area (if you haven't taken a course like this, please write "NA") *
University
Course Grade
Semester/Year Course Completed
Course descriptions and/or course syllabi may be required for additional clarification. Unofficial transcripts confirming completion of the coursework mentioned above must be submitted in addition to this form.
Attach copies of unofficial master's level transcripts. *

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Description of previous experience *
Please submit a paragraph description of practicum, internship, and any other post-master's clinical experience, including site names, clinical activities/duties, amount of clinically-related site hours, and amount of face-to-face client contact hours served.
Should be Empty: