Practicum Internship Orientation Registration
Today's Date
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Month
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Day
Year
at
/
Hour
Minutes
AM
PM
Full Name
*
First Name
Last Name
Panther ID Number (starts with zero)
*
Note:
Panther ID number required
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no social security numbers allowed
GSU Student E-mail:
*
Your Program:
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Mental Health Counseling
Professional Counseling
Rehabilitation Counseling
Orientation Date
*
Tuesday, 1/17/2012- 11:00am - 12:55pm Room 915
Wednesday, 1/18/2012 - 2:00pm - 4:00pm Room 915
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