CCCA Internship Application

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Applicant Name* This field is required.
First Name
Last Name
2
Practicum Requirement* This field is required.Does your school require you to complete a 100-hour practicum experience prior to internship?
YESNO
3
Practicum Completion* This field is required.Have you completed your 100-hour practicum experience
Yes - I'm ready for my 600-hour Internship
No - I'm applying to begin my 100-hour Practicum
No - I'm completing my 100-hour practicum somewhere else and applying to complete my 600-hour Internship here in the future
4
Internship Requirements - Hours* This field is required.An internship at CCCA requires at least a 2 semester commitment and completion of at least 240 direct client hours (120 hours per semester if you remain more than 2 semesters) - regardless of hours earned at other site(s) prior to or concurrent with a student's time at CCCA. LPC and MSW students should count on 240 direct client hours and 360 indirect hours. MFT students should count on doing 240 client hours in 2 semesters or 360 hours in 3 semesters. If a student's university requirements are greater than these, the more stringent requirements will apply.
I can make this workI cannot make this work
5
Internship Requirements - Scheduling & Time on Site* This field is required.An internship with CCCA requires at least 16 hours a week on site, the expectation would be at least 10-12 direct client hours per week. These 16 hours are best scheduled in 4 separate, 4-hour blocks or 2 separate 8-hour blocks. The interns who have the easiest time filling their schedules have two daytime and two evening blocks (evening = anything after 4 pm or later) on at least three different days of the week. However, two full days (especially weekends) work too. Evenings and weekends are very desired by our clients. Interns are free to set their own schedules within these parameters and may see clients any day of the week from 8am to 8pm. In addition, all interns must meet with their supervisors for at least one hour per week. Sample Schedule: Tuesday: 4:30p-8:30p (1 evening) Wednesday: 12pm-4pm, 4pm-8pm (1 daytime, 1 evening) Saturday: 9am-1pm (1 daytime) This = 4 shifts (2 daytime; 2 evening) on 3 different days. Sample Weekend Schedule: Saturday 9am-6pm Sunday 9am-6pm
I can make this workI cannot make this work
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Email* This field is required.
example@example.com
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What school are you attending?* This field is required.
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Please select the semester/month that best fits when you are applying to start.* This field is required.
Spring 2023 (January/February)
Summer 2023 (May/June)
Fall 2023 (August/September)
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Total Hours* This field is required.How many TOTAL hours (direct + indirect) does your program require?
10
Direct Hours* This field is required.How many DIRECT hours does your program require?
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Group Requirement?* This field is required.Does your program require you to obtain experience leading a group?
Yes
No
12
Group Requirement - DetailsPlease provide details about your program requirements for group experience (hours, type of group, etc.)
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Normal
Small
Ok
Ok
13
Any additional comments or questions for us?
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Ok
Ok
14
Cover Letter* This field is required.Please upload a cover letter below:
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Max. file size: 10.6MB
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15
Resume* This field is required.Please upload a copy of your resume below:
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Max. file size: 10.6MB
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16
Signature* This field is required.I acknowledge that I have read and understood CCCA's hours and scheduling requirements as described above and believe I will be able to meet these requirements.
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