Topic 3 Counseling Acknowledgements

Office of Field Experience

Box 478, P.O. Box 11097

Phoenix, Arizona 85061-1097

UNV-508 Topic 3 Counseling Acknowledgements Form

To complete this assignment, please review the resources listed in the Topic 3 Counseling Acknowledgements Form assignment then acknowledge each in the designated section below.

I. Unprofessional Conduct Acknowledgement

The College of Humanities and Social Sciences (CHSS) through its counseling programs may take disciplinary action against a student who has demonstrated unprofessional and/or unethical conduct unbecoming of a counselor in training (CIT) or is terminated by the practicum or internship site. A remedial Developmental Action Plan (DAP) is implemented if the counselor in training does not demonstrate sufficient progress with regard to performance, dispositional values, or professional standards. In the event of a referral, the counseling program’s Professional Practices Committee (PPC) reviews all documentation and makes a determination as to whether the alleged violation or deficiency has been substantiated and which actions may apply.

By signing below, I acknowledge:

II. CMHC and SC Counselor in Training Handbook

By signing below, I acknowledge:

I have reviewed the CMHC and SC Counselor in Training Handbook and will adhere to the requirements and expectations.

Printed Name	Date	Electronic Signature

III. Clinical Mental Health Counseling e-Portfolio Requirements and e-Portfolio Video

By signing below, I acknowledge:

I have reviewed the Clinical Mental Health Counseling e-Portfolio Requirements and e-Portfolio video and understand the expectations.

Printed Name	Date	Electronic Signature

IV. Counseling Connection Community Website

By signing below, I acknowledge:

I have successfully logged into the Counseling Connection Community website with my GCU email and password.

Printed Name	Date	Electronic Signature

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