This customizable form outlines the specific requirements for passing a practicum course. By endorsing the form, students are acknowledging their understanding of and agreements with the passing minimums for the course.

The CACREP 2016 definition of “Direct Service” is: supervised use of counseling, consultation, or related professional skills with actual clients (can be individuals, couples, families, or groups) for the purpose of fostering social, cognitive, behavioral, and/or affective change. These activities must involve interaction with others and may include: (1) assessment, (2) counseling, (3) psycho-educational activities, and (4) consultation. The following would not be considered direct service: (1) observing others providing counseling or related services, (2) record keeping, (3) administrative duties, (4) clinical and/or administrative supervision.

 The requirements and definition of “Direct Service” on this form should be edited for your institution.