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Program Evaluation

Clinical Documentation & Due Dates
2009-2010 Academic Year

Clinical documentation is now available on PDF forms that you can complete on your computer and print. Click to download a complimentary version of Adobe Reader.

Remember to track your clinical activity throughout the term. Required Clinical Activity Logs are due the last day of classes. See below for links.

**You will find a great overview to your clinical experience in the practicum and internship orientation for masters or doctoral students. You may also find some answers to some commonly asked questions on the FAQ page.

 

Form

Due Date
(5:00pm)

Fall
2009

Spring
2010

Summer
2010

Required Clinical Documentation

SCG students Fingerprints on file w/ Alachua County

Prior to first semester of enrollment in the SCG program. See fingerprint requirements. Email the Assistant Clinical Coordinator at ceclinical@coe.ufl.edu each term in clinical to confirm fingerprints are on file.

SCG students Out-of-county internships

An application must be submitted directly to the College of Education Student Services in G-416. Submit a copy to the Assistant Clinical Coordinator as well. Visit their website for the application, FAQs and deadlines.

International Students

A Curricular Practical Training Form must be completed each semester prior to beginning the clinical experience.

Application Form

6 weeks into term prior

6/19/09

10/2/09

2/12/10

Control Log

6 weeks into term prior

6/19/09

10/2/09

2/12/10

Site Agreement Form (ACD & EDC)

10 weeks into term prior

7/17/09

10/30/09

3/12/10

Site Agreement Form (SCG)

End of 1st week of current term

8/28/09

1/8/10

Not avail

Professional Liability Insurance Policy

End of 1st week of current term

8/28/09

1/8/10

5/14/10

HIPAA Certificate

End of 1st week of current term

9/5/08

1/16/09

5/15/09

Individual Supervision Confirmation Form

End of 1st week of current term

8/28/09

1/8/10

5/14/10

Prospectus

End of 1st week of current term

8/28/09

1/8/10

5/14/10

Site Host Mid-Semester Report Form

End of 7th week of current term

10/09/09

2/19/10

6/25/10

Site Host End-of-Term Report Form

Last day of classes of current term

12/09/09

4/21/10

8/6/10

Group Supervisor End-of-Term Report Form

Last day of classes of current term

12/09/09

4/21/10

8/6/10

Individual Supervisor End-of-Term Report Form

Last day of classes of current term

12/09/09

4/21/10

8/6/10

Clinical Activity Log (ACD & EDC)

Last day of classes of current term

12/09/09

4/21/10

8/6/10

Clinical Activity Log (SCG)

Last day of classes of current term

12/09/09

4/21/10

8/6/10

Optional Feedback Forms completed by students for sites, site hosts, & supervisors

Site Information Report

Last day of classes of current term

12/09/09

4/21/10

8/6/10

Site Host Behavior Rating Scale

Last day of classes of current term

12/09/09

4/21/10

8/6/10

Individual Supervisor Behavior Rating Scale

Last day of classes of current term

12/09/09

4/21/10

8/6/10

Group Supervisor Behavior Rating Scale

Last day of classes of current term

12/09/09

4/21/10

8/6/10

Last modified: April 09, 2009