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COUN 669: Application of Intent to Enroll in Practicum
Student Name:
UIN:
ODU Email:
You will receive a copy of this application via email once you sign and submit the application.
If you do not receive a copy, please email clinicalcoord@odu.edu to request a PDF of your application.
Semester and Year to take Practicum:
Fall 2023
Spring 2024
Summer 2024
Fall 2024
Spring 2025
Summer 2025
Counseling Specialty Area:
Mental Health Counseling
School Counseling
List three sites where you are interested in placement.
Site 1:
Site 2:
Site 3:
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