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Psychology Practicum Application
Students should submit this application only after:
1. talking to your advisor about whether practicum will be a good fit for your schedule.
2. reviewing the MWSU Practicum in Psychology website
https://www.missouriwestern.edu/psychology/psy420/
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Email
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Your email
Today's date
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MM
/
DD
/
YYYY
Semester in which you hope to do your Practicum
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Spring
Fall
Last Name
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Your answer
First Name
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Your answer
Best phone number
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Your answer
G Number
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Your answer
Who is your advisor?
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Your answer
Class Standing by the time your practicum begins
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Senior
Junior
Sophomore
Freshman
Microcredential
Other:
The university strongly encourages students to carry adequate and appropriate health/medical and vehicle insurance as a participant in the practicum program.
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I understand
Required
Brief description of what type of experiences you hope to achieve during a Practicum (e.g. types of places, people or activities you are interested in). If you aren't sure, just let us know that. Reviewing the list of agencies on the MWSU Psychology Practicum website might be useful.
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Your answer
Please list any PSY courses you have taken, or are currently taking, that have helped prepare you for the type of practicum you would like to do. If you aren't sure what you want to do, just list all your PSY courses.
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Your answer
Please describe what city/town/area(s) would be ideal for a practicum placement for you (e.g. St. Joseph, Kansas City, Cameron, etc.)
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Your answer
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