Application for Practicum Placement

First Name:

Last Name:

Your E-Mail Address:

University/Program of study:

Practicum you are applying for:

Therapy Practicum (Clinical/Counseling doctoral or master’s programs)
Therapy Practicum (Kent School of Social Work only)
Assessment Practicum (Clinical/Counseling doctoral programs) Include a sample comprehensive report with application

Sample comprehensive report with application:

List courses taken in your program: Or, you may attach an unofficial transcript below

Unofficial transcript upload:

Previous experience: Briefly describe any previous experience (e.g ., clinical or assessment experiences):

Your goals: Briefly describe your goals for the practicum.

A Department of STUDENT AFFAIRS

Counseling Center
Student Activities Center
2100 South Floyd Street, W204
Louisville, Kentucky 40208

Office Hours

Services will be provided in-person and via telehealth.

Mon -Fri: 9am - 5pm

Sat & Sun: closed

After hours or emergency services

Urgent Consultations

Mon-Fri 9am-4pm Please call or walk in to set up a consultation.

Operations may temporarily shift based on University COVID-19 protocols.

Closed on University holidays and closings.

We observe all delayed starts and early closings set by the University. This includes cancellation of telehealth appointments when the University is closed.

Phone

(502) 852-6585

FAX

(502) 852-0291

Inclusion Statement

coping@louisville.edu
Note that email cannot be used to make appointments.

Social Media

Facebook

Instagram

Twitter