Practicum and Internship Site Signup - College of Education and Human Services University of Wisconsin Oshkosh

Placement Site Information
Name of Site*
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Placement Details
Type of Placement*
- Select All
- Practicum
- Internship
Indicate only one.
Area of Emphasis*
- Community | Mental Health
- School
- University | College
Check all that apply
What grade level or population do you work with?*
Length of Placement
- Select All
- Fall Semester
- Spring Semester
Position Title
Student Tasks | Responsibilities*
Please write a detailed job description with all student responsiblities and tasks.
Required | Preferred Qualifications*
Please describe the knowldege base or pervious experience needed or preferred for your position.
Shifts Required (days, evening, weekends)*

Contact Information
Please list the contact information for the student to pursue placement.
Name*
First Last
Phone*
Email*
Enter Email Confirm Email
Website
Agreement
I agree and indicate permission for the UW Oshkosh Professional Counseling Department to reprint and distribute the practicum and internship placment description and contact information that I have provide via this form.
- Yes, I agree
- No, I do not agree
Comments
This field is for validation purposes and should be left unchanged.

Professional Counseling