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Meditrek Guide for Counseling Students: Application Checklist

Application Checklist

The Field Experience Application is designed as a checklist of items that must be completed for approval. The checklist contains some or all of the following items, depending on your program and the details of your field experience:

Documents to Upload to Meditrek:

  • PhD-CES Individual Internship Plan Form (CES Internship ONLY)
  • Doctoral Internship Supplements (CES Internship ONLY)
  • Field Experience Learning Agreement
  • Site Supervisor Resume/CV
  • Site Supervision Contract
  • Student Professional Liability Insurance Certificate
  • Student Job Description (if applicable)
  • Student Home and Community-Based Safety Training (if applicable)
  • Site Supervisor Telemental Health Questionnaire (if applicable)
  • Student Telemental Health Services Training (if applicable)

Forms to Complete in Meditrek:

  • Student Information Form
  • FERPA (Family Educational Rights and Privacy Act) Release
  • Field Experience Student Orientation
  • State Education Specialization
  • Field Site Information
  • Site Supervisor Information
  • In-home Counseling
  • Telemental Health
  • COVID-19 Acknowledgement

Additional Items:

  • Student Eligibility Audit
  • Counseling Work Samples

Click on the corresponding link in your Meditrek application to access each component of the application. Depending on your responses in the Field Site Information form, additional item(s) may be added to your checklist before you can submit your application.

Documents to Upload to Meditrek

The items in this part of the Application Checklist are documents that you need to upload to Meditrek. Required Walden forms are available on the Required Documents page of the SOC-OFE Website. For each item, you will need to upload the required document to Meditrek, then link the uploaded document to the appropriate item in the checklist.

  • PhD-CES Individual Internship Plan (CES Internship ONLY)
  • Doctoral Internship Supplements (CES Internship ONLY)
  • Field Experience Learning Agreement
  • Site Supervisor Resume (If you indicate that it is not already on file with the SOC-OFE ONLY)
  • Site Supervision Contract
  • Student Professional Liability Insurance Certificate
  • Student Job Description (If you are using an employment position to fulfill field experience requirements ONLY)

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Uploading and Linking Documents to Checklist Items

  1. Click the “Choose File” button to select the appropriate file.

  2. Type in a description, if desired.

  3. Click the “Upload” button.

  1. Under “Choose Document Type,” select the document type the corresponds to the checklist item in the dropdown menu.

  2. Click the “Select” button.

  1. Select the corresponding uploaded item in the “File” dropbox.

  2. In “Select Site/Supervisor” dropbox, select the information that corresponds to the application to which you are uploading information.

  3. Click the “Save” button to complete the document upload process.

Important Note for PhD-CES Doctoral Internship Applicants: The Doctoral Internship Supplements must be saved in a zip file and then the zip file will need to be uploaded to this section of your application. The upload manager will not allow you to link more than one file to a checklist item.

Forms to Complete in Meditrek

This section is comprised of forms that must be completed directly in Meditrek. Many forms have both a “Submit” and a “Save Draft” option at the bottom of the screen. You can select “Save Draft” to save the information that you have entered and come back to complete the form later. If you’ve clicked “Submit” and there are any incomplete items, the page will refresh with red asterisks indicating which sections still need to be completed.

  • Student Information Form
  • FERPA (Family Educational Rights and Privacy Act) Release
  • Field Experience Student Orientation
  • State Education Specialization
  • Field Site Information
  • Site Supervisor Information
  • In-home Counseling
  • Telemental Health
  • COVID-19 Acknowledgement

Additional Items

Student Eligibility Audit

Upon submission of your application, the SOC-OFE Operations team will also audit your student record to ensure that you are eligible for field experience. You can view the results of this audit, including outstanding prerequisites for field experience under “Student Eligibility Audit” on your Field Experience Application Checklist.


Counseling Work Samples

A Counseling Work Sample is required of all students who have not participated in a professional practice experience (residency/pre-practicum or field experience course) for two years prior to starting the field experience. This item is included in the checklist for your information – nothing needs to be submitted in Meditrek here. See the SOC-OFE website for detailed information about Counseling Work Samples.