Name: __________________________
Advisor: __________________________
Attach written description of experiences that support your competence in each of these areas
Membership (state or national) and attendance at two state or national conferences (not workshops).
List organization's conferences that you attended, dates, and locations. Attach a copy of the conference receipts & membership card.
Significant contribution to one or more of the following on a research study:
Attach letter from project director.
Include title and journal. Attach a copy of receipt letter from journal editor.
Include title, organization, and location. Attach copy of acceptance/rejection letter from organization.
Co-teaching a course in counselor education with a faculty member or presenting in a counselor education class. Attach a copy of the course syllabus with a letter from the faculty member indicating your involvement.
Note: These requirements must be completed prior to the approval of your dissertation proposal. Documentation must be attached to this form and turned in to advisor.
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