http://www.sandiego.edu/soles/documents/Contract_for_Preparing_to_be_a_Counselor

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CONT RA CT FO R PREP ARING TO BE A COUNSEL OR Last Name

First Name

cell # SSN

e-mail DOB

USD ID#

PLEASE FILL OUT THE ABO VE AND SUMBIT TO THE CREDENTIAL ANALYST in SOLES Room 101D #1 and 2 MUS T BE COMPLE TE D BE FO RE pract icu m PLACE ME NT . You will not be cleared for practicum/fieldwork placement if this form is not reviewed and signed by you and the Credential Analyst. To be initialed by Credential Analyst: Preparation #1 Cert if ica t e of Clearan ce Apply for certificate of clearance through the SDCOE OR submit verification of current valid credential, emergency or sub permit.

Preparation #2 Calif o rn ia Basic Educat iona l Skil ls Test (CBES T) Submit copy of passing results to the Credential Analyst.

Date of ve r if i ca tio n of abo ve to Directo r of Fie ld E xpe rie nces Preparation #3 O f f i cia l transcripts Submit copies of transcripts showing the bachelor’s degree to the Credential Analyst. These are in addition to the transcripts you submitted to USD for admission. Order extra copies for yourself for future credential and job applications. Preparation #4 Transf e r Coursework Submit official transcripts in a sealed envelope to the credential analyst for any coursework completed at another university for the PPS credential Preparation #5 Credent ia l Progra m / Ap p ly f or Credent ia l Complete credential program and practicum/fieldwork. Apply for Credential through Credential Analyst at beginning of final semester of PPS credential coursework. (This application is in addition to the certificate of clearance application) Other:

The Credential Handbook is available from the Credential analyst and on the web site www.sandiego.edu/soles/students/policies.php Student Signature

Date


Credential Analyst Signature e-mail Credential@sandiego.edu (619) 260-4821

Date of Meeting


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