Application for Training Placement atCCC Clinical Training Program

Training Year of 2017-2018

Please type your responses and include this application with the other required documents in your application packet. Your application is for training positons at all seven of the City Colleges of Chicago Wellness Centers; however, you are given the opportunity to indicate your site preference(s). Please keep in mind that our colleges at greater distance from downtown Chicago are easily accessible via CTA and provide free parking.

Please provide your contact information:

Name
Email
Phone
Your school

Please indicate the type of placement you are seeking:

Type of Placement /
Masters-level, Counseling/Psychology
Masters-level, Social Work
Doctoral-Level, Therapy
Doctoral-level, Advanced Therapy
Doctoral-level, Diagnostic

Please indicate your site preferences. You may check as many sites as you wish:

The Wellness Center at: /
Daley College
Harold Washington College
Kennedy-King College
Malcolm X College
Olive-Harvey College
Truman College
Wright College

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Have you applied to or interviewed with CCC Wellness Centers before?

Yes
No

Statement of Preparation

Your program has provided you quality instruction to prepare you for a training experience with us. However, other than your classroom experiences, please provide a short statement (150 words or less) telling us about experiences that you believe havehelped prepare you for a training placement in a college counseling center.

Statement of what distinguishes you

We receive many applications from highly qualified applicants. Tell us about an experience, ability, or unique characteristic that might help us distinguish you as a qualified candidate. (100 wordsor less).

If you have had a prior training placement, please answer the following question. If not, please skip this question.

During a prior training experience, did you experience any problems that required a conversation between your school and the training site to resolve? Please explain the situation, how you handled it, and the outcome:

No, this is not true for me.
Yes, this is true for me.

If true for you, please provide details:

Email your completed application with your other application materials according to the instructions in “CCC Wellness Center Clinical Training Program ’17-‘18”

Thank you for your interest in placement with us!