Supplemental Program Application

Master of Science in Clinical Rehabilitation & Mental Health Counseling

Department of Counseling, Rehabilitation Counseling & Counseling Psychology

College of Education & Human Services

West Virginia University

PO Box 6122

Morgantown, WV 26506-6122

304.293.3809

Please provide the following information. Do not hand write, type.

Name:______

(Last) (First) (Middle Initial)

Mailing Address:

Home Phone:

Work Phone:

Mobile Phone:

eMail Address:

Last four digits of Social Security number: ______

I plan to take the General Record Examination (GRE) or Millers Analogies Test (MAT) by the following date:______

My plan is to enroll in one of the following options, if accepted into the program:

Two year ______

Three year ______

Other (please provide specifics)______

Entry-level admission decision recommendations are made by our selection committee and include consideration of each applicant’s (1) relevance of career goals, (2) aptitude for graduate-level study, (3) potential success in forming effective counseling relationships, and (4) respect for cultural differences. Please respond to the following questions using critical thinking and professional communication skills. We will use your responses to evaluate your potential for success in our program. Our expectation is to receive 4 to 5 pages.

1)  How did you develop an interest in rehabilitation and mental health counseling?

2)  Tell us more about the type of counseling you are interested in pursuing. Specific populations, agencies, etc.

3)  How have past education, training and/or work experience contributed to your readiness to undertake this program of study?

4)  What do you believe it takes to form an effective counseling relationship and what personal characteristics, experiences or skills do you have which will help us evaluate your potential for success in this area?

Professional Responsibility and Ethics

The program uses two codes of ethics as guidelines for conduct. One is the Code of Ethics for Rehabilitation Counselors published by the Commission on Rehabilitation Counselor Certification found at https://www.crccertification.com/cve-cwa-ccaa-code-of-ethics The other is the American Counseling Association Code of Ethics (2014) found at http://www.counseling.org/resources/aca-code-of-ethics.pdf Students may also be dismissed from the program if they violate rules or practices of the institution where they are assigned practicum or internship as well as in the classroom or related activities.

Please review them carefully. When submitting this application to be considered for training as a counselor, you are indicating your commitment to maintaining these ethical standards. An example of expectations of counselors in the ACA code of ethics is:

C.2.a. Boundaries of Competence

Counselors practice only within the boundaries of their competence, based on their education, training, super- vised experience, state and national professional credentials, and appropriate professional experience. Whereas multicultural counseling competency is required across all counseling specialties, counselors gain knowledge, personal awareness, sensitivity, dispositions, and skills pertinent to being a culturally competent counselor in working with a diverse client population.