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www.waldenu.edu
College of Social and Behavioral Sciences
School of Counseling
Counseling Masters’ Programs
socmasfieldexperience@waldenu.edu
INDIVIDUAL INTERNSHIP PLAN—CMHC & MCFC
The Individual Internship Plan is designed to assist you with the development of your goals and objectives for your entire field experience process. In addition to the Mid-Quarter Evaluation and the Supervisor Evaluation of Student forms, the Individual Internship Plan is a tool that will help you assess your progress in professional dispositions and in your cultural sensitivity.
Steps:
Complete the Cultural Competence Assessment and the Professional Practice Assessment to self-assess your development to this point. The assessments are available in Week 1 Learning Resources: Required Readings of this course.
Reflect on how you responded to the self-assessments and what type of reactions you had to the questions.
Discuss your impressions with your site supervisor.
Develop the professional disposition goals and objectives that you would like to target in your field experience for your three lowest areas.
NOTE: If you have created this plan in a previous quarter, evaluate your progress by retaking the assessment and discuss with your site supervisor the next opportunities to grow in these areas.
Electronically sign and have your site supervisor also sign at the end of the document.
Your goals and objectives should be specific to your professional development goals as well as to your site’s needs and opportunities. Please remember to refer to the American Counseling Association Code of Ethics section titled, “Supervision, Training, and Teaching,” regarding any goals and objectives that are related to supervision.
DEFINITION______________________________________________________
Goal: A goal is a broader expectation that you hope to achieve by the time you graduate. This is a larger picture goal for the item listed. The goal should motivate you to grow throughout your field experience work.
Objectives: Objectives are elements that add up to achieving the goal. Consider what actions you can take to move towards accomplishing your goals during your field experiences. You may build multiple objectives that will span all of your field experiences, or you may focus just on this individual quarter. Your objectives should be simple, measurable, and time sensitive.
FIELD EXPERIENCE DISPOSITIONS, GOALS, & OBJECTIVES_____________
Counselor Responsibility:
Engagement: Punctually attends scheduled meetings, actively contributes in required academic settings, and promotes other students’ learning.
Goal: Punctually attends scheduled meetings, actively contributes in required academic settings, and promotes other students’ learning.
Objectives: To enhance counselor responsibility and engagement in an academic environment
End of Quarter Progress Summary:
Accountability: Accepts personal contributions to academic, skills, and comportment deficiencies and acts responsibly to enhance professional effectiveness.
Goal: Accepts personal contributions to academic, skills, and comportment deficiencies and acts responsibly to enhance professional effectiveness.
Objectives: To take part in regular self-reflection and discover areas of improvement in academics, skills, and professional sets.
To develop a great place to fix the identified weaknesses, including seeking further resources, guidance, and mentorship.
End of Quarter Progress Summary:
Counselor Fitness:
Relationships: Interacts with others in a professional manner and effectively navigates interpersonal differences.
Goal: Interacts with others professionally and effectively navigates interpersonal differences.
Objectives: Enhance practical communication skills to facilitate easier interaction with other stakeholders.
Formulate proper strategies to help resolve interpersonal conflicts.
End of Quarter Progress Summary:
Sensitivity: Attends to the feelings, experiences, and perceptions of others and consistently honors their autonomy.
Goal: To promote sensitivity by being empathetic towards others and respecting their independence.
Objectives: To develop proper listening skills to listen and understand other people and their issues effectively.
To effectively respond to the needs and feelings of others with respect.
End of Quarter Progress Summary:
Impartiality: Displays contextual and cultural competency by valuing the fundamental rights, dignity, and worth of all people – including respect for age, culture, disability, ethnicity, race, religion/spirituality, gender, sexual orientation, marital/partnership status, language preference, socioeconomic status, veteran status, immigration status, or any basis proscribed by law or as defined by potential clients’ experience.
Goal: To be impartial and culturally competent when dealing with others to maintain their dignity and respect.
Objectives: Enhance cultural awareness and respect diversity.
Promote equitable treatment of diverse groups by fighting prejudices and cultural biases.
End of Quarter Progress Summary:
Counselor Maturity
Discipline: Exhibits ability to control personal stress, self-disclosure, and excessive emotional reactions that interfere with professional functioning.
Goal: To portray counselor maturity by handling personal emotions and enhancing professional reactions in the work environment.
Objectives: Formulate adequate stress management mechanisms to deal with personal stress throughout the period.
To ensure I professionally deal with personal issues without affecting work relationships with colleagues and clients.
End of Quarter Progress Summary:
Awareness: Manifests alertness of how personal beliefs, attitudes, values, and behaviors affect others and uses sound judgment to properly assess situations.
Goal: To show awareness by demonstrating alertness of how values, attitudes, and behaviors affect others by showing sound judgments in such situations
Objectives: To continuously assess values, attitudes, and behaviors and how they affect others and improve.
Be empathetic when dealing with others and respect their perspectives on different issues.
End of Quarter Progress Summary:
Growth: Exhibits willingness to engage in self-examination, challenge assumptions, and integrate feedback to reach an acceptable level of competency. 
Goal: To demonstrate growth by being willing to self-evaluate, accept criticism and integrate feedback to improve.
Objectives: To participate regularly in self-evaluation to identify weaknesses and integrate feedback for growth.
To positively take feedback and criticism from supervisors, colleagues, clients, and other respective stakeholders and improve.
End of Quarter Progress Summary:
Counselor Integrity:
Communication: Displays respectful tone and uses open, honest, and accurate statements in dealing with others.
Goal: To show counselor integrity by being honest, transparent, and open in all transactions and engagements.
Objectives: Employ a professional tone that shows respect for others
Be honest, transparent, and candid when engaging with clients, colleagues, and other stakeholders.
End of Quarter Progress Summary:
Congruence: Demonstrates ability to acquire and integrate ethical codes, accreditation standards, and institutional policy into one’s repertoire of professional behavior in all settings.
Goal: To show unity by getting and integrating an ethical code of conduct, accreditation standards, and professional conduct in all settings.
Objectives: To thoroughly understand the respective codes of conduct and ethics to guide my professional conduct.
To fully integrate the acquired codes, standards, and practices in my daily operations.
End of Quarter Progress Summary:
Counselor Wellness:
Wellness: Demonstrate the ability to engage in self-care practices to minimize and address signs of impairment. Actively take steps to support physical, mental, or emotional well-being.
Goal: To enhance counselor wellness by practicing self-care and handling any distress.
Objectives: Develop self-care practices to enhance counselor wellness.
Continuously conduct self-care examinations to identify areas of weakness and address the impairment in its initial stages.
End of Quarter Progress Summary:
END OF QUARTER (WEEK 10) INTERNSHIP SELF-ANALYSIS______________
Here, you will review your individual internship plan goals and provide self-analysis regarding barriers/challenges to your goals, insights you have gained about yourself as a Counselor-in-Training during the quarter, and how you intend to address challenges as
List Three Ideas from Colleagues’ Tackle Box Discussion Topics to incorporate into your own practice.
Student Electronic Signature
Printed Name: Jill Michel-Jean
By checking this box and providing my email address as an authentication, I am providing an electronic signature certifying that I agree to adhere to the Individual Internship Plan as written above.
Student email address: jill.micheljean@waldenu.edu(provides authentication for electronic signature and thus must match the email address on file with Walden University)
Today’s Date:
Site Supervisor Electronic Signature
Printed Name:
By checking this box and providing my email address as an authentication, I am providing an electronic signature certifying that I agree to adhere to the Individual Internship Plan as written above.
Site supervisor email address: dsrisuppak@cp-cto.org (provides authentication for electronic signature and thus must match the email address on file with Walden University)
Today’s Date:
College of Social and Behavioral Sciences Policy on Electronic Signatures
Walden’s College of Social and Behavioral Sciences manages the field experience application processes in a nearly paperless environment, which requires reliance on verifiable electronic signatures, as regulated by the Uniform Electronic Transaction Act. Legally, an “electronic signature” can be the person’s typed name, their email address, or any other identifiable marker. An electronic signature is just as valid as a written signature as long as both parties have agreed to conduct the transaction electronically. Walden staff will verify any electronic signatures that do not originate from a password-protected source (i.e., an email address officially on file with Walden).
Rev: 5.20.2020
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