Contact the Department of Educational Psychology
Forms, checklists, and manuals
Find forms and policies that apply to all Department of Educational Psychology master’s and doctoral programs.
General forms for EPS department & all EPS programs Accordion Closed
EPS 697 and CPP 697 Independent Studies Instructions & Form
Graduation Application Information (Graduation Application section)
New EPS EdS and Masters graduate student orientation documentation
- Professional Disposition Evaluation Form (PDE)
- New EPS EdS and Masters Graduate Student Orientation Presentation
- EPS Program Agreement Contract
- EPS New Graduate Student Bookmark Document
Graduate assistantship
The Department of Educational Psychology graduate assistantship application due date is March 15, at 11:59 PM. Your application and curriculum vita or resume must both be received by that date to be considered for a department graduate assistantship position for the next academic year. Please send your curriculum vita or resume to EPS@nau.edu.
- EPS Graduate Assistant Application (this link is now closed and will reopen in January 3, 2025)
Graduate scholarship (tuition waiver)
The Department of Educational Psychology graduate scholarship (tuition waiver) application due date is March 15, at 11:59 PM. Your application must be received by that date to be considered for a department graduate scholarship for any period within the next academic year.
- EPS Graduate Scholarship (Tuition Waiver) Application (this link is now closed and will reopen in January 3, 2025)
Student Professional Development Funding
EPS Student Professional Development Application
*Fall semester funding consideration, applications must be submitted by September 15
* Spring semester funding consideration, applications must be submitted by March 1
* SPECIAL INSTRUCTIONS: Apply well in advance of your planned event registration or travel date, and ensure your letter/email of support is submitted quickly. Your application will not be reviewed until a letter/email of support is received
Graduate Student Organization (GSO)
COE Dean’s Graduate Research/Travel Grant Program Application
Travel Related Information:
NOTE: As of July 1, 2023 Personal Funds cannot be used for Conference Registration, Airfare or Lodging. Please review the EPS Department Travel Workbook for travel restrictions and instructions
- EPS Department Travel Workbook
- COE Travel Request Form
- Authorized Driver Information – Certification valid for three-years
- Annual Travel Certification Form – Required once per fiscal year
- Current Meals and Lodging Cost Index
- Multiple Occupancy Form Instructions
- Post-Travel Itinerary
- Post-Travel Mileage Log
- NAU Travel: Cost Comparisons Instructions
- Travel Policy
- Travel Training – Required once per fiscal year
- Policy Compliance Review Instructions
Purchase or Reimbursement Related Information (non-travel related):
Records Retention Schedule
Practicum (for Clinical Mental Health and School Counseling only) Accordion Closed
EPS Practicum Clinic Manual (current)
Practicum Master Syllabus (rev. 2020)
Practicum Student Confidentiality Statement
Client file documents (for Clinic)
- All client file documents for the Clinic are available through our electronic health records (TherapyNotes)
As-Needed clinic documents
Documents for practicum students’ notebooks
- Confirmation of Group Supervision Form
- Counseling Supervision Log
- Documentation of Observation Form
- Practicum Clinic Confidentiality Statement
- Hourly Log for CMHC Counselors-in-Training
- Hourly Log for School Counseling Counselors-in-Training
Evaluation documents (completed by NAU Practicum Clinic Faculty)
- Midterm/Final Counseling Practicum Counselor-in-Training Evaluation Form
- (Field-Based) Contract for Supervised Practicum Experiences Conducted In-the-Field
- Faculty Evaluation Case Staffing Reflection Paper, completed at mid-term and end-of-semester
Evaluation documents (completed by Field Supervisor)
- 692 Field Supervisor’s Evaluation of Practicum Student (End of Practicum only, 2019 – on)
Evaluation documents (completed by Practicum Clinic Students)
- (Field-Based) Counselor-in-Training Evaluation of Site Form
- (Field-Based) Counselor-in-Training Evaluation of Site Supervisor Form
Recruiting clients
Clinical Mental Health Counseling Internship Accordion Closed
Before Internship Begins:
- Before an internship can begin, there must be an NAU Affiliation Agreement in place. This is required per NAU Policy on Affiliation Agreements. Please review this document for further information regarding Affiliation Agreements and instructions for how to set-up an Affiliation Agreement with your desired Internship site.
- CMHC Internship Manual & Syllabus
- Sample of a Completed CMHC internship Contract
- Step 1, Rough Draft of CMHC Internship Contract
- M.A. Counseling Internship Contract – Official electronic version
- NAU’s Internship Coverage Statement (in addition to the required individual liability all Practicum and internship students must carry)
Before Internship Begins – Supervisor Orientation, Consultation & Professional Development
- Site Supervisor Orientation Video #1
- Site Supervisor Orientation Video #1 Handout
- Site Supervisor Orientation Video #1 Quiz
- (Recommended, but not Required) Site Supervisor Training Video #2 – Goodyear’s Feedback Informed Supervision
- One Free Continuing Education Unit (CEU) for Site Supervisors: Case Conceptualization Via Integral Theory
Throughout internship:
Mid-Point (before reaching 300 total hours):
- CMHC mid-point and final Evaluation by Site Supervisor and Student
- Intern Feedback for Agency Site (mid-pt)
- Intern Feedback for Agency Supervisor (mid-pt)
- Intern Feedback for NAU Faculty (mid-pt)
- CMHC Reflection Paper – Faculty Scoring Link (mid-pt)
- CMHC Faculty Link for First Contact
- CMHC Faculty Link for Second Contact
- CMHC Faculty Link for Third Contact
- CMHC Reflection Paper Rubric/Guideline (for interns)
Final (Near the end of internship – just before reaching 600 total hours):
- CMHC mid-point and final Evaluation by Site Supervisor and Student
- Intern Feedback for Agency Site (final)
- Intern Feedback for Agency Supervisor (final)
- Intern Feedback for NAU Faculty (final)
- Agency Supervisor End of Internship Program Evaluation Form (final)
- CMHC Reflection Paper – Faculty Scoring Link (final)
- CMHC Faculty Link for First Contact
- CMHC Faculty Link for Second Contact
- CMHC Faculty Link for Third Contact
- CMHC Reflection Paper Rubric/Guideline (for interns)
Additional Intern forms:
School Counseling Internship Accordion Closed
Before Internship Begins:
- Before an internship can begin, there must be an NAU Affiliation Agreement in place. This is required per NAU Policy on Affiliation Agreements. Please review this document for further information regarding Affiliation Agreements and instructions for how to set-up an Affiliation Agreement with your desired Internship site.
- School Counseling Internship Manual (March 2022)
- Internship timeline & checklist
- M.Ed. School Counseling Internship Contract
- Sample of Completed School Counseling Internship Contract
Supervisor Orientation, Consultation & Professional Development
- Video #1: Overview of NAU’s School Counseling Internship, expectations and evaluation forms
- Video #2: Overview of Supervision Models and Methods
- Video #3: One Free Continuing Education Unit (CEU) for Site Supervisors: Case Conceptualization Via Integral Theory
- Site Supervisor Orientation Quiz
Throughout Internship:
Mid-Point Evaluations (before reaching 300 total hours):
- Mid & Final Evaluation by School Supervisor and Student Self Evaluation
- Intern Feedback for School Site
- Intern Feedback for School Supervisor
- Intern Feedback for NAU Faculty
- SC Reflection Paper Rubric
Final Evaluations (Near the end of internship – just before reaching 600 total hours):
- Mid & Final Evaluation by School Supervisor and Student Self Evaluation
- School Supervisor End of Internship Program Evaluation Form
- Intern Feedback for School Site
- Intern Feedback for School Supervisor
- Intern Feedback for NAU Faculty
- SC Reflection Paper Rubric
Additional Intern Resources:
- ASCA Professional Standards & Competencies
- ASCA Mindsets and Behaviors
- Multicultural and Social Justice Competencies
- State Certification Requirements
NAU Faculty Forms:
For MEd Counseling / Student Affairs Accordion Closed
EPS Practicum Clinic Manual (Spring 2017)
- Authorization for Release of Information Form
- Case Review for Quality Assurance Checklist
- Class Credit Form
- Confirmation of Group Supervision Form
- Counseling Supervision Log
- Documentation of Observation Form
- EPS Counseling Psychology Doctoral Practicum Evaluation Form
- Free Counseling Form
- Informed Consent Agreement Form
- Intake Interview Report Form
- List of Clients Log
- Mental Status Behavioral Checklist
- No-Suicide Contract
- Progress Notes Form
- Request for (Families – Couples) Services Form
- Request for (Individuals) Services Form
- Session Rating Form
- Termination Summary Form
- Treatment Planning Form
- Practicum Clinic Confidentiality Statement
EPS 608 Student Affairs Fieldwork Handbook (11-20-19)
- Student Affairs Fieldwork Contract
- Student Affairs Fieldwork Faculty Supervisor Contact Form
- Student Affairs Fieldwork Student Evaluation Form
- Student Affairs Fieldwork Student Evaluation of Faculty Supervisor Form
- Student Affairs Fieldwork Student Evaluation of On-Site Supervisor Form
- Student Affairs Fieldwork Student Evaluation of Site Form
- Student Affairs Fieldwork Weekly Narrative Reflection Form
Combined Counseling/School Psychology PhD program Accordion Closed
- Combined Counseling/School Psychology Doctoral Student Handbook
- Combined Counseling/School Psychology Doctoral Practicum Handbook
- Combined Counseling/School Psychology Doctoral Student Checklist
- Intent to take Discipline Specific Knowledge (DSK) / Doctoral Comprehensive Examinations form
- NAU PhD Practicum and Fieldwork Midpoint & Final Evaluation
- Dissertation Funding Support Application