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- STUDENT’S INFORMATION................................................................................................................... Table of Contents
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STUDENT’S INFORMATION
Student Name: REBECCAH NDUNGI…………………………………… Student Number: …BOBITNRB860418……………………………………………. Year of Study: 2020 …………… Semester……SEPT - DEC……… Campus of Study: …NAIROBI………………………………………………. Student’s Signature: BOBITNRB860418. Date…5/10/2020…...... Organization’s Details Name of Organization: SAMASOURCE KENYA…… Location/Address of the organization: …SAMERR PARK MOMBASA ROAD………………………... Industrial/External/Practicum Supervisor (Name): T R A C Y K A O N J E ........ (Mobile Number) ……0729223896……………… Industrial/Practicum Supervisor Signature: Tracy K Omamo…..Date… 5/10/2020………… University Details Faculty: ………………………………………………………………………………… University Academic Supervisor (Name): ………………………........................... (Mobile Number): ………………………………… Supervision and Consultations: (1)……… (2)……… (3)……… (4)………. …… Marks Awarded: ………………………………… University Academic Supervisor Signature: …………………….… Date………… Date of visit: ………………………………… Checked by: HOD - Faculty
Attachment/Practicum in Counseling Program This program is designed to assist the student bridge the gap between theory and practice. Field attachment and Practicum in Counseling is a field-based practical training experience that prepares trainees for the tasks they are expected to perform on completion of their training. The Attachment/Practicum period shall be 12 weeks commencing with normal university trimester calendar. Daily Description of Tasks A student should keep daily records of tasks accomplished during the period of attachment/Practicum. Weekly Description of Tasks A summarized entry of the work done and lessons learnt should be recorded. These entries will be checked by host supervisor for accuracy and relevancy and confirmed by the University supervisor. Entries not signed will not be accepted for assessment Report Presentation The student is expected to write an attachment report of about 5,000 words or an analysis of four Case Studies for Counseling Students which will be submitted to the assigned University/ Academic supervisor for marking at most two weeks after the expiry of the attachment period. The report/Case Study Analysis should be as per the format g prescribed below. Gradin g The industrial attachment will be graded as follows: Industrial Supervisor - 15% Academic Supervisor - 15% Attachment Log - 20% Attachment Report - 50% FOR STUDENTS UNDERTAKING PRACTICUM IN COUNSELING
- Consent Forms between client and counselor must always be filled as provided by the Site Supervisor or Manager.
- Consent Forms for Minors (Clients under 18 years require Parent or Guardian Consents).
- Individual Counselor must be a Bachelor’s Degree Level (for DCP Students), Master’s Degree Level (for BACP Students) and PhD level for Masters and PhD students and in all cases Certified by Kenya Counseling and Psychological Association or Kenya
Guidance, Counseling and Psychological Association. Copy of certificate to be attached to the confidential report to the Academic University Supervisor.
- Students will be expected to counsel and work with clients and use Intake Forms (individual, marital, family and group counseling, psycho-education).
Student to complete this section
Description of the Firm/ Service Delivery System for Counseling (Background, history, staff, facilities, and organizational structure.) Evaluation of Attachment/Practicum in Counseling Practical value of knowledge and experience, academic value in relation to course work, appropriateness of this attachment for future students Suggestions for improving the attachment/ Service Delivery Ideas you have for making your attachment position-or Course-a more valuable experience. Appendix Attach examples of work you did while serving as an intern. These may include photographs, pictorial representations, drawings, maps etc. (Three or more pages of appendix items may substitute for one written page of text in the paper). For confidentiality of clients, counseling practicum students should adhere to counseling ethics principles of the site as Guided by the Site Supervisor.
DAY
WEEK 1
Department…………………………………………………………………………………… Date: Beginning………………………… Ending……………………… DESCRIPTION OF ACTIVITIES UNDERTAKEN Weekly Lessons Learnt: ………………………………………………………………………………………………… ………………………………………………………………………………………………… ………………………………………………………………………………………………… ………………………………………………………………………………………………… ………………………………………………………………………………………………… Weekly Host Supervisor Comments: ………………………………………………………………………………………………… ………………………………………………………………………………………………… ………………………………………………………………………………………………… ………………………………………………………………………………………………… ………………………………………………………………………………………………… Name of Head of Department/Section..................................................................................... Signature ..................................... Date .........................................
WEEK 3
Department………………………………………………………………………………… … Date: Beginning………………………… Ending……………………… DESCRIPTION OF ACTIVITIES UNDERTAKEN DAY 1 2 3 4 5 Weekly Lessons Learnt: ………………………………………………………………………………………………… ………………………………………………………………………………………………… ………………………………………………………………………………………………… ………………………………………………………………………………………………… ………………………………………………………………………………………………… Weekly Host Supervisor Comments: ………………………………………………………………………………………………… ………………………………………………………………………………………………… ………………………………………………………………………………………………… ………………………………………………………………………………………………… ………………………………………………………………………………………………… Name of Head of Department/Section..................................................................................... Signature ..................................... Date .........................................
WEEK 4
Department………………………………………………………………………………… … Date: Beginning………………………… Ending……………………… DESCRIPTION OF ACTIVITIES UNDERTAKEN DAY 1 2 3 4 5 Weekly Lessons Learnt: ………………………………………………………………………………………………… ………………………………………………………………………………………………… ………………………………………………………………………………………………… ………………………………………………………………………………………………… ………………………………………………………………………………………………… Weekly Host Supervisor Comments: ………………………………………………………………………………………………… ………………………………………………………………………………………………… ………………………………………………………………………………………………… ………………………………………………………………………………………………… ………………………………………………………………………………………………… Name of Head of Department/Section..................................................................................... Signature ..................................... Date .........................................
WEEK 6
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DAY
Department…………………………………………………………………………………… Date: Beginning………………………… Ending……………………… DESCRIPTION OF ACTIVITIES UNDERTAKEN Weekly Lessons Learnt: ………………………………………………………………………………………………… ………………………………………………………………………………………………… ………………………………………………………………………………………………… ………………………………………………………………………………………………… ………………………………………………………………………………………………… Weekly Host Supervisor Comments: ………………………………………………………………………………………………… ………………………………………………………………………………………………… ………………………………………………………………………………………………… ………………………………………………………………………………………………… ………………………………………………………………………………………………… Name of Head of Department/Section..................................................................................... Signature ..................................... Date .........................................
WEEK 7
11 Department………………………………………………………………………………… … Date: Beginning………………………… Ending……………………… DESCRIPTION OF ACTIVITIES UNDERTAKEN DAY 1 2 3 4 5 Weekly Lessons Learnt: ………………………………………………………………………………………………… ………………………………………………………………………………………………… ………………………………………………………………………………………………… ………………………………………………………………………………………………… ………………………………………………………………………………………………… Weekly Host Supervisor Comments: ………………………………………………………………………………………………… ………………………………………………………………………………………………… ………………………………………………………………………………………………… ………………………………………………………………………………………………… ………………………………………………………………………………………………… Name of Head of Department/Section..................................................................................... Signature ..................................... Date .........................................
WEEK 9
Department………………………………………………………………………………… … Date: Beginning………………………… Ending……………………… DESCRIPTION OF ACTIVITIES UNDERTAKEN DAY 1 2 3 4 5 Weekly Lessons Learnt: ………………………………………………………………………………………………… ………………………………………………………………………………………………… ………………………………………………………………………………………………… ………………………………………………………………………………………………… ………………………………………………………………………………………………… Weekly Host Supervisor Comments: ………………………………………………………………………………………………… ………………………………………………………………………………………………… ………………………………………………………………………………………………… ………………………………………………………………………………………………… ………………………………………………………………………………………………… Name of Head of Department/Section..................................................................................... Signature ..................................... Date .........................................
WEEK 10
Department………………………………………………………………………………… … Date: Beginning………………………… Ending……………………… DESCRIPTION OF ACTIVITIES UNDERTAKEN DAY 1 2 3 4 5 Weekly Lessons Learnt: ………………………………………………………………………………………………… ………………………………………………………………………………………………… ………………………………………………………………………………………………… ………………………………………………………………………………………………… ………………………………………………………………………………………………… Weekly Host Supervisor Comments: ………………………………………………………………………………………………… ………………………………………………………………………………………………… ………………………………………………………………………………………………… ………………………………………………………………………………………………… ………………………………………………………………………………………………… Name of Head of Department/Section..................................................................................... Signature ..................................... Date .........................................
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WEEK 12
Department………………………………………………………………………………… … Date: Beginning………………………… Ending……………………… DESCRIPTION OF ACTIVITIES UNDERTAKEN DAY 1 2 3 4 5 Weekly Lessons Learnt: ………………………………………………………………………………………………… ………………………………………………………………………………………………… ………………………………………………………………………………………………… ………………………………………………………………………………………………… ………………………………………………………………………………………………… Weekly Host Supervisor Comments: ………………………………………………………………………………………………… ………………………………………………………………………………………………… ………………………………………………………………………………………………… ………………………………………………………………………………………………… ………………………………………………………………………………………………… Name of Head of Department/Section..................................................................................... Signature ..................................... Date .........................................
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