MACP Practicum Portal

Practicum Site Application

Approved practicum sites with the Faculty of Behavioural Sciences at Yorkville University are visible to Practicum Students on the Site Locator. If you wish to secure an approval for a student placement and become visible on the Site Locator, please complete the following application form.

Yorkville will indicate its acceptance of the application by approving the site. The person completing this form must be authorized to sign on behalf of the Practicum Site. Any questions or concerns can be submitted to [email protected]

Please note that regardless of previous education or supervisory experience, currently enrolled YU DCP or MACP students are not permitted to supervise other currently enrolled YU MACP students due to potential conflict of interest.

Site Application 2024 - V2

Authorized Person

Full name of authorized person filling out this form.
Title/position of authorized person filling out this form.

Site Contact Information

Please insert legal name of Practicum Site.
Please format number using dashes. Use an 'x' for extensions. E.g. 555-555-5555 x234
Do not use abbreviations. Please write out the province/state name in full.
If applicable, e.g. Alberta Health Services, Ministry of Child and Family Development, School Board or District, etc.
Please include the full URL. E.g. https://example.com
If applicable, this is your site's link to Apply for Practicum

Official Site Contact

Please provide the name and contact information of the official contact person whom future students should contact regarding applying for a practicum at the agency. e.g. Executive Director, Field Placement Coordinator, etc.
Please format number using dashes. Use an 'x' for extensions. E.g. 555-555-5555 x234
If different from the person above, please list the Site Owner/Executive Director/etc. below:
Please format number using dashes. Use an 'x' for extensions. E.g. 555-555-5555 x234

Site Context

Choice 1: Primary Site:

Primary Placement Sites meet all of Yorkville University MACP requirements for attaining both direct and indirect contact hours to meet MACP practicum requirements. Students may be exposed to a wide range of opportunities to acquire clinical competency and experience through direct client contact and may also become familiar with a variety of professional activities through indirect contact hours and ethical, legal, and professional issues in clinical practice. In most cases, primary site placements can offer a minimum of approximately 13.5 onsite practicum hours per week for two full trimesters. Most students have one primary placement for the duration of practicum and other site categories are not always necessary.

Choice 2: Partial Placement Site:

Partial Placement sites generally meet all of Yorkville University MACP requirements for attaining both direct and indirect contact hours to meet MACP practicum requirements. These sites will provide the opportunity for students to achieve their practicum hours over a longer period of

time at a site that may be most appropriate for the students learning objective and career path. Partial placement sites may be smaller in nature and may not be able to provide enough direct or indirect client contact hours, and it may take longer for practicum students to accumulate hours.

Choice 3: Supplemental Placement Site:

Supplemental Placement Sites may be deemed beneficial due to valuable training, clinical supervision, exposure to a specialized niche of counselling techniques, and future employment opportunities available to YU practicum students. Supplemental placement sites generally do not meet all of Yorkville University MACP requirements for attaining both direct and indirect contact hours to meet MACP practicum requirements. Having a supplemental practicum placement site will only be permitted if a primary site is already in place.

Based on the definitions above, please indicate the capacity in which your site can provide required hours to MACP practicum students
Will your site allow our students to create adequate caseloads, providing therapeutic techniques in regular and ongoing 50-minute counselling sessions?
Will students be seeing clients virtually, hybrid, or in person? (please check all that apply)

Site Details

Does the site require the practicum student to have any immunizations before starting practicum?
Does the practicum site require the practicum student to have a mask fitting before starting practicum?
Does the practicum site require the practicum student to have a criminal record check?
Does the practicum site require practicum students to assume responsibility for paying any fees?
Check as many as apply. If inputting multiple items in the other field please separate each item with a comma.
Site Type
  If private practice, is this a residential setting in your home?
Service Provision Areas
Client Population Served

Site Experience

This section refers to the experience that students will gain at the Practicum Site (please check all that apply).

Applicable Treatments

Site Attestation

As a Practicum Site, I attest to the following:
Our mental health program/department is established (prior to the Practicum start date) with policies and procedures.
Our mental health program / department was established prior to the Student's placement.
Mental health will be the focus of the student's Practicum hours (not specialized treatment or advanced approaches to counselling).
The student will not work with individuals who do not possess the cognitive ability to participate in talk therapy.
I am currently a Faculty/Staff Member in the Faculty of Behavioural Sciences at Yorkville University
I am currently a Student in the Faculty of Behavioural Sciences at Yorkville University

Next Steps

  1. A Field Training Practicum Liaison will review your Practicum Site Application and we will be in touch if we have any follow-up questions.
  2. Once your Practicum Site Application has been approved, you will receive a Practicum Site Affiliation Agreement for your signature from our Field Training Team.
  3. Any questions can be directed to our practicum liaison team at: [email protected]

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