Application for Internship (SC 881)



Knowing the number of persons planning to enroll in internship is necessary in order to allow for adequate planning and scheduling of these courses/experiences. Therefore, students wishing to enroll for internship must receive formal approval to enroll in this experience. Students must submit a completed form for each semester enrolled in internship.


Submission Process

1. Download PDF Application Form:

OFPL Action Needed


no OFPL Action Needed.

2. Print the PDF application form.

3. Complete application form.

4. Submit proof of current liability insurance with application.

5. Mail it to:

Department of Counselor Education
Campus Box 4036
Emporia State University
1 Kellogg Circle
Emporia, KS 66801



Students must complete their formal application by the deadline date the semester prior to the start of practicum:

March 1 - Fall Semester
October 1 - Spring Semester