APPENDIX A: Remediation Plan National Louis University Master of Science in Clinical Mental Health Counseling Program Remediation Plan
Date Student Program Faculty Member
After reviewing the above student’s Performance Evaluation Forms and/or Incident Report Forms, the following Remediation Plan has been created. Completion of the Remediation Plan will be required before this student will be admitted into the clinical portion of this Master’s Degree Program. Academic
Interpersonal Skills
Intrapersonal Awareness
Professional Behavior
Other
I understand that admission into the clinical portion of this degree program (Practicum and Internship) is dependent upon my completion of the requirements in this agreed-upon Remediation Plan.
Student Signature
Date
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