Affiliation Agreements

Additional Navigation

Counseling

Home
Faculty & Staff
Founding Dean Welcome

Academics

Master’s Degrees
Doctorate Degree
State Requirements
Core

Current Students

Degree Program Information
CSI – Rho Eta Online Student Chapters

Contact

counseling@liberty.edu
(434) 592-4049
(434) 522-0477 (fax)

DeMoss Hall
3rd Floor, DH 3034

Requirements

This Affiliation Agreement will be required for all Counseling Practicum, Counseling Internship, Addiction Counseling Internship, Doctoral Practicum, and Doctoral Internship applications.

The Affiliation Agreement is a legal contract between the site and Liberty University and must be completed according to specific guidelines before a student’s application can be approved. If you need an Affiliation Agreement, please reach out to our team at counAgreements@liberty.edu.

Students: Please complete the 3‑page Student Addendum (PDF) and attach it to your Affiliation Agreement when applying for your fieldwork course.

The M.Ed. School Counseling program uses the Affiliation Agreement only if the site requires it. Students should familiarize themselves with all information found on this site.

Instructions

Submit the Affiliation Agreement with the application as one continuous document and all 12 pages (Cover Sheet, Affiliation Agreement, Student Addendum) completed correctly. The Practicum/Internship office is unable to combine pages or edit these documents in any way. If the Affiliation Agreement is completed using Adobe Form Fill and cannot be submitted with the Cover Sheet and Student Addendum the student should contact the Practicum/Internship office for further instructions.
Affiliation Agreement Guidelines (PDF)
Counseling Affiliation Agreement Instructions (PDF)

School Counseling Students

Practicum Site Requirements that any site completing an Affiliation Agreement must be aware of:

Must be a non-K-12 school setting
Candidates must be able to complete 150 clinical hours (with 40 hours minimum of direct service with clients)
Potential sites include, but are not limited to college settings, community service boards, group homes, hospitals, counseling agencies, non-profit organizations, and private practice settings, etc.
A licensed counselor (examples are, but not limited to LPC, LMFT, LCSW, LMHC, Licensed Psychiatrist, Licensed Psychologist, etc.) must be on site to supervise the candidate
The Practicum site supervisor will assess the candidate electronically via LiveText and verify the hours that the candidate completes during the Practicum placement

Any site requesting an Affiliation Agreement specifically for the School Counseling Internship must contact School Counseling.

State Site Lists

The sites listed on the state site lists have previously executed Affiliation Agreements with the Fieldwork Office. However, placement at one of these sites is not automatically approved. Each site must still undergo review and receive approval through the individual student’s application process to ensure it meets all program requirements. Final approval is granted by the Fieldwork Office.

Alabama (PDF)
Alaska (PDF)
Arizona (PDF)
Arkansas (PDF)
California (PDF)
Colorado (PDF)
Connecticut (PDF)
Delaware (PDF)
District of Columbia (PDF)
Florida (PDF)
Georgia (PDF)
Hawaii (PDF)
Idaho (PDF)
Illinois (PDF)
Indiana (PDF)
Iowa (PDF)
Kansas (PDF)

Other Affiliation Agreement lists:

Canada Sites (PDF)
International Sites (PDF)

Kentucky (PDF)
Louisiana (PDF)
Maine (PDF)
Maryland (PDF)
Massachusetts (PDF)
Michigan (PDF)
Minnesota (PDF)
Mississippi (PDF)
Missouri (PDF)
Montana (PDF)
Nebraska (PDF)
Nevada (PDF)
New Hampshire (PDF)
New Jersey (PDF)
New Mexico (PDF)
New York (PDF)
North Carolina (PDF)

North Dakota (PDF)
Ohio (PDF)
Oklahoma (PDF)
Oregon (PDF)
Pennsylvania (PDF)
Rhode Island (PDF)
South Carolina (PDF)
South Dakota (PDF)
Tennessee (PDF)
Texas (PDF)
Utah (PDF)
Vermont (PDF)
Virginia (PDF)
Washington (PDF)
West Virginia (PDF)
Wisconsin (PDF)
Wyoming (PDF)

*If a site has questions or concerns about an Affiliation Agreement that our office has on file, wishes to renegotiate, or wishes to receive a copy of the agreement the Practicum/Internship office should be contacted.

For a list of other Practicum & Internship opportunities, refer to our Practicum & Internship Opportunities webpage.

Outside Affiliation Agreement

If a site requires the use of their own Affiliation Agreement or if they request to make changes to the standard Liberty agreement, email your Practicum & Internship Office to request that the Practicum and Internship Coordinator reach out to your site. You will need to provide contact information (email address and phone number) for the appropriate contact at your site as well as a brief description of the request.

Any site requesting an Affiliation Agreement specifically for the School Counseling Internship must contact School Counseling.

*Affiliation Agreement negotiations can take months. Extensions will not be granted for Affiliation Agreement negotiations.