COUNSELOR EDUCATION PROGRAM -- North Carolina Central University

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Student Forms

COMMONLY USED FORMS BY STUDENTS IN THE PROGRAM

Accommodation Request

accommodation request  https://nccu-accommodate.symplicity.com/public_accommodation/

 

Please complete this form if you are requesting accommodations for the first time at NCCU.  If you already have approved accommodations and want to make modifications to those, please log in to Accommodate to submit a supplemental request. If you are a prospective student that does not have an assigned Banner ID, please email sas@nccu.edu.


 

Adding a Second Major (Master's Students only)

Request to Add a Second Major (Counseling Programs Only)

If you decide to add a second major, aka, "dual-major" (in other words, add another program of study to your current one), there will be some classes that you will need to add to your current program of study (or "major").  You will need to discuss this plan with your advisor - and gain their approval before adding an additional program.  There will be some additional elements that you will need to complete. Please refer to THIS PAGE in the students' section of our website.

You will need to complete the form linked above and submit it for approval.  Please be sure to enter the correct name and email address for either the Program Coordinator or the Department Chair. 


 

Application for Graduation

nccuCounseling logo squarehttps://myeol.nccu.edu/kb/article/instructions-how-apply-graduation-online

Self-Service Graduation Application
Description
  • Log in to Banner 9 through myEOL.
  • Select Student Self-Service.
  • Click on Student Profile.
  • Scroll down and click Apply to Graduate (located on the lower left side of the screen).
  • Choose your Graduation Term.
  • Confirm your Curriculum.
    Important: If your program is incorrect, do not proceed. You must first submit a Declaration or Change of Major, Minor, or Concentration Form to update your program.
    • If you are pursuing a double major or dual degree, you must complete two separate graduation applications.
  • Select your Graduation Date.
  • Indicate whether you will attend the graduation ceremony.
  • Choose the name to be printed on your diploma (select your current name in Banner or enter a new one).
  • Select your mailing address.
  • Review all entered information for accuracy.
  • Click Submit to complete your application.

Note: You may not make changes to the application once it has been submitted.


 

Change of Major - delivery method

Please complete this form if you wish to change the delivery method of your program (for example, from School Counseling  to  School Counseling - onilne).  

Please speak with your advisor before completing this form to discuss your request.  Be sure to enter correct names and email addresses for the Program Coordinator (Dr. Peggy Whiting = pwhiting@nccu.edu OR Dr. Helen Lupton-Smith = hluptons@nccu.edu) and Department Chair (Dr. Chad Royal = croyal@nccu.edu).

Please note that there is no guarantee that your request will be honored.

Change of Major - from one major to another

Please complete this form if you wish to change your major between tracks or plans of study.  For example,  if you wish to change from Clinical Mental Health Counseling to School Counseling.

Please speak with your advisor before completing this form to discuss your request.  Be sure to enter correct names and email addresses for the Program Coordinator (Dr. Peggy Whiting = pwhiting@nccu.edu OR Dr. Helen Lupton-Smith = hluptons@nccu.edu)and Department Chair (Dr. Chad Royal = croyal@nccu.edu).

Please note that there is no guarantee that your request will be honored.

Deferral of Admission Form

This form is used to defer your admission for one semester.  It should only be used by students who have been admitted to the Program, but have NOT yet taken their first class.  Complete the form and submit it to the Department Chair (Dr. Chad Royal = croyal@nccu.edu)

Field Site Survey Form

Dr. Blount, the field site placement coordinator, will provide you with an opportunity to review a list of our previously approved placement sites (the field site spreadsheet).  This usually happens when she visits your Pre-practicum class.  

If you are considering a site that is not an approved site on the spreadsheet, please complete the Field Site Description Survey and submit it to Dr. Blount.

IRB Guidelines

Instructions regarding the IRB (Institutional Review Board) procedures at NCCU - for those completing a thesis.

You must maintain continuous enrollment while a student in the Program (i.e., enrolled in at least one course every Fall and at least one class every Spring (Summer does not count). 

If you wish to not take any classes for one semester (i.e., take a leave of absence), please complete this form and submit it to your adivsor.  This form is only intended for admitted students who have already taken at least one course within the Program.  If you remain out of classes for more than one semester, you will be required to reapply for admission.

A Memorandum of Agreement must be on file with the Clinical Placement Coordinator in order for a student to spend any time on site in either a practicum or internship placement.  The document must be signed by the student, a site representative, a faculty representative, and the University Provost.

 There is more information about this process here.

NC Residency Form

https://ncresidency.cfnc.org/residencyInfo/

Use this form if you need to confirm your status as a North Carolina resident for tuition purposes.  After completing the form, you will be provided a "RCN number".  Please send that number to Ms. Juls Joyner, the program's administrative assistant, so that she will be able to communicate with the Registrar's office and readmission may be completed.

 


 

NCCU Health Form

To be completed by all new students - 30 days prior to enrollment.

Permission to Record - Sample Form

Sample permission to record form - for Practicum and Internship use.  If your instructor directs you to use a different form, please do so.

Registration Override Form

If you encounter an error while registering, you will need to complete an override form and submit it to your advisor.  Errors are typcially encountered for the following courses:

5351, 5361, 5371, 5372, 5390

Requirements for thesis

Documentation regarding thesis requirements.

Documentation regading developing a thesis research plan.

SOE Data and Verification Form

School counseling students have to complete this at the end of the program to collect accreditation data. 

Transfer of Credit Request Form

Use this form to transfer credits in from another university.  Courses must be recent and comply with CACREP requirements/standards.

There is a limit of 12 hours that can be transferred to NCCU.

Withdrawal Form - Via the Registrar's Office

https://myeol.nccu.edu/external-forms/form/1949305569Screen_Shot_2022-08-18_at_1.58.35_PM.png

 

Please use this form to request any of the following (select the appropriate type of withdrawal):

  • Course withdrawal (withdrawing from a course after the drop/add period has ended, but before the last withdrawal date each semester) = WC
  • Administrative withdrawal (withdrawing from a course or courses due to extenuating circumstances) = WE
  • Institutional withdrawal (withdrawing from all courses and/or the institution) = W

Please note that you will need to login using your NCCU credentials in order to access and complete the form.

 

 
 
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NCCU Counselor Education Program

H.M. Michaux, Jr. School of Education Building
700 Cecil Street
Durham, NC 27707
919-530-7289
 
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