COUNSELOR EDUCATION PROGRAM -- North Carolina Central University

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Student Forms

COMMONLY USED FORMS BY STUDENTS IN THE PROGRAM

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 to your advisor for processing. 

Application for Graduation

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

Graduates MUST now fill out their graduation application(s) online.

Instructions for how to apply for graduation online.

  • Login to myEOL.
  • Click on "Banner SSB" in the Administrative and Academic Services section.
  • In the Main Menu, click on "Student and Financial Aid".
  • Click on "Student Records".
  • Click on "Apply to Graduate".
  • Curriculum Term Selection: Under "Select a Term", select the desired graduation term from the dropdown list and click "Submit".
  • Curiculum Selection: Select the radio button on your correct program and click "Continue".

Note: If your program is not correct, please stop.  Contact Mrs. Joyce Kovalik at jkovalik@nccu.edu or Mr. Willie Hill at whill@nccu.edu for assistance.  Addtionallly, if you are double major or dual degree student, you must complete two separate applications.

  • Graduation Date Selection: Select your graduation date from the dropdown list and click "Continue".
  • Graduation Ceremony Selection: Select ceremony attendance and click "Continue".
  • Diploma Name Selection: Select the current name or new for your diploma from the dropdown list and click "Continue". You will have an opportunity to type your name as it should appear on your diploma.
  • Name for Diploma: Enter your offical name exactly as it should appear on your diploma.  Click "Continue".
  • Diploma Mailing Address Selection: Select an address and click "Continue".
  • Mailing Address Selection: Please be advised that updating this diploma address will not update any address information in Banner.
  • Graduation Application Summary: Review your application and click "Submit Request".
  • Graduation Application Signature Page: This is confirmation that your application has been successfully submitted. To view your submission, click on "View Graduation 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.

Final Report on the Master's Portfolio Defense

Please bring one completed (typed) copy of this document with you to your Final Portfolio Defense (near the end of the semester you intend to graduate).  For Summer graduates (which is not common), you will complete your portfolio defense in the Spring.

Final Report on the Master's Thesis Defense

For those who opt to complete a thesis, you will need to bring three typed copies of this document with you to your scheduled thesis defense.

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.

Please note that this PDF document is only provided so that you may view the contents of the MOA.  

All MOAs are completed using Doc-u-sign.  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.

This form should be submitted to your advisor with a copy of your transcript of the courses you wish to transfer.  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 appropraite 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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