• 2A Lalupon Close, Off Keffi Street, Ikoyi Lagos
  • info@thecicn.org
  • +234817 944 0956
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INTERNSHIP REGISTRATION FORM

Welcome to the Professional Counseling Internship Programme. This application is for candidates who have completed the required academic and practicum requirements and are ready for advanced supervised professional practice.

Section A: Personal Information

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Gender
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Section B: Academic Qualification

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Section C: CICN Academic Programme

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Section D: Practicum Information

Have you completed your practicum?
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Section E: Preferred Internship Area

Choose your preferred area.

Section F: Professional Competencies

Please indicate your level of competence.
Skill level

Section G: Professional Goals

Section H: Availability

Preferred Internship Duration
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Preferred Schedule
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Section I: Supporting Documents

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Section J: Professional References

Reference 1
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Reference 2
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Section K: Declaration

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  • 2A Lalupon Close, Off Keffi Street, Off Awolowo Road, Ikoyi Lagos
  • info@thecicn.org

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