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The content explains that signing confirms receipt of the policies and procedures manual, commitment to follow updated revisions, and adherence to graduation internship requirements. It specifies minimum internship hours for client contact and AAMFT-approved supervision, the required supervision ratios and data supervision focus, and outlines emergency contacts and program resources.",{"@graph":63,"@context":118},[64,80,101],{"@type":65,"itemListElement":66},"BreadcrumbList",[67,71,74,77],{"item":68,"name":69,"@type":70,"position":9},"https://docshare.wps.com","Home","ListItem",{"item":72,"name":10,"@type":70,"position":73},"https://docshare.wps.com/template/",2,{"item":75,"name":41,"@type":70,"position":76},"https://docshare.wps.com/template/letters/",3,{"item":78,"name":59,"@type":70,"position":79},"https://docshare.wps.com/template/mft-program-lftc-manual-2016-2017-intern-receipt-acknowledgement/381064/",4,{"url":78,"name":59,"@type":81,"image":82,"author":87,"headline":59,"publisher":90,"fileFormat":93,"inLanguage":57,"description":61,"dateModified":94,"datePublished":95,"encodingFormat":93,"isAccessibleForFree":96,"interactionStatistic":97},"DigitalDocument",{"url":83,"@type":84,"width":85,"height":86},"https://docshare.wps.com/thumbnails/mft-program-lftc-manual-2016-2017-intern-receipt-acknowledgement/381064.png","ImageObject",442,249,{"name":88,"@type":89},"pixelkiddo","Person",{"url":68,"name":91,"@type":92},"DocShare","Organization","application/pdf","2026-10-09","2026-09-24",true,{"@type":98,"interactionType":99,"userInteractionCount":47},"InteractionCounter",{"@type":100},"ViewAction",{"@type":102,"mainEntity":103},"FAQPage",[104,110,114],{"name":105,"@type":106,"acceptedAnswer":107},"What does signing the intern receipt and acknowledgement form confirm?","Question",{"text":108,"@type":109},"It confirms that the student has received a copy of the LU MFT Program & LFTC Clinical Policy and Procedures Manual and agrees to read and adhere to the policies during enrollment.","Answer",{"name":111,"@type":106,"acceptedAnswer":112},"Can the manual change after the student signs the form?",{"text":113,"@type":109},"Yes. The student acknowledges the manual may undergo future revisions and agrees to adhere to revised versions required during the program.",{"name":115,"@type":106,"acceptedAnswer":116},"What are the minimum internship requirements for graduation from the MFT program?",{"text":117,"@type":109},"Graduation requires 500 face-to-face client contact hours with at least 200 relational hours, up to 100 alternative hours, plus 100 hours of AAMFT-approved supervision with supervision of raw data and a weekly supervision schedule.","https://schema.org",{"og:url":78,"og:type":120,"og:title":59,"og:site_name":91,"og:description":61},"article",{"robots":122,"canonical":78},"index,follow",{"doc_id":124,"site_id":56},381064,1791254618,{"code":4,"msg":5,"data":127},{"doc_id":124,"user_id":128,"nickname":88,"user_avatar":129,"doc_module":9,"category_id":40,"category_name":41,"doc_title":59,"doc_description":61,"doc_content":130,"file_id":131,"file_url":132,"file_type":133,"file_size":134,"view_count":47,"is_deleted":4,"is_public":9,"is_downloadable":9,"audit_status":9,"page_count":135,"language":136,"language_code":57,"site_id":56,"html_lang":57,"table_of_contents":137,"faqs":138,"seo_title":139,"seo_description":61,"update_tm":140,"read_time":141},962090883892,"https://ap-avatar.wpscdn.com/avatar/e00115db34f3e0f11b?x-image-process=image/resize,m_fixed,w_180,h_180&k=1790152879550218658","LIPSCOMB UNIVERSITY  \nMARRIAGE AND FAMILY THERAPY PROGRAM  \n&  \nLIPSCOMB FAMILY THERAPY CENTER POLICIES & PROCEDURES MANUAL  \n2016-2017  \nMFT Program and LFTC Manual 2016-2017 ii  \nLipscomb University  \nMarriage and Family Therapy Program  \n&  \nLipscomb Family Therapy Center  \nPolicies & Procedures Manual  \nIntern Receipt & Acknowledgement  \nThe Lipscomb University (LU) Marriage and Family Therapy (MFT) Program & Lipscomb Family Therapy Center (LFTC) Clinical Policy & Procedures Manual contains policies and procedures that apply to me as a marriage and family therapy student at LU. By signing this form, I acknowledge that I have been provided with a copy ofthe LU MFT Program & LFTC Clinical Policy and Procedures Manual and that I agree to read and adhere to the policies and procedures described therein during my time of enrollment in the LU MFT Program. I further understand that the manual may undergo future revisions and that I will be required adhere to revised versions ofthe LU MFT Program & LFTC Clinical Policy and Procedures Manual. I understand and agree that the minimum internship requirements for graduation from the Marriage and Family Therapy program at Lipscomb University include:  \nx 500 face to face client contact hours  \no A minimum 200 of the 500 face-to-face client contact hours must be relational hours (i.e., couple or family therapy) .  \no Up to 100 of the 500 hours may be alternative hours including reflecting team, community engagement, or support groups.  \nx 100 hours ofAAMFT approved supervision  \no 50 supervision hours must be devoted to the supervision of raw data (i.e., live, video or audio) .  \no One hour of supervision every week I see clients (on average)  \no A ratio of 1 supervision hour for every 5 client contact hours  \nI understand that client contact and supervision should be accomplished within a 5 semester period during which I must complete one practicum and four supervised clinical practice courses. Furthermore, I acknowledge that have received and read the latest version of the AAMFT Code of Ethics.  \nStudent Signature Date  \nPrinted Name  \nPrint two copies of this form. Submit one to the Clinic Director and keep the other for your records.  \nLast Updated 09-22-2016  \nMFT Program and LFTC Manual 2016-2017 iii  \nEMERGENCY CONTACTS & OTHER RESOURCES  \nAll Emergencies  \nLipscomb University Campus Security  \nLipscomb University Health Center  \nNashville Fire Department  \nDavidson County Sherriff’s Office  \nMetropolitan Nashville Police Department—North Precinct  \nMetropolitan Nashville Police Department—South Precinct  \nMetropolitan Nashville Police Department—East Precinct  \nMetropolitan Nashville Police Department—West Precinct Metro Nashville Police Department—Sex Crimes Unit  \nMetro Nashville Police Department—Domestic Violence Unit  \nMetro Nashville Police Department—Theft Unit Tennessee Department of Children’s Services Tennessee Adult Protective Services  \nTennessee Office of Crisis Services and Suicide Prevention Davidson County Mental Health Cooperative  \nMFT PROGRAM CONTACT LIST  \nChris J. Gonzalez, Ph.D., LMFT, Program Director  \nJ. Gregory Briggs, Ph.D., LMFT, Clinical Director Dave Morgan, Ed.D., LMFT, Core Faculty  \nUrszula Collier, MFT Program Administrative Assistant Sheryl Palmer, LFTC Office Manager  \n911  \n615-966-7600  \n615-966-6304  \n615-862-5421  \n615-862-8123  \n615-862-4410  \n615-862-7744  \n615-862-7600  \n615-862-7747  \n615-862-7540  \n615-880-3000  \n615-862-7111  \n877-237-0004  \n888-277-8366  \n855-274-7471  \n615-726-0125  \n615-966-6651  \n615-966-5301  \n615-966-6303  \n615-966-5213  \n615-966-5300  \nLast Updated 09-22-2016  \nMFT Program and LFTC Manual 2016-2017 iv  \nAcknowledgments  \nWe would like to thank and acknowledge our colleagues at Purdue University‘s COAMFTE accredited marriage and family therapy doctoral program (now closed) and Abilene Christian University‘s COAMFTE accredited master of marriage and family therapy program for allowing us to use their program and ","cbCailgIOEFPEOnm","https://ap.wps.com/l/cbCailgIOEFPEOnm","pdf",1577205,83,"English","# The Lipscomb Marriage and Family Therapy Program Policies and Procedures\n## Program History\n## Diversity Statement\n## Hiring Practices\n## Recruitment\n## Retention\n## Admissions Procedures\n## Financial Aid, Grants, and Loans\n## Graduate Assistantships\n## AAMFT Fellowships\n## Federal Student Loans\n## National Health Service Corps\n## External Grants and Scholarships\n## Cohort Model\n## Emergency Contacts & Other Resources\n## MFT Program Contact List\n## Acknowledgments","[{\"question\":\"What does signing the intern receipt and acknowledgement form confirm?\",\"answer\":\"It confirms that the student has received a copy of the LU MFT Program \\u0026 LFTC Clinical Policy and Procedures Manual and agrees to read and adhere to the policies during enrollment.\"},{\"question\":\"Can the manual change after the student signs the form?\",\"answer\":\"Yes. The student acknowledges the manual may undergo future revisions and agrees to adhere to revised versions required during the program.\"},{\"question\":\"What are the minimum internship requirements for graduation from the MFT program?\",\"answer\":\"Graduation requires 500 face-to-face client contact hours with at least 200 relational hours, up to 100 alternative hours, plus 100 hours of AAMFT-approved supervision with supervision of raw data and a weekly supervision schedule.\"}]","MFT Program & LFTC Manual 2016-2017 - Intern Receipt & Acknowledgement | PDF",1790243387,29]