English
English
en
Français
French
fr
HOME
GROUP PROGRAMS
ABOUT US
OUR SERVICES
OUR TEAM
JOIN OUR TEAM
RESOURCES
FUNDING OPTIONS
CONTACT US
BLOG
GET STARTED
Menu
Menu
Student Placement Application
Please note that ACT accepts students on an ongoing basis based on availability.
Please choose your field of study below.
Mental Health
ABA
OT/OTA
SLP/CDA
Previous
Next
Mental Health Student Placement Application
Your Name
(Required)
First
Last
Your Email Address
(Required)
Enter Email
Confirm Email
Your Phone
Which program are you currently enrolled in?
(Required)
Master of Counselling Psychology (Yorkville)
University of Ottawa French
Master of Social Work
Child and Youth
Other
Do you have experience with dual diagnoses?
(Required)
Yes
No
Which of the following areas do you have experience with?
Please check all that apply
ASSIST
Trauma (EMDR, DBT, Somatic, Polyvagal)
Play Therapy
CBT Mindfulness
Youth Engagement
What languages can you provide counselling in?
(Required)
English only
English and French
Other
Are you available during early evenings on weekdays?
(Required)
Yes
No
Please specify your general availability for weekday evenings.
(Required)
Do you wish to self-identify or belong to an underserved group?
(e.g., LGBTQIA, BIPOC, neurodivergent, disabled, etc.)
Yes
No
Will you be located in the Ottawa area during your practicum and beyond?
(Required)
Yes
No
Do you have experience working with individuals with autism or other neurodiverse populations?
(Required)
Yes
No
Please list any relevant training, certifications, volunteer work or professional experience.
(Required)
Upload Your Resume
Upload your resume in .pdf, .doc or .docx format
Accepted file types: pdf, doc, docx, Max. file size: 25 MB.
Upload Your Cover Letter
Max. file size: 2 MB.
CAPTCHA
ABA Student Placement Application
Name
(Required)
First
Last
Email
(Required)
Phone
(Required)
Which program are you currently enrolled in?
(Required)
Start date of your placement
MM slash DD slash YYYY
End date of your placement
MM slash DD slash YYYY
Preferred ACT clinic location
(Required)
Colonnade
Kanata
Lancaster
What are your spoken languages?
(Required)
English only
English and French
Other
Upload Your Resume
Max. file size: 2 MB.
Upload Your Cover Letter
Max. file size: 2 MB.
CAPTCHA
Occupational Therapy/OTA Student
Student Placement Application
Name
(Required)
First
Last
Email
(Required)
Phone
(Required)
Which program are you currently enrolled in?
(Required)
Upload Your Resume
(Required)
Max. file size: 2 MB.
Upload Your Cover Letter
Max. file size: 2 MB.
CAPTCHA
Speech-Language Pathology/CDA Student
Student Placement Application
Name
(Required)
First
Last
Email
(Required)
Phone
(Required)
Which program are you currently enrolled in?
(Required)
Upload Your Resume
(Required)
Max. file size: 2 MB.
Upload Your Cover Letter
Max. file size: 2 MB.
CAPTCHA
Scroll to top
