University of Utah
Counseling/Counseling Psychology Program
Instructions: This form is to be used for pre-imbursement for items that can be paid directly with the department’s credit card (e.g. memberships to professional organizations). Please fill out the information below in its entirety.
CP Students: Once submitted, this information will be routed directly to your program advisor.
SC and CMHC Students: Once submitted, this information will be routed directly to your training director.
Either your program advisor or training director will approve the form and notify you so that you can make an appointment with Daryl Dowdell (firstname.lastname@example.org) to prepay your expense.You will need to provide documentation (e.g., membership form or web download with purpose and
price) verifying the purpose and cost.
Please list full title of organization using
abbreviations (e.g., APA Div 17, ACA, ASCA, APA Div 17 SERD, etc.)
Purpose: Membership, subscription