Community Internship Application
SUNY Geneseo
Department of Psychology
Applications for a credit-bearing community internship in psychology forSummerand/or Fall2018are due by 3:00pm onFebruary 23, 2018.Applications must be received by this deadline in order to be considered for summer and fall internship placements – there are no exceptions. Applications should be left in the mailbox of the department internship coordinator, Michael Lynch; mailboxes are located next to Bailey 127. Please do not submit applications electronically.
REQUIREMENTS: To be considered for an internship, students must:
Be a declared psychology major
Have an overall G.P.A. of 2.75
Have a psychology G.P.A. of 3.0 (minimum of 9 credits at Geneseo)
Be of junior or seniorstanding
A copy of your unofficial transcript needs to be attached to the application, and two letters of recommendation are required. After your application is complete, you will be contacted about scheduling an interview with the department internship coordinator.
An application does NOT guarantee an internship placement. Students mayNOT arrange their own internship placements. All placements must be approved by the Psychology Department and the College. Students enrolled in a community internship in psychology are required to attend a weekly one-hour seminar (on Wednesdays from 5:00 to 6:00) and to complete its assignments in order to receive course credit for the internship.
COMMUNITY INTERNSHIP APPLICATION
SUNY GENESEO / DEPARTMENT OF PSYCHOLOGY
Name ______
Geneseo ID ______
Semester in which you wish to do an internship: Spring Summer Fall 2018
Proposed # of internship credits (minimum of 3 credits / 115 hours) ______
Will this internship constitute your total enrollment for the semester? ______
Home Address (i.e. over breaks)
Home Phone______
Local or Campus Address
Campus Phone______
E-mail Address ______
College Major(s) ______Minor
Overall GPA Psychology GPA
Academic Year:FreshmanSophomoreJuniorSenior
Explain briefly why you want to do an internship:
(OVER)
Do you have transportation if the internship location is outside of Geneseo? ______
Please list and rank order your top three preferences for an internship placement. You should review placement possibilities in the notebooks located in Bailey 126 (the “Psychology Commons” room) and/or consult with Career Development in Erwin 116. Please be as specific as possible. If you have not found a specific site, you may list the general type of placements in which you are most interested (e.g., school counseling, human resources, conflict mediation, etc.).
1.
2.
3.
List the names of professors or other professional references to whom you have given internship recommendation forms:
- ______
Department/Company______
- ______
Department/Company______
All applicants must attach an unofficial copy of their transcript.
Applicants will be notified by as soon as possible as to the status of their internship application. An application does NOT guarantee an internship placement. Students may NOT arrange their own internship placements. All internship placements must be approved and supervised by the Psychology Department and the College.
Community Internship in Psychology
Letter of Recommendation
(Two references are due by March 9, 2018 for Summer and Fall 2018 internships)
PART A (to be completed by applicant):
Applicant's Name ______
Placement area of interest (e.g., human resources, drug and alcohol counseling, , school psychology):
1) ______2) ______
PART B (to be completed by referee):
The above student has applied for an internship. Please rate the applicant in the following areas:
Writing SkillsVery Strong----Strong----Average----Fair---- Not able to judge
Verbal SkillsVery Strong----Strong----Average----Fair---- Not able to judge
MotivationVery Strong----Strong----Average----Fair---- Not able to judge
DependabilityVery Strong----Strong----Average----Fair---- Not able to judge
Interpersonal
SkillsVery Strong----Strong----Average----Fair---- Not able to judge
IntegrityVery Strong----Strong----Average----Fair---- Not able to judge
OVERALL
RATINGVery Strong----Strong----Average----Fair---- Not able to judge
(OVER)
Please write a brief recommendation pointing out the applicant's strengths and weaknesses.
I give the internship coordinator permission to share the contents of this letter with:
the student ______yes ______no
the agency supervisor ______yes ______no
Referee's Name
Position
Signature
Date
Completed letters of recommendation are to be returned to:
Michael Lynch, Ph.D.
Internship Coordinator
Department of Psychology
SUNY Geneseo
Geneseo, NY 14454
Community Internship in Psychology
Letter of Recommendation
(Two references are due by March 9, 2018 for Summer and Fall 2018 internships)
PART A (to be completed by applicant):
Applicant's Name ______
Placement area of interest (e.g., human resources, drug and alcohol counseling, , school psychology):
1) ______2) ______
PART B (to be completed by referee):
The above student has applied for an internship. Please rate the applicant in the following areas:
Writing SkillsVery Strong----Strong----Average----Fair---- Not able to judge
Verbal SkillsVery Strong----Strong----Average----Fair---- Not able to judge
MotivationVery Strong----Strong----Average----Fair---- Not able to judge
DependabilityVery Strong----Strong----Average----Fair---- Not able to judge
Interpersonal
SkillsVery Strong----Strong----Average----Fair---- Not able to judge
IntegrityVery Strong----Strong----Average----Fair---- Not able to judge
OVERALL
RATINGVery Strong----Strong----Average----Fair---- Not able to judge
(OVER)
Please write a brief recommendation pointing out the applicant's strengths and weaknesses.
I give the internship coordinator permission to share the contents of this letter with:
the student ______yes ______no
the agency supervisor ______yes ______no
Referee's Name
Position
Signature
Date
Completed letters of recommendation are to be returned to:
Michael Lynch, Ph.D.
Internship Coordinator
Department of Psychology
SUNY Geneseo
Geneseo, NY14454