Psychology Graduate Internship Scheme

FORM 2: Application Form

Please remember to save the completed application form with the document title as your full name and the date submitted e.g., SusanJones14September2015

Internship information
Please state which internships you would like to be considered for. Applicants can state a maximum of 3. Please state these in order of preference. Applicants will be considered for their first preference. Where an applicant is shortlisted, interviewed and is not selected for their first preference they will be asked at interview if they wish to be considered for their second and third preferences.
Please use the exact title provided in the prospectus
e.g., Ref: 001 Psychology & Psychotherapies Department Improving Outcomes in
Psychological Therapies
1.
2.
3.
What would you hope to gain from the psychology internship programme? (100 words maximum for this section):
Thinking about your long term career goals, which area/areas of employment are you aiming for? E.g. clinical psychologist, mental health nurse
Please outline how you feel your knowledge, skills and values match the requirements set out in the person specification for the internships you have chosen (300 words maximum for this section):
Preference 1:
Preference 2:
Preference 3:
National Insurance Number
For the purpose of shortlisting your name will not appear on this form. This is standard practice in order to support fair selection of applicants. If you are not able to provide a National Insurance Number please provide your initials in the space above. These details will be linked with your personal information provided on Form 1 which you must also submit.
Qualifications
Education and Professional Qualifications:
Include in this section all relevant qualifications. Please also indicate subjects currently being studied. All qualifications disclosed will be subject to a satisfactory check.
Subject/Qualification / Place of Study / Grade/Result / Year Obtained
Training Courses Attended:
Include in this section any relevant training courses that you have attended or details of courses that you are currently undertaking, together with the date completed or to be completed.
Course Title / Training Provider / Duration / Year Obtained
Employment History
Work/Volunteer Experience:
Include in this section a brief description of any work or volunteer experience you have had that would be relevant to the internships you are applying for
Role / Key responsibilities / Dates
Please give examples of any audit, clinical or research experience you have which is relevant to the internships you have chosen (300 words maximum for this section):
Audit:
Clinical:
Research:

Thank you for completing this application form. Please save this document using your national insurance number (or initials where you do not have a NI number) as the title and email it to: .

You should submit this form together with Forms 1 and 3 to the email address. Only applications containing all 3 forms (Form 1, Form 2 & Form 3) in the same email can be processed.

The application deadline is the XXXXXXXXXXXX

Psychology Graduate Internship Scheme

Application Form(2015) Email: