Psychology Clinical Internship Application

Page 1

Psychology Clinical Internship (Psyc480) Application

Applications for Spring 2018 internships are due by noon on Wednesday, November 1. Email your completed application, along with a PDF or scanned copy of your CAPP report, to Dr. Kristin Miller ().

Name:
Number of Credits Used(As Listed On Your CAPP Report)
Number of Credits In Psychology(Minimum of 15 required)
Overall GPA (3.00 or higher required for at least the past 4 semesters)
Psychology GPA (3.00 or higher required)

Type(s) of Placements For Which You Are Applying

RANK ORDER (1=First Choice) the type of placement(s) you are interested in applying. You may apply to as many as you would like but do not rank any type of placement for which you do not have interest in interning. You are accepted to and will be asked to commit to a type(s) of placement, not a specific site. Site assignments are determined through a separate process after students have been accepted to and registered for the course.

Adult Treatment / I/O Vocational Counseling
Alcohol/Drug Treatment / Neuropsychology Rehabilitation*
Child Treatment / School Psychology
Domestic Violence* / *Not Available for Spring 2018

Required Courses

Did You Take? (Check ALL That You’ve Taken) / YES (X)
I. / Abnormal Psychology (PSYC 220)
II. / Theories of Personality (PSYC 215) OR
Counseling Theories and Techniques (PSYC 320)
III. / For Interest In CHILD TREATMENT and SCHOOL PSYCHOLOGY Placements Only:
Child Development (PSYC 200) OR
Adolescent Development (PSYC 205)

Additional Course

You need one additional course.Please indicate the course(s) you have taken for the specific type of placement(s) you’re applying. Please check ALL that apply.

YES (X)
Adult Treatment / Tests and Measurements (PSYC310)
Research Methods II (PSYC 400)
Alcohol/Drug Treatment / Drugs and Human Behavior (PSYC 345)
Drugs & Alcohol (SWRK 452)
Tests and Measurements (PSYC310)
Research Methods II (PSYC 400)
Child Treatment / Child Development (PSYC 200) AND Adolescent Development (PSYC 205)
Tests and Measurements (PSYC310)
Child and Adolescent Psychopathology (PSYC 325)
Research Methods II (PSYC 400)
I/O Vocational Counseling / Tests and Measurements (PSYC310)
Industrial/ Organizational Psychology (PSYC 365)
Research Methods II (PSYC 400)
School Psychology / Child Development (PSYC 200) AND Adolescent Development (PSYC 205)
Issues in Contemporary Education (EDUC 210)
Psychology in the School (PSYC 285)
Tests and Measurements (PSYC310)
Child and Adolescent Psychopathology (PSYC 325)
Research Methods II (PSYC 400)

Missing a Required Course?(Not Necessarily a Problem!)

If you are only missing one requirement which is offered next semester, and are willing to take it concurrently with Internship, list the specific course, including offered section numbers:

Additional Comments?

If there is anything you would like to communicate with the Internship Coordinator regarding your application, please use the space below. (Include comments here rather than in the application email.)