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APPIC Training Documents: Listed by Subject
Applications AAPI
form (application for internship) Internship Program
Membership (download
in PDF format | download
in Word format) Application for Postdoctoral
Program Membership (download
in PDF format | download
in Word format Problem
Resolution (Formal and Informal) APPIC Standards And Review
Committee (ASARC) Complaint Form (download
in PDF format | download
in Word format) Informal
Problem Resolution Membership Application
Forms Doctoral Membership Application Form (download
in PDF format | download
in Word format) APPIC Directory Face Sheet
(submit with Doctoral / Postdoctoral Membership Application Form) (download
in PDF format | download
in Word format) Postdoctoral Membership Application
Form (download
in PDF format | download
in Word format) Due Process
Documents Postdoc: University of Texas Medical Branch, 2004.
Training Director: Jeff Baker, Ph.D. <https://www.utmb.edu/psychology/DueProcess.htm>
Postdoc & Internship: VA Seattle, 2004. Training
Director: Stephen McCutcheon, Ph.D. (download
in PDF format | download
in Word format) Internship: Emory University,
Grady Health System, 2001. Training Director: Carol Webb, Ph.D. (download
in PDF format | download
in Word format) Internship: Illinois State
University, Student Counseling Services, 1998. Training Director: Paul Jarvis,
Ph.D. (download
in PDF format | download
in Word format) Internship: University of Californis
at Davis, Counseling Center, 2000. Training Director: Emil Rodolfa, Ph.D. (download
in PDF format | download
in Word format) Internship: University of Medicine
and Dentistry of New Jersey, 2000. Training Director: Gerald Leventhal, Ph.D.
(download in PDF
format | download in
Word format) Internship Self
Studies - Internship: University of South Carolina,
Counseling and Human Development Center, 2000. Training Director: Russell Haber,
Ph.D.
- Self Study 1 (download
in PDF format | download
in Word format)
- Self Study 2 (download
in PDF format | download
in Word format)
- Self Study 3 (download
in PDF format | download
in Word format)
- Self Study 4 (download
in PDF format | download
in Word format)
Internship: Children's
Hospital of Orange County, 2000. Training Director: Kathleen Devlin, Ph.D. (download
in PDF format | download
in Word format) Internship: Florida State Hospital,
2000. Training Director: Ellen Resch, Ph.D. (download
in PDF format | download
in Word format) Internship: George Washington
University, University Counseling Center, 2000. Training Director: William Pinney,
Ph.D. (download
in PDF format | download
in Word format) - Internship: Provena
Saint Therese Medical Center, Department of Behavioral Medicine, 2000. Training
Director: John Jochem, Psy.D.
- Self Study (download
in PDF format | download
in Word format)
- Letter To APA CoA (download
in PDF format | download
in Word format)
Internship: Northwest
Ohio Consortium, Medical College of Ohio, 1999. Training Director: Michael Carey,
Ph.D. (download
in PDF format | download
in Word format) Internship: Towson University,
Counseling Center, 2000. Training Director: Mollie Jaschik-Herman, Ph.D.
- Self Study 1 Report (download
in PDF format | download
in Word format)
- Self Study 2 Site Visit Tables (download
in PDF format | download
in Word format)
-
- Internship: University of Medicine and Dentistry of New Jersey, Adult
Services, 2000. Training Director: Gerald Leventhal, Ph.D.
- Self
Study 1-Text (download
in PDF format | download
in Word format)
- Self Study 2-Tables (download
in PDF format | download
in Word format)
- Self Study 3-Index to Appendices (download
in PDF format | download
in Word format)
Examples of Postdoctoral Training Program Self-Studies Postdoc:
University of Michigan Medical School, Psychiatry, 1998. Training Director: Cheryl
King, Ph.D. (download
in PDF format | download
in Word format) Postdoc: South Texas Veterans
Health Care System, Audie L. Murphy Memorial VA Hospital, 1998. Training Director:
Stephen Holliday, Ph.D. (download
in PDF format | download
in Word format) Training Models
& Readings Training Model Readings. Training model references
that may be useful to internship and postdoctoral residency directors of training
(DoTs) as they prepare and update their self-study materials for APA accreditation,
June 2001, collected by Dr. Stephen Holliday. (download
in PDF format | download
in Word format) An Incomplete Selection of
Training Model Readings. APA CoA accreditation workshop at APPIC Membership Conference,
New Orleans, March 2001, presented by Drs. Susan Phillips and Roger Peterson.
(download
in PDF format | download
in Word format) Internship Evaluation
Forms Roosevelt University: Evaluation of Student on Internship
(download
in PDF format | download
in Word format) University of Denver: Evaluation
of Internship (download
in PDF format | download
in Word format) Sample Questionnaires for follow
up to Internship:
UC Davis: (download
in PDF format | download
in Word format)
Purdue University:(download
in PDF format | download
in Word format)
UTMB Galveston:(download
in PDF format) Trainee
Evaluation Forms & Sample Letters Sample Letters to Graduate
Programs Internship Evaluation: Sample 1 (download
in PDF format | download
in Word format)
Sample 2 (download
in PDF format | download
in Word format) Internship: VA Palo Alto: 2001. Training
Director: Antonette Zeiss, Ph.D.: Manual for Competency Evaluations
of Interns (download
in PDF format | download
in Word format)
MidTerm Evaluations (download
in PDF format | download
in Word format)
Exit Evaluation Criteria (download
in PDF format | download
in Word format)
General Behavioral Med Exit Rating Evaluation
(download
in PDF format | download
in Word format) Internship: Portland
VAMC, 2001. Training Director: Gina Ortola, Ph.D. (download
in PDF format | download
in Word format) Internship: San Bernardino
County Department of Behavioral Health, 2001. Training Director: Christopher Ebbe,
Ph.D. (download
in PDF format | download
in Word format) Internship: St. Louis Psychology
Internship Consortium, 2001. Training Director: Mary C. Dettling, Ph.D. (download
in PDF format | download
in Word format) Internship: Towson University,
Counseling Center, 2001. Training Director: Mollie Jaschik-Herman, Ph.D. (download
in PDF format | download
in Word format) - Internship: University
of Denver, Graduate School of Professional Psychology, Psychology Internship Consortium,
2001. Training Director: Jennifer Cornish, Ph.D.
- UDGSPP-Initial-Assmt-of-Comp-Intern
(download
in PDF format | download
in Word format)
- UDGSPP-Eval-of-Intern-Competencies (download
in PDF format | download
in Word format)
Internship: University
of South Carolina, Counseling and Human Development Center, 2001. Training Director:
Russell Haber, Ph.D. (download
in PDF format | download
in Word format) Internship: VA Chicago Health
Care System, West Side Division, 2003. Training Director: Janet Willer, Ph.D.
(download
in PDF format | download
in Word format) Internship: Village for Families
& Children, 2001. Training Director: Anne Pidano, Ph.D. (download
in PDF format | download
in Word format) - Internship: West
Virginia University, Carruth Center for Counseling and Psychological Services,
2001. Training Director: Lynda Danley, Ph.D.
- WVUCPS-All-Competencies-Narrative
(download
in PDF format | download
in Word format)
- WVUCPS-All-Competencies-Evaluation-Forms (download
in PDF format | download
in Word format)
Postdoc (and Internship):
University of Rochester School of Medicine and Dentistry, Department of Psychiatry,
2001. Training Director: Deborah King, Ph.D. (download
in PDF format | download
in Word format) Communication
Guidelines for Internship and Graduate Programs Guidelines
for Communication between Graduate Programs and Internship Programs (download
in PDF format | download
in Word format) Examples of Consortium
Documents Internship Consortium: St. Louis Psychology Internship
Consortium, 2001. Training Director: Mary C. Dettling, Ph.D. Example of "Memorandum
of Consortium" - drawn up and agreed upon by 5 attorneys: the State's Attorney
representing 3 DMH facilities, 3 attorneys representing different universities
including a medical school, and 1 attorney representing a private sector hospital.
(download
in PDF format | download
in Word format) Internship Consortium: Northwest
Ohio Consortium, Medical College of Ohio, 1999. Training Director: Michael Carey,
Ph.D. Example of consortium contract is included in MCO's self-study document.
(download
in PDF format | download
in Word format) 5 November 2007
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