
INSTRUCTIONS
UNIVERSITY OF MARYLAND APPLICATION
PRE-DOCTORAL INTERNSHIP 2007
The application for the University of Maryland Counseling Center Internship includes the 2007-2008 APPIC Application for Psychology Internship (AAPI) and the University of Maryland Internship Application. The APPIC Application for Psychology Internship (AAPI) can be obtained from the APPIC website: www.appic.org.
The University of Maryland Application is attached.
Please complete the AAPI, the University of Maryland Application, and other supporting documents and forward by November 5, 2007 to:
Dr. Sharon E. Kirkland-Gordon
Internship Application
Counseling Center
Shoemaker Building
University of Maryland
College Park, Maryland 20742-8111
Applicant: _____________________________________________
University: _____________________________________________
1. List all course work for academic credit that you have completed in the following areas. Include the full course title.
a) Consultation
b) Supervision
c) Career Development/Counseling
d) Multicultural/Cross-cultural Issues/Counseling
e) Group Counseling/Psychotherapy
f) Other Specializations
2. Briefly describe your experience, if any, in the following areas:
a) Consultation and Outreach (e.g., organizational consultation, process consultation and/or expert consultation, outreach)
b) Career Counseling
3. Are you currently covered by malpractice insurance? Y N
If so, who is your carrier?
4a. In one or two sentences describe what you consider to be your major strength.
b. At this point in your professional development, describe an area of further growth and development.
c. Briefly describe how an internship at the University of Maryland Counseling Center could help you to improve upon the growth edges you described above.
5. It is the year 2020, please list three contributions you have made to the field of counseling psychology.
6. Briefly describe the current status of your dissertation and provide some indication of where you will be in the process by July 1, 2008.
7. How did you hear about the University of Maryland Internship Program? Please check all that apply.
_____ Advertisement in gradPSYCH
_____ Advertisement in Counseling Today
_____ APPIC Directory or Website
_____ University of Maryland Internship Program Website
_____ Faculty advisor or other faculty member
_____ Former intern
_____ Conference, Internship Fair
_____ Other _____________________________________________
The University of Maryland is an equal opportunity institution with respect to both education and employment. The University's policies, programs and activities are in compliance with pertinent federal and state laws and regulations on non-discrimination regarding race, color, religion, national origin, sex, sexual orientation and disability status.
Page 1 - Cover Page
Page 2 - Letter to Applicants
Page 3 - Internship Flyer
Page 4 - The Agency
Page 5 - The Internship Program
Page 6 - Application Requirements
Page 7 - Appointment Details
Page 8 - Counseling Center Staff
Page 9 - Instructions for APPIC Application and University of Maryland Application
Page 10 - University of Maryland Application
Page 11 - Message to Applicants
Page 12 - Primary Training Staff
Page 13 - Summary Data - Intern and Training Staff
Page 14 - University of Maryland Interns