Forms & Agreements
Doctorate in School Psychology > Forms & Agreements
The links below are agreements and forms for doctoral program trainees and supervisors. Click on the link to download the form. If a form does not download or is impossible to complete on a computer, contact the Graduate Programs Office at psygrad@ilstu.edu. The completed form should be printed, signed, and dated. The program coordinator will provide links to appropriate evaluators for Qualtrics forms.
202022-2023 Doctoral Program Policies and Procedures
NASP Nondiscrimination and Equal Opportunity Policy (February 2012)
- PSY 436A04 Psychoeducational Practicum Problem-Solving and Rtl School Placement Agreement (sample agreement, due September 1)
- PSY 498A05 First Year Fieldwork/Practicum Head Start Placement Agreement (sample agreement; due September 1)
- PSY 498A05 First Year Fieldwork/Practicum Public School Placement Agreement (sample agreement, due September 1)
- PSY 498A05 First Year Fieldwork/Practicum TAP Placement Agreement (sample agreement, due September 1)
- PSY 502 Research Apprenticeship Agreement
- PSY 590 Advanced Practicum Request and PSY 590 Advanced Practicum Agreement [Both forms must be completed, signed and approved by the program coordinator before an override is processed so the trainee can register for practicum.]
- Academic Professional Development Information (due April 1)
- Apprenticeship/Thesis/Dissertation Progress Report (due April 1)
- Course Exemption Request
- Critical Skill Development Plan (review PDF)
- Discussion of Employment
- Doctoral Degree Audit Worksheet (due April 15 of the second year in doctoral program)
- Doctoral Internship Plan (due September 1)
- Doctoral Internship Site Eligibility Criteria (for internships without APPIC match or a non-APA-accredited site; completed form due 30 days before internship begins)
- Doctoral Trainee Internship Site Evaluation (due August 1)
- First Year Trainee Mid-Year Evaluation by Faculty (review PDF)
- Graduate Assistant Performance Evaluation (review PDF)
- Mid-Year Feedback Conference Summary (review PDF)
- Non-Licensure Internship Acknowledgement (for an internship at a non-school setting)
- Program Log (Excel spreadsheet for fieldwork, practica, and internship)
- PSY 498A05 Classroom Observation Guide
- PSY 498A05 First Year Fieldwork/Practicum Weekly Reflection Log
- PSY 498A05 First Year Head Start Site Supervisor Evaluation (review PDF)
- School Psychology Program Practicum Evaluation (for PSY 498A05, 436A04, 436A05, 590) (review PDF)