Department of Psychology at Illinois State University
The links on this website are forms, agreements, and resources for the doctoral program. The department forms are interactive Microsoft Word documents. Click on the specific link to download the form to the computer. The form should be completed on the computer. Hand written forms will not be accepted. The spaces on the form for information will expand as needed. The completed form should be printed, signed, and dated. If the form does not download to the computer or it is impossible to complete on the computer, contact the Graduate Programs Office by email.
2012-2013 Doctoral Policies and Procedures(Revised November 2012)
2012-2013 Doctoral Field Placement Handbook(Revised March 2013: New CDSPP Guidelines)
Agreements and Contracts:
Doctoral Internship Agreement (sample agreement)
First Year Fieldwork RtI Site Contract for PSY 498.05 and PSY 480.19 (sample contract)
Independent Study Contract (for PSY 400 and PSY 500)
PSY 436.04 Psychoeducational Practicum RtI Contract (sample contract) (due September 1)
PSY 498.05 First Year Fieldwork/Practicum I Agreement (sample agreement) (due September 1)
PSY 590 Advanced Practicum Request
PSY 590 Advanced Practicum Contract
Graduate School Website Information:
Dissertation Assistance website
Forms:
Academic Professional Development Information(due April 1)
Advanced Practicum Trainee Evaluation
Apprenticeship/Thesis/Dissertation Progress Report (due April 1)
Comprehensive Examination website(registration due May 1)
Doctoral Degree Audit Worksheet (due April 15)
Doctoral Internship Site Evaluation(due August 1)
Documentation of Discussion of Employment
Non-License Internship Acknowledgement
Practicum Trainee Reflection (for PSY 498.05, 436.04, 436.05, 590.01, 590.02, 590.03, and 590.04)
Professional Development Trainee Evaluation
PSY 436.04 Psychoeducational Practicum Evaluation (for Trainee and Supervisor)
PSY 436.05 Psychosocial Practicum Evaluation
PSY 498.05 Classroom Observation Guide
PSY 498.05 First Year Fieldwork/Practicum Evaluation
PSY 498.05 First Year Fieldwork/Practicum Evaluation by Principals/Head Start Teachers/Practitioners
(due December 1 for fall semester; due May 1for spring semester)
PSY 498.05 First Year Fieldwork/Practicum Placement Trainee Self-Evaluation
PSY 498.05 First Year Fieldwork/Practicum Weekly Observation Log