Department of Psychology at Illinois State University

Forms and Handbook

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. 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 or is impossible to complete on the computer, contact the Graduate Programs Office by e-mail.

2013-14 Doctoral Policies and Procedures(Revised Jan. 2, 2014)

2013-14 Doctoral Field Placement Handbook(August 2013)


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 Agreement: Head Start Placement (sample agreement) (due September 1)

PSY 498.05 First Year Fieldwork/Practicum Agreement: Public School Placement (sample agreement) (due September 1)

PSY 590 Advanced Practicum Request

PSY 590 Advanced Practicum Contract


Graduate School Website Information:

Thesis Assistance website

  • Graduate School Dates and Deadlines
  • Guide for Writers of Theses (2013)
  • Copyright Authority Checklist
  • Proposal form
  • Request for extension of time
  • Right to Defend
  • Final Deposit Checklist
  • ProQuest (online submission of thesis)
  • James L. Fisher Outstanding Thesis Competition

Dissertation Assistance website

  • Graduate School Dates and Deadlines
  • Guide for Writers of Dissertations (2013)
  • Copyright authority Checklist
  • Proposal Form
  • Request for Extension of Time
  • Right to Defend
  • Final Deposit Checklist
  • Outcome of Dissertation Defense
  • ProQuest (online submission of dissertation)
  • Clarence W. Sorensen Distinguished Dissertation Award

Forms:

Academic Professional Development Information(due April 1)

Advanced Practicum Trainee Evaluation

Apprenticeship/Thesis/Dissertation Progress Report (due April 1)

Course Exemption Request

Doctoral Case Impact Rating Form (Select Survey)

Doctoral Degree Audit Worksheet (due April 15)

Doctoral Internship Plan

Doctoral Internship Site Evaluation(due August 1)

Documentation of Discussion of Employment

MyPsychTrack (APPIC-sponsored online tracking tool for program logs)

Non-Licensure 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 - Ph.D. Trainee (Select Survey)

PSY 436.04 Psychoeducational Practicum Evaluation - Ph.D. Supervisor (for Site and University Supervisors) (Select Survey)

PSY 436.05 Psychosocial Practicum Evaluation - Ph.D. Trainee (Select Survey)

PSY 436.05 Psychosocial Practicum Evaluation - Ph.D. Site Supervisor (Select Survey)

PSY 436.05 Psychosocial Practicum Evaluation - Ph.D. University Supervisor (Select Survey)

PSY 498.05 Classroom Observation Guide

PSY 498.05 First Year Fieldwork in School Psychology Evaluation by Advanced Doctoral Students(Select Survey)

PSY 498.05 First Year Fieldwork in School Psychology Evaluation by Site Supervisor(Select Survey)

PSY 498.05 First Year Fieldwork/Practicum Trainee Self-Evaluation

PSY 498.05 First Year Fieldwork/Practicum Weekly Observation Log

PSY 590 Advanced Practicum Evaluation (Select Survey)


Other Websites with Forms:

Comprehensive Examination(registration due May 1)

Degree Audit

Dissertation Procedures

Thesis Procedures