Department of Psychology at Illinois State University
The links on this website are forms, agreements, and resources for the specialist 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.
3012-2013 Specialist Policies and Procedures(Revised November 2012)
2012-2013 Specialist Forms Manual(Revised November 2012)
Agreements and Contracts:
First Year Fieldwork/Practicum I Agreement (sample agreement) (due September 1)
Independent Study Contract (for PSY 400)
PSY 436.04 Psychoeducational Practicum Contract (sample contract) (due September 1)
Specialist Internship Agreement (sample agreement) (due September 1)
Graduate School Website Information:
Forms:
Documentation of Discussion of Employment
Practicum Trainee Reflection (for PSY 498.05, 436.04, 436.05, 590.01, 590.02, 590.03, and 590.04)
PSY 402 Applied Research Experiences in School Psychology (due September 1)
PSY 436.04 Psychoeducational Practicum Evaluation
PSY 436.05 Psychosocial Practicum Evaluation
PSY 498.05 Classroom Observation Guide
PSY 498.05 First Year Fieldwork/Practicum I Evaluation
PSY 498.05 First Year Fieldwork/Practicum I Evaluation by Principals/Head Start Teachers/Practitioners(due December 1 for fall semester; due May 1 for spring semester)
PSY 498.05 First Year Fieldwork/Practicum I Placement Trainee Self-Evaluation
PSY 498.05 First Year Fieldwork/Practicum I Trainee Observation
PSY 498.05 First Year Fieldwork/Practicum I Weekly Log
Specialist Internship Evaluation(due December 1 for fall semester; due May 1 for spring semester)
Specialist Internship Plan and Evaluation
Specialist Internship Site Evaluation(due May 1)
Specialist Program Annual Feedback(due April 15)