Forms & Agreements
Specialist in School Psychology > Forms & Agreements
The links below are forms and agreements for the specialist program. The department forms are interactive Microsoft Word documents or Qualtrics. Click on the link to download or access the form. Microsoft Word forms should be completed on a computer. The spaces on the form will expand as needed. If the form does not download or cannot be completed on a computer, contact the Graduate Programs Office by email at psygrad@ilstu.edu. Items identified as Qualtrics are either online forms or are provided to the evaluator by the graduate coordinator Dr. Mark Swerdlik.
2022-2023 SSP Policies and Procedures
Illinois School Psychology Internship Manual (2014; Illinois Directors of University School Psychology Programs)
NASP Nondiscrimination and Equal Opportunity Policy (February 2012)
NASP Standards for Graduate Preparation of School Psychologists (2010)
- PSY 436A04 Psychoeducational Practicum Problem Solving/RtI 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)
- Specialist Internship Agreement (sample agreement, due September 1)
- Course Exemption Request
- Critical Skill Development Plan (review PDF)
- Discussion of Employment
- First Year Trainee Mid-Year Evaluation by Faculty (review PDF)
- Graduate Assistant Performance Evaluation (review PDF)
- Mid-Year Feedback Conference Summary (review PDF)
- Program Log (Excel spreadsheet for fieldwork, practica, and internship)
- PSY 402 Applied Research Experiences in School Psychology (due September 1)
- PSY 498A05 Classroom Observation Guide
- PSY 498A05 First Year Fieldwork/Practicum Weekly Reflection Log
- PSY 498A05 Head Start Site Supervisor Evaluation (review PDF)
- School Psychology Program Practicum Evaluation (for PSY 498A05, 436A04, 436A05) (review PDF)
- Site/Intern Supervisor Feedback (Available at a later date)
- Specialist Internship Descriptions of Required Case Studies with Scoring Rubrics (review PDF)
- Specialist Internship Plan and Evaluation (due December 1 and May 1)
- Specialist Trainee Annual Progress Report (due April 15)
- Specialist Trainee Internship Site Evaluation (due May 1)