Fieldwork Interview Full Name Email University Fieldwork Practicum Internship Placement - Click to select (Requests are considered, however, not guaranteed) Pre-School Elementary School Middle School High School Alternative Program How many days per week are you available? 1 2 3 4 5 Where did you complete your practicum? (Intern Applicants Only) What prior experience do you have related to education and/or psychology? Do you have any experience with specific populations (e.g. autism, critical skills, behavior, etc)? What is your level of training and comfort with assessment and report writing? What areas would you like more experience or training? Comments or Questions Letter of Rec. #1 (Internship Applicants Only) Letter of Rec. #2 (Internship Applicants Only) Psychoeducational Report - If Available (Internship Applicants Only) Send Powered by BRAND CAMP | ©2021 pusdschoolpsychs.com
