University of South Florida s6

1 UNIVERSITY OF SOUTH FLORIDA DEPARTMENT OF PSYCHOLOGY

Clinical Placement Chair 2016-2017 Jack Darkes, Ph.D.

JOB PLACEMENT INFORMATION FORM

Provide the following information about the position for which our graduate students would be applying if approved. This information is used by our Placement Committee to evaluate training opportunities and by our students to review/select placements in which they are interested.

Agency Name: ______

Title of Position: ______

Number of Positions Available ______

Location of Position: ______

Business Address: ______

Salary: ______

Fringe benefits (e.g. vacation, insurance, etc.) ______

Tuition Waiver (#of credits if any): ______

Expected Hours of work per week: ______

Minimum days per week expected to be on site: ______

How would you like students to apply? Please check choice.

Send letter and vitae via e-mail: _____ Make phone contact: _____

Contact person and information for the position:

Contact Person: ______Phone Number: ______E mail address: ______

Anticipated duration of employment:

Begin Date ______End Date:______

What is the policy of this placement regarding holidays and student scheduling issues (e.g. students interviewing for internship, other academic requirements)? ______

Job requirements (e.g. computer skills, assessment experience, Master’s degree; please also indicate if specific skills are necessary or desirable). Updated 2/9/2016 2 ______

Populations seen (child/adult, typical disorders, severity level, etc.): ______

Please describe typical duties of this position:

Clinical assessment (e.g. # and type of clients tests administered, emphasis on empirically based assessment, purpose of testing, interpretation, write-up, case presentation, will supervisor be present?): ______

Psychotherapy (e.g. # and type of clients, amount and type of client contact, group vs. individual, types of interventions, theoretical model, therapy techniques used, emphasis on empirically based intervention, will supervisor be present?): ______

Case conference/staffing meetings (e.g. format, frequency): ______

Research (e.g. scale administration/data collection; data reduction/scoring; data analysis; research meetings; involvement in formulation of design, write-up of results; involvement in presentation/publication of results, grant-writing experience): ______

Updated 2/9/2016 3 Supervision (Amount/nature of supervision, who provides it, what training background, where will it take place, encourages drawing upon psychological research to support clinical decisions?) Direct supervision (either live or video recorded) must occur during each evaluation period. ______

A. Briefly describe how research findings inform your practices with respect to: (a) clinical assessment, (b) clinical interventions, and/or (c) supervision of clinical staff. ______B. Please respond below to help applicants decide what opportunities are suitable for them.

This placement/externship would be ideal for students who want/need (circle all that apply):

1. Individual therapy experience

2. Group therapy experience

3. Testing/assessment experience

4. Report writing skills

5. Psychometric test scoring/interpretation experience

6. Conference presentations

7. Other: ______

C. Please indicate which student experience level is best suited for this position.

a. Junior clinical students (1st-2nd year)

b. Mid-level clinical students (3rd-4th year)

c. Advanced clinical students (5th year and up)

d. N/A, this position is well suited for any level of training

H. Additional information you feel is relevant:

Updated 2/9/2016 4

Updated 2/9/2016