Community Internship Application

Community Internship Application SUNY Geneseo Department of Psychology

Applications for a credit-bearing community internship in psychology for Spring 2018 are due by 6:00 pm on October 11, 2017. Applications must be received by this deadline in order to be considered for spring internship placements – there are no exceptions. Applications should be left in the mailbox of the department internship coordinator, Michael Lynch; mailboxes are located next to Bailey 127. Please do not submit applications electronically.

REQUIREMENTS: To be considered for an internship, students must:

Be a declared psychology major Have an overall G.P.A. of 2.75 Have a psychology G.P.A. of 3.0 Be of junior or senior standing

A copy of your unofficial transcript needs to be attached to the application, and two letters of recommendation are required. After your application is complete, you will be contacted about scheduling an interview with the department internship coordinator.

An application does NOT guarantee an internship placement. Students may NOT arrange their own internship placements. All placements must be approved by the Psychology Department and the College. Students enrolled in a community internship in psychology are required to attend a weekly one-hour seminar (on Wednesdays from 5:00 to 6:00) and to complete its assignments in order to receive course credit for the internship. COMMUNITY INTERNSHIP APPLICATION SUNY GENESEO / DEPARTMENT OF PSYCHOLOGY

Name ______

Geneseo ID ______

Semester in which you wish to do an internship: Spring Summer Fall 2018

Proposed # of internship credits (minimum of 3 credits / 115 hours) ______

Will this internship constitute your total enrollment for the semester? ______

Home Address (i.e. over breaks)

Home Phone ______

Local or Campus Address

Campus Phone ______

E-mail Address ______

College Major(s) ______Minor

Overall GPA Psychology GPA

Academic Year: Freshman Sophomore Junior Senior

Explain briefly why you want to do an internship:

(OVER) Do you have transportation if the internship location is outside of Geneseo? ______

Please list and rank order your top three preferences for an internship placement. You should review placement possibilities in the notebooks located in Bailey 126 (the “Psychology Commons” room) and/or consult with Career Development in Erwin 116. Please be as specific as possible. If you have not found a specific site, you may list the general type of placements in which you are most interested (e.g., school counseling, human resources, conflict mediation, etc.).

List the names of professors or other professional references to whom you have given internship recommendation forms:

1. ______

Department/Company______

2. ______

Department/Company______

All applicants must attach an unofficial copy of their transcript.

Applicants will be notified by as soon as possible as to the status of their internship application. An application does NOT guarantee an internship placement. Students may NOT arrange their own internship placements. All internship placements must be approved and supervised by the Psychology Department and the College.

Community Internship in Psychology Letter of Recommendation

(Two references are due by October 25, 2017 for Spring 2018 internships)

PART A (to be completed by applicant):

Applicant's Name ______

Placement area of interest (e.g., human resources, drug and alcohol counseling, , school psychology):

1) ______2) ______

PART B (to be completed by referee):

The above student has applied for an internship. Please rate the applicant in the following areas:

Writing Skills Very Strong--- -Strong----Average----Fair---- Not able to judge

Verbal Skills Very Strong---- Strong----Average----Fair---- Not able to judge

Motivation Very Strong---- Strong----Average----Fair---- Not able to judge

Dependability Very Strong---- Strong----Average----Fair---- Not able to judge

Interpersonal Skills Very Strong---- Strong----Average----Fair---- Not able to judge

Integrity Very Strong--- -Strong----Average----Fair---- Not able to judge

OVERALL RATING Very Strong---- Strong----Average----Fair---- Not able to judge

(OVER) Please write a brief recommendation pointing out the applicant's strengths and weaknesses.

I give the internship coordinator permission to share the contents of this letter with:

the student ______yes ______no

the agency supervisor ______yes ______no

Referee's Name

Position

Signature

Completed letters of recommendation are to be returned to:

Michael Lynch, Ph.D. Internship Coordinator Department of Psychology SUNY Geneseo Geneseo, NY 14454 Community Internship in Psychology Letter of Recommendation