Document 12971444

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Undergraduate Concentration in Clinical Psychology Program of Study If you have any interest in the Undergraduate Concentration in Clinical Psychology, please
fill in as much of this program of study as you can. This does not obligate you to take any
courses or to continue in the clinical concentration. You can make changes in this program of
study as you progress through the curriculum.
Please leave this program of study in the Psychology Department Office, Bluemont Hall,
Room 492 after completing Basic Concepts in Clinical Psychology. Students must
complete Basic Concepts in Clinical Psychology before enrolling in the Laboratory in
Clinical Concepts. If you have any questions concerning the Undergraduate Concentration
in Clinical Psychology, consult with either Dr. Barnett or Dr. Frieman.
Name ____________________________
Local Address ____________________________
Local Phone No. __________________________
Class (check one)
___ Freshman
___ Sophomore
___ 1st Sem.Jr.
___ 2nd Sem.Jr.
___ 1st Sem.Sr.
___ 2nd Sem.Sr.
Expected date of graduation______
For each of the following courses which you have completed, indicate the grade you
received. For those courses you have not taken, but intend to, indicate the dates you plan to
enroll in them.
A. Courses in Major
_____ General Psychology
_____ Experimental Methods
_____ Statistics
_____ Cognitive Psychology
_____ Princ. of Learning
_____ Fund. of Percp. & Sens.
_____ Psychobiology
_____ Found. of Social Behv.
_____ Psych. of Personality
B. Psych. Courses in Undergraduate Concentration in Clinical Psychology
Clinical
_____ Psychological Testing
_____ Abnormal Psychology
_____ Basic Concepts in Clinical Psych.
_____ Laboratory in Clinical Concepts
_____ Field Placement
C. Other Psychology Courses
_____ ________________________________________
_____ ________________________________________
_____ ________________________________________
_____ ________________________________________
_____ ________________________________________
D. Undergraduate Concentration in Clinical Psychology Electives
Courses in Education, Sociology, etc. (Note: Students completing this form for the first time
may want to leave this section blank until they have a chance to talk with an Undergraduate
Clinical Concentration advisor.
o _____________________
o _____________________
o _____________________
o _____________________
Preferred period of field placement (spring, summer, fall) ____________
Preferred general location of field placement _______________________
Preferred type of field placement (hospital, community agency, institution for the retarded,
etc. ______________________________________________________________________
List any experience you have had which you feel is relevant to a field placement.
At the present time, how do you plan to use your training in the Undergraduate Clinical
Concentration?
1. ______ As a career goal (employment as a Psych. Tech.)
2. ______ As a help in admission to graduate study (clinical, experimental, etc.; please
specify _______________________
3. ______ As part of my general education.
4. ______ As good experience for a career in another area (business, government, medicine,
etc.; please specify) ____________________________________________________
5. ______ Other (please specify)
Other Comments: 
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