Portfolio DQE Evaluation
Student’s Name:
______________________________________________________
PASS
FAIL
C R1 R2 C R1 R2
1.
2.
3.
Annual Evaluations
a. Includes copies of all annual self-evaluation
letters
b. Includes copies of all COPS Program evaluation
letters
c. Includes copies of all completed “Professor
Evaluation of Student” forms
Practice of Counseling Psychology
a. Includes the cover essay addressing the
appropriate content (see Program handbook)
b. Includes a statement of the student’s theoretical
orientation, following the most recent guidelines
of the APPIC AAPI
c. Includes all supervisor evaluations
d. Includes documentation of all hours and related
clinical hours (i.e., a cumulative log of ALL
experiences, reflecting combined COUN
/internship + COPS experiences):
confirmation that hours are in
keeping with the requirement of Direct
Service hours between 20% and 35% of the
total hours for each semester, and totals of
at least 450 face-to-face hours and 150
supervision (received) hours
e. Includes clinical writing samples (at least two
examples of each of the following: case
presentations, treatment plans, progress notes,
psychological reports)
f. Includes documentation of completion of at least
8 integrated psychological reports
g. Includes verification of successful completion of
Internship Readiness Exam (effective for students
entering Fall 2011 and later)
h. Includes any other materials that support
competencies in this area
Collaborative Research Project
a. Includes a signed copy of the CRP Research
Learning Agreement
b. Includes the Research Report—be sure to include
level and sections of authorship
c. Includes a signed copy of the CRP Research
4.
5.
6.
Learning agreement—Final Progress Report
Conference Presentation
a. Includes advisor’s written prior approval of
appropriateness of conference
b. Includes acceptance letter from conference or
page from conference program listing
presentation and presenters
c. Includes copy of poster/paper
Journal Article
a. Includes written memo from student’s advisor
attesting that MS is publishable
b. Includes written acknowledgement of receipt of
MS from journal editor
c. Includes a copy of MS or reprint of published
article
CICLR
a. Includes CICLR Proposal document and signature
form
b. Includes CICLR Defense Document and signature
form
Student’s Signature: ________________________________ Date: _______________________
(R1) Review’s Signature: _____________________________ Date: _______________________
(R2) Review’s Signature: _____________________________ Date: _______________________
(C) Department Chair’s Signature: ______________________ Date: _______________________