CAMS Summer Internship Program Supervisor Template
1. Supervisor name & full contact information:
 Name: Sarah Kuriakose PhD,
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The Child Study Center at NYU Langone Medical Center
Department of Child and Adolescent Psychiatry
One Park Avenue, 7th Floor, New York, NY 10016
tel 646.754.4873 | fax 646.754.9538
sarah.kuriakose@nyumc.org | nyulangone.org/csc
2. Direct supervisor name & full contact information (if different from above):
 Name: Katherine Sullivan PhD
 Katherine Sullivan, PhD
 Clinical Assistant Professor of Child and Adolescent Psychiatry
 Autism Spectrum Disorder Clinical and Research Program
 The Child Study Center at NYU Langone Medical Center
 Department of Child and Adolescent Psychiatry
 One Park Ave., 7th Floor, New York, NY 10016
 Phone: 646.754.4979 | Fax: 646.754.9538
 katherine.sullivan@nyumc.org| www.nyulangone.org/csc
3. Name and brief description (1 – 2 paragraphs) of the Project requiring an
Intern(s):
 The Social Learning Program is seeking interns to assist with program development,
evaluation and, recruitment for the evidence-based group therapy programs conducted
in the fall and spring annually. We are interested in looking at recruitment patterns to
identify target populations. We are additionally interested in surveying the literature to
add evidence-based group programs to our roster.
4. Location and hours of Internship (building name, expected availability if
known):
 Fieldwork location: One Park Avenue
 Expected start & end times: 9-5
5. Number of Interns requested:
 2
6. Brief summary of proposed Intern responsibilities:
 Evaluate and manage recruitment database
 Analyze and organize recruitment workflow
 Conduct literature search of evidence-based group programs for emotion
regulation in children with autism
 Conduct phone screens to enroll families in groups
7. Weekly or monthly meetings at which Intern attendance is expected:
 Weekly supervision, case conference
CAMS Summer Internship Program Supervisor Template
8. Three goals that the Intern(s) will be expected to achieve during placement:
1) Intern will learn about evidence-based group programs for children with
autism
2) Intern will assist in recruitment of group participants
3) Intern will analyze workflow through recruitment process
9. Description of planned deliverable(s) at the end of the 12-week Project:
Potential deliverables include literature review on emotion regulation
groups and analysis of flow through referral process for three previous group
cycles.
10. Skills or prerequisite experience required:
 Computer/Software:Excel/Access
 Languages:English
11. Any other requirements (e.g., special clearances required, etc.):
 volunteer