Clinical Progress Checklist

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PROGRESS CHECKLIST
Rev. 03-09-15
Date last updated: _____________
Student Name: _______________________ Year Entered: _________
Clinical Didactic Courses Successfully Completed (Course-Semester-Year)
Assessment: __________________
Interventions: __________________
Psychopathology and its Development: ________________
Clinical Specialization Topics (4 required; Course-Semester-Year):
1.
2.
3.
4.
_________________________________
_________________________________
_________________________________
_________________________________
Core Courses Successfully Completed (Course-Semester-Year):
Biological Aspects Course: ___________________________
Social Aspects Course: ______________________________
Cognitive Aspects Course: __________________________
Affective Aspects Course: ___________________________
Required Methods Courses Successfully Completed (Course-Semester-Year):
Psychometrics: _____________________________________
Regression: _________________________________________
Multivariate: ________________________________________
1 Additional methods course (Specify Course Title, Semester-Year):
_______________________________________
First-Year Project:
Title _____________________________________________
Date Completed ____________________________________
M.A. Committee Appointed: (Semester-Year): __________________
Chair: _____________________________________________
Member: __________________________________________
Member: ___________________________________________
M.A. Proposal Successfully Defended (Date): ____________________
M.A. Thesis Successfully Defended (Date): _____________________
Title of Thesis: ____________________________________________
_____________________________________________
Ph.D. Committee Appointed: (Semester-Year): ___________________
Chair: _____________________________________________
Member: ___________________________________________
Member: ___________________________________________
Member: ___________________________________________
Member: ____________________________________________
Comprehensive Examinations Successfully Completed (Sem/Year):
General/Integrative: ________________________________
Research Area Specialty: ___________________________
OR Major Area Paper Successfully Completed: _____________ (Sem/Year)
Admission to Candidacy Approved: (Date) ____________________
Dissertation Proposal Successfully Completed: _______________ (Sem/Year)
Dissertation Successfully Defended: (Date) ____________________
Title of Dissertation: ______________________________________
_________________________________________________
What clinical populations (if any) have you dealt with since beginning the program where you
dealt with culturally diverse clients? Note that per APA, “cultural and individual diversity”
refers to diversity with regard to personal and demographic characteristics. These include, but
are not limited to, age, disability, ethnicity, gender, gender identity, language, national origin,
race, religion, culture, sexual orientation, and social economic status.
___________________________________________________
___________________________________________________
Internship Site and Date Completed:
_______________________
_________________________
·
Please complete the Progress Checklist form and submit it electronically to Laura Pierce
(lpierce@usf.edu) by Friday, April 24, 2015.
·
Also remember to submit your self-study evaluation form and updated CV to Laura
electronically.
·
Please copy your major professor on the email when you submit these documents to Laura
so that he/she is in the loop.
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