PSYC 390 Application Form
Psychology Internship 390 Application Form
Print and complete this form then submit it to the Internship Coordinator for review. And while you're here, print out the
faculty recommendation form twice.
Please Print Information Below Part I:
|Declared Major||Phone Number||Student ID Numbe|
Anticipated Internship Enrollment Date (Semester/Year): ______
Anticipated Graduation Date: (circle one and fill in year)
January, 20 _____or May, 20_____
The following courses must be completed before you enroll for the internship. Please list the semester/year you have taken the course or plan to take the coure, the instructor & the grade you received.
Psych 390 and 392 require commitments of 100+ hours to a work site. It is important that your schedule will permit this degree of commitment. Please check the following statement ONLY if it is true:
_______My schedule (work and school) will definitely allow me the necessary time for a psychology internship.
Personal Narrative-please prepare on a separate page(s) and staple to this form. (Maximum length=2 typewritten, double-spaced pages).
Please briefly discuss what you hope to gain from this internship experience and how this internship experience fits into your future plans.
Describe your academic plans after graduation, indicating whether you plan to attend graduate school (your planned area of study, and the degree you are seeking).
Please describe your goals for the internship. Discuss any experiences you have had that relate to or may have prepared you for this type of internship experience (e.g., courses, research team experience, work experience, volunteer work, etc.)
You are required to obtain recommendations from TWO Psychology faculty members, one of whom should be your instructor for PSYC 304 or 306. Recommendations must be made using the recommendation form.
These forms should be returned by the faculty members directly to the internship coordinator (instructions are with the recommendation form). Because your application will not be complete until these recommendations are received, please be sure to give these forms to the faculty members whom you are asking for a recommendation at least two weeks before the time you wish your application to be reviewed.
Include a copy of your unofficial college transcript. If you are a transfer student, please include transcripts from the schools in which you were previously enrolled.
Applications must be received at least two weeks prior to the beginning of the registration period for the semester you wish to enroll in PSYC 390. Applications for Fall semester are due about March 20, and applications for Spring Semester are due about October 20. Space is limited; applications will be evaluated in order of receipt with attention given to the following:
Class rank (seniors have first priority)
Completion of Required Courses (e.g., 304, 306)
Psychology Courses Completed, and GPA
Personal Statement(Part II)
Recommendations of Faculty (Part III)
NOTE: You will be notified via e-mail when your application has been reviewed by the internship coordinator.
Send this form (Parts I and II) to:
Department of Psychology
1032 W. Sheridan Rd.
Chicago, IL 60660