Psy.
D. Documentation of Professional Experiences Tables
The
Documentation
of Professional Experiences Tables provide the
applicant the opportunity to identify and briefly describe
professional experiences that prepare him/her for graduate
studies in School Psychology at USM.
Please
provide the following information with your application.
Examples are provided to assist the applicant in
documenting his/her experiences.
1. Personal Information Table
In table format
provide your name, address, phone number, and email.
Example:
|
Name
|
Richard
Pattenaude
|
|
Address
|
37
College Avenue
Gorham,
ME 04038
|
|
Phone
Number
|
207-555-1212
|
|
Email
|
Pres@usm.maine.edu
|
2.
Professional Experiences Table
In table format,
briefly list and summarize your professional experiences that
prepare you for admission into the Psy.D. program.
Example:
Position
|
Years
|
Location
|
Responsibilities
|
|
Special
Education Teacher
|
1992-1995
|
Washington
Elementary School
(Missouri
Bluffs, IA)
|
Provided direct instruction, academic assessments, IEP
development, Positive Behavioral Support interventions
with students with multiple handicapping conditions in
grades 2-6.
|
|
School
Psychologist
|
1998
to present
|
Open
Prairie Area Education Agency (Sioux Falls, SD)
|
Provided
assessments (e.g., cognitive, object personality,
adaptive behavior, academic, CBM, FBA), consultation
with teachers/parents, social skills training,
in-service presentations, and applied research within
elementary, middle and high school settings across a
wide range of regular and special education
populations. Area of specialty: elementary
students with reading difficulties.
|
3.
Professional Organizations/Memberships Table
In table format,
briefly describe your participation in professional
organizations related to your field.
Example:
Professional
Organization
|
Years
|
Positions
held
|
|
Member,
American Counseling Association
|
1990-present
|
None
|
|
Member,
California
State
Association of Professional Counselors
|
1990
to present
|
Treasurer,
1995-1997
President,
1997-1999
|
|
Member,
Association for Behavior Analysis
|
1985
to present
|
None
|
|
