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Application for FISD to provide practicum site - LSSP
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Email
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Your email
Name
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Your answer
Phone Number
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Your answer
Email Address
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Your answer
University Enrolled With
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Your answer
How many hours are required for the practicum?
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Your answer
Please describe any specific requirements for the hours or activities that need to be included in the practicum.
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Your answer
Have you met all prerequisite requirements for enrollment in your university's school psychology practicum course with a minimum grade point average of 3.0?
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Yes
No
Other:
Rate your comfort level with conducting parent and teacher interviews independently.
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Needs significant support
1
2
3
4
5
Minimal support
Rate your comfort level with conducting student interviews independently.
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Needs significant support
1
2
3
4
5
Minimal support
Rate your comfort level with completing classroom observations independently.
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Needs significant support
1
2
3
4
5
Minimal support
Rate your comfort level with administering, scoring, and interpreting behavior assessment measures (i.e. BASC-3; CDI-2; MASC-2, BRIEF-2, etc.) independently.
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Needs significant support
1
2
3
4
5
Minimal support
Rate your comfort level with administering, scoring, and interpreting autism specific assessments (i.e., ADOS-2, MIGDAS-2; SSIS; ASRS, etc.) independently.
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Needs significant support
1
2
3
4
5
Minimal support
Rate your comfort level with writing a FIE report.
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Needs significant support
1
2
3
4
5
Minimal support
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