PsyD Forms for Web

Click here for Calendar of Important Deadlines for 2007-08.

Form #1 Prior Experience Form 2 Pages
Form #2 Trainee Log of Ethnographic Training Activities 2 Pages
Form #3 Ethnographic Supervisor's Evaluation of Trainee 2 Pages
Form #4 Trainee Evaluation of Ethnographic Practicum 2 Pages
Form #5 Trainee Log of Clinical Activities 2 Pages
Form #6 Supervisor's Evaluation of Clinical Trainee 2 Pages
Form #7 Trainee Evaluation of Site 2 Pages
Form #8 Trainee Evaluation of Supervisor 1 Page
Form #9 Petition for Practicum II, III and Pre-Doctoral Internship 3 Pages
Form #10 Internship Site Acceptance Form 1 Page
Form #11 Placement Concerns Report 1 Page
Form #12 Guidelines for Letters of Recommendation 1 Page
Form #13 Certification of Readiness for Internship 1 Page
Form #14 Placement Information 1 Page
Form #15 Request for Transcript of Record 1 Page
Form #16 Self-Evaluation of Strengths 2 Pages
Form #17 Consent to Audio/Video 1 Page
Training Manual Download: PsyD Training Manual Sept07.pdf 44 Pages

PsyD Program
John F. Kennedy University, Pleasant Hill campus
100 Ellinwood Way
Pleasant Hill, CA 94523-4817
925.969.3400
www.jfku.edu

Program Director
Sukie Magraw, PhD
925.969.3415
smagraw@jfku.edu

Training Office

Haydee Montenegro, PsyD, PhD
Training Director 		925.969.3419 hmontenegro@jfku.edu
Cathy Darden,
Admin. Director 		925.969.3423 cdarden@jfku.edu

Other Useful Numbers:

Academic Support Center 925.969.3530
Admissions and Records 925.969.3330
Career Center 925.969.3540
Computer Lab 925.969.3472
Counseling Center, Pleasant Hill 925.798.9240
Counseling Center, Sunnyvale 408.524.4900
Financial Aid 925.969.3385
Fisher Library 925.969.3100
Office of Disability Services 925.969.3447
Registration 925.969.3350