FORM 7 - Virginia



AREAS OF GRADUATE STUDY

|This form is to be completed by individuals who are applying for licensure by EXAMINATION as a clinical psychologist, school psychologist, or applied psychologist |

|who did not graduate from an APA, NCATE, or NASP accredited institution. This form is also to be used by applicants applying by ENDORSEMENT based on less than 10 |

|years of active licensure. |

|Applications will not be processed if required information is not listed on this form. |

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|Applicant's Name Social Security/Virginia DMV Control Number |

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|Please list in the spaces provided below graduate coursework completed which corresponds to the courses listed below. Indicate course title, course number and |

|number of credit hours received as shown on your graduate transcript. Also indicate on this form any area of study where you cannot specify that coursework was |

|completed, or where it may be unclear from the title of a course that the course content was covered. Practica content areas do not have to be represented by |

|distinct course numbers. One practicum that covers all three content areas is acceptable as long as required hours are met. Catalogue descriptions may be |

|submitted for clarification. If more space is needed, please attach additional sheets. |

| |

|You are only required to complete the numbers listed below, as applicable to the licensure you are seeking: |

|Applied Psychologist applicants complete items 1 - 8 only |

|Clinical Psychologist applicants complete items 2 - 18 only (if graduate program was APA-approved, 2-15 can be left blank) |

|School Psychologist applicants complete items 19-27 only (if graduate programs was APA, NCATE or NASP-approved, 18-22 can be left blank) |

|Required Content |Course Title and Number |Number of Credits |Name of Institution |

|Concentration in __________ | | | |

|(must have a total of 18 semester hours) | | | |

|2. Biological bases of behavior | | | |

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|3. Cognitive-affective bases of behavior | | | |

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|4. Social bases of behavior | | | |

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|5. Psychological Measurement | | | |

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|Research Methodology | | | |

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|7. Techniques of data analysis | | | |

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|8. Professional Ethics and Standards | | | |

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|9. Individual differences in behavior | | | |

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|10. Human Development | | | |

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|11. Dysfunctional behavior, abnormal behavior or | | | |

|psychopathology | | | |

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|12. Theories and methods of intellectual | | | |

|assessment and diagnosis | | | |

|13 Theories and methods of personality assessment| | | |

|and diagnosis including its practical | | | |

|application. | | | |

|14. Effective interventions and evaluating the | | | |

|efficacy of interventions. | | | |

|15. Consultation and supervision | | | |

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|16. Practicum: Assessment and Diagnosis | | | |

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|17. Practicum: Psychotherapy | | | |

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|18. Practicum: Consultation and supervision | | | |

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|19. Psychological foundations | | | |

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|20. Educational foundations | | | |

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|21. Interventions/problem solving | | | |

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|22. Statistics and research methodologies | | | |

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|23. Professional school psychology | | | |

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|24. Practicum in orientation to the educational | | | |

|process | | | |

|25. Practicum in assessment for intervention | | | |

|26. Practicum in direct intervention | | | |

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|27. Practicum in indirect intervention | | | |

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