Department of Psychiatry & Behavioral Sciences Psychiatry Research and Education Practicum

Similar documents
SMILE Noyce Scholars Program Application

Emergency Medical Technician Course Application

2012 Summer Fellowship in Translational Research & Bioethics International Institute of Bioethics & Patient Care Advancement

Upward Bound Math & Science Program

DO SOMETHING! Become a Youth Leader, Join ASAP. HAVE A VOICE MAKE A DIFFERENCE BE PART OF A GROUP WORKING TO CREATE CHANGE IN EDUCATION

MSW Application Packet

Department of Social Work Master of Social Work Program

SCHOLARSHIP GUIDELINES FOR HISPANIC/LATINO STUDENTS

Cy-Fair College Teacher Preparation and Certification Program Application Form

APPLICANT INFORMATION. Area Code: Phone: Area Code: Phone:

KENT STATE UNIVERSITY

The FPA Diversity Scholarship Program is available for the following FPA National Conferences:

UW-Waukesha Pre-College Program. College Bound Take Charge of Your Future!

Freshman Admission Application 2016

PUBLIC INFORMATION POLICY

Rotary Club of Portsmouth

EARL WOODS SCHOLAR PROGRAM APPLICATION

FELLOWSHIP PROGRAM FELLOW APPLICATION

Information and Instructions

Cypress College STEM² Program Application

New Student Application. Name High School. Date Received (official use only)

Oregon NASA Space Grant

Completed applications due via online submission at by 11:59pm or to the SEC Information Desk by 7:59pm.

Department of Education School of Education & Human Services Master of Education Policy Manual

Internship Program. Application Submission completed form to: Monica Mitry Membership and Volunteer Coordinator

UNI University Wide Internship

Preparing for Medical School

c o l l e g e o f Educ ation

Arizona GEAR UP hiring for Summer Leadership Academy 2017

The Louis Stokes Scholar Internship A Paid Summer Legal Experience

University of Utah. 1. Graduation-Rates Data a. All Students. b. Student-Athletes

National Survey of Student Engagement The College Student Report

Pharmacy Technician Program

ACCT 3400, BUSN 3400-H01, ECON 3400, FINN COURSE SYLLABUS Internship for Academic Credit Fall 2017

Midw Forum AMOUNT. award up. MAF Scholarship. Applicants. of the. Applicants. skills. The four page. notified of. award

THIS KIT CONTAINS ALL THE INFORMATION YOU NEED

(2) "Half time basis" means teaching fifteen (15) hours per week in the intern s area of certification.

Application Paralegal Training Program. Important Dates: Summer 2016 Westwood. ABA Approved. Established in 1972

George E. Sims, Jr. Nursing Scholarship Application PERSONAL INFORMATION. WellStar West Georgia Medical Center s

Program Information on the Graduate Certificate in Alcohol and Drug Abuse Studies (CADAS)

Engineering Our Future

CIN-SCHOLARSHIP APPLICATION

DUAL ENROLLMENT ADMISSIONS APPLICATION. You can get anywhere from here.

Integral Teaching Fellowship Application Packet Spring 2018

Meeting these requirements does not guarantee admission to the program.

Table of Contents. Internship Requirements 3 4. Internship Checklist 5. Description of Proposed Internship Request Form 6. Student Agreement Form 7

Institution of Higher Education Demographic Survey

IMPORTANT: PLEASE READ THE FOLLOWING DIRECTIONS CAREFULLY PRIOR TO PREPARING YOUR APPLICATION PACKAGE.

Bellevue University Bellevue, NE

California State University, Los Angeles TRIO Upward Bound & Upward Bound Math/Science

STUDENT APPLICATION FORM 2016

Field Experience and Internship Handbook Master of Education in Educational Leadership Program

APPLICATION DEADLINE: 5:00 PM, December 25, 2013

2017 TEAM LEADER (TL) NORTHERN ARIZONA UNIVERSITY UPWARD BOUND and UPWARD BOUND MATH-SCIENCE

Adult Vocational Training Tribal College Fund Gaming

University of Maine at Augusta Augusta, ME

THE LUCILLE HARRISON CHARITABLE TRUST SCHOLARSHIP APPLICATION. Name (Last) (First) (Middle) 3. County State Zip Telephone

GRADUATE SCHOOL DOCTORAL DISSERTATION AWARD APPLICATION FORM

LIM College New York, NY

Purchase College STATE UNIVERSITY OF NEW YORK

West Georgia RESA 99 Brown School Drive Grantville, GA

FIELD PLACEMENT PROGRAM: COURSE HANDBOOK

Jim Lantz Memorial Scholarship Application

TRANSFER APPLICATION: Sophomore Junior Senior

Bloomsburg University Bloomsburg, Pennsylvania. Department of Teaching and Learning

Program Information. The Massachusetts Secondary School Administrators' Association together with TEACHERS21

ProMedica Defiance Regional Hospital Physicians Scholarship Fund Guidelines and Application

Application Form Master Course Altervilles First Year M1

Tentative School Practicum/Internship Guide Subject to Change

Student Support Services Evaluation Readiness Report. By Mandalyn R. Swanson, Ph.D., Program Evaluation Specialist. and Evaluation

Please complete these two forms, sign them, and return them to us in the enclosed pre paid envelope.

GRADUATE APPLICATION GRADUATE SCHOOL. Empowering Leaders for the Fivefold Ministry. Fall Trimester September 2, 2014-November 14, 2014

Instructions & Application

Los Angeles City College Student Equity Plan. Signature Page

Best Colleges Main Survey

Shelters Elementary School

UNDERGRADUATE APPLICATION. Empowering Leaders for the Fivefold Ministry. Fall Trimester September 2, 2014-November 14, 2014

Kansas Adequate Yearly Progress (AYP) Revised Guidance

Data Glossary. Summa Cum Laude: the top 2% of each college's distribution of cumulative GPAs for the graduating cohort. Academic Honors (Latin Honors)

Missouri 4-H University of Missouri 4-H Center for Youth Development

Transportation Equity Analysis

National Survey of Student Engagement Spring University of Kansas. Executive Summary

MPA Internship Handbook AY

Graduate Student Travel Award

12-month Enrollment

Santa Fe Community College Teacher Academy Student Guide 1

EMPLOYMENT APPLICATION Legislative Counsel Bureau and Nevada Legislature 401 S. Carson Street Carson City, NV Equal Opportunity Employer

Youth Mental Health First Aid Instructor Application

Communication Disorders Program. Strategic Plan January 2012 December 2016

NATIONAL SURVEY OF STUDENT ENGAGEMENT

Assessment System for M.S. in Health Professions Education (rev. 4/2011)

The application is available on the AAEA website at org. Click on "Constituent Groups", then AAFC and then AAFC Scholarship.

JFK Middle College. Summer & Fall 2014

COMMUNITY RESOURCES, INC.

Bellevue University Admission Application

Enrollment Forms Packet (EFP)

Application for Admission to Postgraduate Studies

EMPLOYEE CALENDAR NOTES

Master of Arts in Teaching with Elementary Teacher Certification Oakland and Macomb County Programs

St. John Fisher College Rochester, NY

Transcription:

Department of Psychiatry & Behavioral Sciences Psychiatry Research and Education Practicum The 2014 Summer Psychiatry Research and Education Practicum (PREP) program is designed to introduce young people to the discipline of research as well as the profession of child and adolescent psychiatry by having them participate in research activities prior to their advancing to graduate school. Starting with the 2012 cohort, the emphasis has been on dynamic research exposures which result in partnering with mentors on the development of scholarly posters, presentations and/or publications. The goals of the program are to: 1. Provide students from diverse backgrounds who have an interest in the mental health profession with a meaningful clinical and/or translational research experience in the field of psychiatry. We hope that students can learn first-hand about the substance, the spirit, and the methodology of current scientific research in the field and to encourage them in their pursuit of advanced education. 2. Expose practicum students to the clinical programs at Children s Hospital Department of Psychiatry and Behavioral Sciences and several psychiatry and neurology basic research labs at the University of Colorado Anschutz Medical Campus. 3. Advance faculty s clinical and translational research endeavors Schedule and Expectations: Summer PREP Students are paired with junior and senior faculty from the Department of Psychiatry and Behavioral Sciences for twenty hours each week to advance the faculty member s research/scholarly goals. Students will also be exposed to clinical aspects of their faculty mentor s work. An additional eight hours will be spent attending lectures, interaction groups, research-related trainings, and touring labs on campus. Additionally, during this time you will be expected to develop your own research question that builds upon or contributes uniquely to your mentor s work. You will be expected to develop and present a scholarly poster that represents the results of your project at a campus-wide student poster session. The total time commitment is 28 hours per week for ten weeks with a 20 hour week orientation May 19 th -23 rd. Most of the hours are between 8-5 Monday through Friday. Attending all labs tours, lectures, and trainings is mandatory. The Summer Practicum begins May 19th and ends on August 1st. The schedule can be flexible and based on the needs of the researchers and the availability of the student. Stipend: This year, we will be accepting 6 Practicum students. Each accepted student will be paid $2,400 for the11 week practicum. The stipend will be disbursed in two payments, one halfway through the summer (approximately June 23rd) and the remaining amount will be given at the end of the practicum.

Minimum Qualifications: 3rd or 4th year undergraduate student. Recent graduates, who have received their degree within the last two years, are also encouraged to apply as this is a great preparatory experience for graduate school. Basic computer literacy including knowledge of Word and Excel Excellent communication skills, both written and oral Passion for the field of psychology or psychiatry Timeliness and professionalism Application Process: Please submit the following application elements by February 7th: 1. Summer Psychiatry Research and Education Practicum Application 2. An unofficial transcript 3. A professional writing sample-something you ve written that exemplifies your professionalism and level of writing skill. The professional writing sample should be something only you have written (not a group effort) and include a works cited page with at least 5 professional references. Completed applications, transcripts, and writing samples should be received by Friday, February 7th 2014. Please mail applications to: Heather Kennedy Children s Hospital Colorado 13123 E 16th Ave B-130 Aurora, CO 80045 You may also scan and e-mail a single, combined.pdf of your application materials by the deadline; however a hardcopy must be received by mail in order for your application to be complete and scored. Please e-mail Heather Kennedy at heather.kennedy@childrenscolorado.org once you ve put your application in the mail. Mentor Matching and Decisions Process All applicants will be scored on a rubric by Department Staff and mentors. Our scoring is based on writing style, ability to demonstrate clear relationship with career goals, and relevant coursework. Please also keep in mind we are searching for both qualified and diverse candidates. We will hold in person and/or phone interviews with a select pool of candidates February 24 th March 6 th. All applicants will be notified of their status on or before March 7 th. Students will be placed with mentors based on research needs, mentors experience, and students past experience. Questions: If you have any questions regarding the Summer Psychiatry Research and Education Practicum, please contact Heather Kennedy at (720) 777-8043 or Laurie Burnside at (720) 777-4655.

Department of Psychiatry & Behavioral Sciences Psychiatry Research Education Practicum 2014 Application Form SECTION 1: APPLICANT IDENTITY INFORMATION Name of Applicant: DOB: Last 4 of SSN: Permanent Address: Are you requesting that your college grant you credit hours for your internship? Yes No Phone Number(s) Number Preferred E-Mail E-Mail Address Type School Personal Home School Mobile Business SECTION 2: EDUCATION Type of School Name and Location Degree/Date Major GPA College Graduate School Scholastic Honors and/or Licenses: SECTION 3: EMPLOYMENT HISTORY (includes paid, volunteer and intern positions) Most Recent Employer: Telephone #: Address: Supervisor Name & Title: Position Title: Start Date: End Date:

SECTION 3: EMPLOYMENT HISTORY (Continued) Employer: Telephone #: Address: Supervisor Name & Title: Position Title: Start Date: End Date: SECTION 4: REFERENCES (professional only) Reference 1 : Telephone #: Relationship to applicant: Reference 2: Telephone #: Relationship to applicant: SECTION 5: DEMOGRAPICS Race: Choose as many as are appropriate African American Asian Caucasian Native American or Alaskan Native Native Hawaiian or Pacific Islander Decline to state Other: please specify Ethnicity: Hispanic/Latino(a) Not Hispanic/Latino(a) Decline to state As a child did you or your family ever qualify for state or federal assistance such as food stamps, free or reduced lunch, Medicaid, or other forms of monetary support? Yes No Decline to state Are you the first person in your family to attend college?- meaning your parents/grandparents did not attend college Yes No Decline to state Have you lived in a rural city or county in the last two years?? Yes No Decline to state I certify that all of the statements in this application are true and complete to the best of my knowledge. I understand that a false or incomplete answer may be grounds for not considering me or for my dismissal. Signature: Date:

Please write a one page essay about 1) why you are applying to Psychiatry Research Education Practicum at The Children s Hospital Colorado, 2) what are your career goals and 3) how will this program help you realize these goals. (please type this essay).