4+2 TASK COMPLETION FORM
Intern Name
*
First Name
Last Name
Intern Email Address
example@example.com
Date
-
Day
-
Month
Year
Date
Estimated Program Completion Date
-
Day
-
Month
Year
Date
Supervisor Name
*
First Name
Last Name
Supervisor Email Address
*
example@member.copp.edu.au
Direct client contact (Inc. Simulated)
Required to complete 1000 minimum.
Client related
No minimum required
Total psychological practice hours:
Required to complete 2720 minimum.
Principal Supervision
Required to complete 80 minimum.
Secondary Supervision
No minimum required
Group Supervision
Total Supervision
Required to complete 160 minimum.
Professional Development
Required to complete 120 minimum.
Total Internship Hours
Required to complete 3000 minimum.
Direct Observations (2 assessments and 2 interventions per 6 months)
16 minimum
Rows
Completed
COPP Ethics Assignment
COPP Timeline & Genogram Assignment
Working across the Lifespan Report
Working with Diverse Groups Report
College NPE Preparation E-Learning) (Optional)
National Psychology Exam
Rows
Number of Completed
Ethical Dilemma Report
Personality Assessment Inventory
Normative Personality Assessment (e.g. NEO-PI-R or 16PF)
Adult Intelligence (WAIS)
Child Intelligence (WISC)
Memory Assessment (WMS)
Exam Curriculum Test 1 (e.g. DASS)
Exam Curriculum Test 2 (e.g. K10)
Exam Curriculum Test 3 (e.g. SDQ)
Either Exam Curriculum Test 4 (Choice eg PHQ9)
Practice Document Portfolio (letters, reports, case notes)
Case Reports - Total passed by Supervisor (2 assessments, 2 interventions)
Case Reports - Total passed by AHPRA (2 assessments, 2 interventions)
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