Talbot Psychology Alliance | Externship Application 2027-2028
TPA | Easton, Maryland | 2027-2028 | 2 positions | 10-12 months
Programme overview: 10-12 months; 2 positions; required 16 weekly hours at Talbot County Public Schools on Tuesdays and Thursdays, including 2 hours of individual face-to-face supervision by a doctoral-level licensed psychologist. Optional summer 8-hour virtual feeding rotation and other optional virtual experiences do not replace school hours.
Training year: 2027-2028
01 | Applicant information
First name
First Name
Last Name
Last name
First Name
Last Name
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
State of physical residence during externship year
Mobile phone
Format: (000) 000-0000.
Email
example@example.com
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Talbot Psychology Alliance | Externship Application
TPA | Easton, Maryland | 2027-2028 | 2 positions | 10-12 months
02 | Academic and clinical training
Graduate program / university
Degree (Ph.D., Psy.D., etc.)
Type of program
Clinical
Counseling
Both
Current year in program
Is your current program APA accredited?
Yes
No
Director of clinical training — name
First Name
Last Name
Director of clinical training — phone
Format: (000) 000-0000.
Director of clinical training — email
example@example.com
Coursework relevant to the externship program
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Talbot Psychology Alliance | Externship Application
TPA | Easton, Maryland | 2027-2028 | 2 positions | 10-12 months
03 | Externship preferences and statement
Previous externship sites and focus of training
Availability for the core school schedule (Tuesdays and Thursdays)
*
Tuesday
Thursday
Interest in a summer feeding rotation
Interested
Not interested
More information
Interest in additional virtual therapy experiences
Interested
Not interested
More information
Times available
Mornings
Afternoons
Scheduling limitations (if none, enter None)
What do you hope to accomplish during externship training?
Cover letter
*
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CV / resume
*
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Two recommendation letters are required. TPA will provide separate submission instructions.
How can Talbot Psychology Alliance help you achieve these goals?
Applicant signature (type name)
Date
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
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