EAC Neuropsychology Training Consultation Program Please answer some questions so we may match you to the best consultant. The EAC reviews requests on a quarterly basis (January, April, July, October), after which time a committee member will reach out to you to schedule a consultation.Name(Required) First Last Email(Required) Enter Email Confirm Email Phone(Required)Institution(Required) Are you a doctoral, internship, or postdoctoral program director of training or clinical supervisor?(Required)Click to SelectYesNoQuestions for Trainees & Early Career (not DCTs)Please indicate your level of training.(Required)Click to SelectPredoctoral student (e.g., undergraduate, terminal master’s program)Doctoral student not applying to internshipDoctoral student applying to internshipInternPostdoctoral FellowEarly career (<10 years post-graduate)Not applicablePlease indicate the areas you are interested in discussing during your consultation.(Required)Check all that apply. Applying to doctoral programs Planning for doctoral level practica Research Applying to internship Internship ranking decisions Applying to postdoctoral fellowships Postdoctoral ranking decisions Applying/searching for jobs Salary negotiation Work-life balance (e.g., family planning) Diversity (e.g., diversity training, bilingual, disability) Leadership opportunities Self-care Issues related to mentorship (e.g., identifying a mentor, changing mentors) Respecializing in neuropsychology Other Other area of interest(Required)Please use this space to elaborate upon your selection of the choice "other." To help us match you to a consultant, please indicate your area(s) of interest and/or training.(Required)Click to SelectPediatricAdultLifespanOtherOther area of interest(Required)Please use this space to elaborate upon your selection of the choice "other." In what setting(s) are you interested in working during your career?Check all that apply. Academic Medical Center VA Hospital Military Hospital/Health Center Community Medical Center/Public Hospital Psychiatric Hospital Academic/Research/Teaching Nonacademic Research Center Private Practice School District/System Forensic/Medicolegal/Correctional Facility Questions for DCTsPlease indicate the level(s) of your training program.(Required)Check all that apply. Doctoral Program Doctoral Practicum Internship Postdoctoral Fellowship (clinical) Postdoctoral Fellowship (research) Does your program have a formal clinical neuropsychology track?(Required)Click to SelectYesNoDoctoral(Required)Using the Taxonomy for Education and Training in Clinical Neuropsychology, please indicate the level of training offered by your training program(s).Click to SelectMajor area of study (3+ neuropsychology courses, 2+ neuropsychology practica, additional neuropsychology learning, AND dissertation/research project in neuropsychology)Emphasis (2+ neuropsychology courses AND 2+ practica)Experience (1+ neuropsychology courses AND 1 practicum)Exposure (1 neuropsychology course OR 1 practicum)N/AInternship(Required)Using the Taxonomy for Education and Training in Clinical Neuropsychology, please indicate the level of training offered by your training program(s).Click to SelectMajor area of study (50% clinical neuropsychology AND neuropsychology didactics)Emphasis (30-50% clinical neuropsychology)Experience (10-30% clinical neuropsychology)Exposure (5-10% clinical neuropsychology)N/APostdoctoral(Required)Using the Taxonomy for Education and Training in Clinical Neuropsychology, please indicate the level of training offered by your training program(s).Click to Select2-year formal clinical neuropsychology training with relevant didactics and research activities)Neuropsychology research fellowshipOtherN/AIs your program listed in the APA Division 40, Society for Clinical Neuropsychology Training Directory?(Required)Click to SelectYesNoAre you interested in listing your program?(Required)Click to SelectYesNoGreat! Please follow this link to add your program to the directory.HiddenPlease include one primary question that you would like to focus on during your consultation.(Required) Is this an urgent request?Please be aware we cannot guarantee a consultant will be available and urgent issues should be directed to other resources.Click to SelectYesNoPlease explain the urgency of your request.(Required) Δ
