Early Career Boot Camp 2021 - Association of Psychologists in Academic Health Centers (APAHC)

First Name *

Last Name *

Professional Status (choose one): *

Name of Graduate Program *

Year of Graduation *

Was Your Graduate Program APA Accredited? *

Yes

No

Name of Internship Program *

Year of Graduation *

Was Your Internship APA Accredited? *

Yes

No

Name of Post-Doctoral Program *

Year of Graduation *

Was Your Post-Doctoral Program APA Accredited? *

Yes

No

Are you currently working in an academic health center, medical school, or teaching hospital? *

Yes

No

If yes, what is the name and location?

If no, what type of setting do you work in?

Approximately what percentage of your time do you dedicate to the following tasks?

Clinical *

Research *

Teaching *

Administration *

Other *

If "Other" Please Describe

Do you want to pursue work in an academic medical center, med school, or teaching hospital as your career? *

Yes

No

Please Upload Your Current CV Here *

Maximum upload size: 377.49MB

Please upload a personal statement addressing why you want to participate in the Early Career Boot Camp and what you would like to get out of the experience. Please include a statement about your short term career goals. (1 single-spaced page, maximum) *

Maximum upload size: 377.49MB

APAHC 2021 Early Career Boot Camp Application