Annual Report Online - Student (Years 2-5+)

THIS FORM IS FOR THOSE WHO WILL BE COMPLETING THEIR 2ND YEAR OR MORE YEARS IN THE PROGRAM BY AUG 31

This information is required by APA for accreditation and must be up-dated each year with information that occurred over the past year (Sept 1 -Aug 31) regardless of whether you entered as a bachelor’s applicant or an advanced standing applicant. When completing this form, include activities that you may do/complete through Aug 31.
Race-Ethnicity (please select all that apply)
(Respecialization is when a student, who already holds a doctoral degree in an area of psychology, enrolls in another substantive area.)

Professional Activities (for events that occurred between Sept. 1 - Aug 31 ONLY). You may be including activities that you have yet to do this summer.

(Publications "in press," "under review," or "submitted" should not be counted here)
(Indicates if the person was the author or co-author of workshops, oral presentations, or poster presentations at professional meetings. This only includes work presented during the current reporting period)
(e.g., Roles in local, state/provincial, regional, or national organizations)

Internship

1. Indicate if student sought or applied for a doctoral internship that begins during the next academic year:

A. Those Who Applied for Internship This Past Year

Went through the Matched in Feb/March of this academic year
If yes, please answer questions 3-10. If no, skip to Enrollment Information section.
MM slash DD slash YYYY
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7. Indicate if internship is affiliated with another membership organization (please select one):

B. Those on Internship This Past Year (If not on internship during the past year go to Enrollment Information section)

Your internship will complete at some point over the summer before Sept. 1

Enrollment Information

MM slash DD slash YYYY
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Indicate if you left or graduate before Sept 1
2a. Reason left program (please select the most applicable):
(official status should be noted for all students including those on internship or completing dissertation work)