STUDENT FORMS

Advisor Selection Form

At the end of the second year, students are to select an individual academic/research advisor for the duration of their tenure in the program. Students are to meet with their potential advisor to establish that the supervisor is able to take on the student as an advisee. This form must be completed for the appointment of an advisor to be official. Students wishing to switch their advisor at the end of the third year may do so by completing this form.

Application of Transfer Credits/Waiver

Any student wishing to apply to transfer credits from another university or to waive a selected course must complete this form.

Cap & Gown Order Form

Use this form to order your cap and gown.

Change of Information Form

In the event that a doctoral student needs to change any of their personal information as it pertains to the program directory, this form should be utilized and submitted to the program secretary

Clinical Competencies Evaluation Packet

This packet contains all CCE information including committee rating forms. You may also find it helpful to click on these two links for examples of case study write-ups.

Psychodynamic Example

Cognitive-Behavioral Example

Consent for Practice Test Administration

For the Assessment of Children course, students are asked to complete several practice test administrations with children subjects. Parents must sign a consent form to allow their children to sit as testing volunteers.

Course Evaluation Form

At the end of each semester students are provided with an opportunity to evaluate their courses on a series of dimensions. This process allows for students to provided anonymous feedback to the faculty of the doctoral program about a course and recommendations for changes in the coursework.

Elective Concentration Form

During the second year of the program, students are to choose a concentration of study (Serious and Persistent Mental Illness, Family Violence, or Developmental Disabilities). This form commits the student to take both of the academic courses that pertain to the concentration selected

Extern Evaluation Form

Students in clinical externships (2nd, 3rd, and 4th year) are to be evaluated on their performance at the externship site. These evaluations are to occur at mid-year and at the end of the externship. Students are to provide their clinical supervisors with the evaluation form.

Handbook Acknowledgement Form

All doctoral students receive a copy of the Clinical Psychology Doctoral Program handbook, which outlines the scheduled procedures and guidelines of the program. Students are required to read this handbook so that they may be familiar with program policies, and sign this form to attest that they have read and understand the content of the handbook.

HIV Workshop Memo

All students are required to participate in a HIV workshop. The workshop is conducted at the program and is held every other year. Below please find a copy of the HIV workshop memo, which outlines the workshop requirement, as well as provides a space for students to indicate if they have already taken the workshop at C.W. Post or another program or if the student intends to take the workshop at the next offering.

LIU Degree Application

When you have met the requirements for graduation, fill this form out and send it to the registrar, in order to graduate.

Request for DMV check

This form must be submitted before you can drive the Clinical Psychology van.

Wireless Reservation Request Form

Use this form to register your laptop so that you can use the University’s wireless network to access the internet.

DISSERTATION FORMS

Dissertation Selection Form

This form must be completed by the dissertation committee at the defense. It must also accompany a student's final draft when they send it to their committee members prior to the proposal and the defense.

Dissertation Proposal Approval Form

This form is completed once a student’s dissertation is formally proposed and accepted by the faculty.

Dissertation Binding Form

Once a student has completed their dissertation, this form should be used to have the dissertation copied and bound, as well as entered into the Dissertation Abstracts International database.

Dissertation Defense Competency Worksheet

This form must be completed by the dissertation committee at the proposal and the defense. It must also accompany a student's final draft when they send it to their committee members prior to the proposal and the defense.

Human Subjects Application

Please click here to go to the IRB (Institutional Review Board) page to download the application and take a tutorial.

Sample Title Page for Dissertation

Below find a sample cover page for a doctoral dissertation.

FACULTY FORMS

Academic Competency Evaluation Form

At the end of each semester, members of the doctoral program faculty are to evaluate and assess each student's performance in the faculty member's course according to the core competencies of the program.

Remediation Planning Form

This form is to be used to facilitate remediation in the case of student progress that is below expectations.

FINANCIAL AID FORMS

Departmental Financial Aid Application

All students requesting financial aid from the department must complete this form every year.

Disparity Fellowship Hours Form

Use this form to document the hours you complete as a requirement for your Disparity Fellowship

Loan Limit Increase Request

If you would like to request that the university allow you to take out more money in loans, you can complete this form and forward it to the financial aid office.