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1. Applicant Information
2. Institution
3. Training Opportunities
4. Psychological Assessment Experience
List below all the psychological assessment instruments you have experience in: administration, scoring, and interpretation.
Wechsler Adult Intelligence Scales (WAIS-IV)
Wechsler Intelligence Scale for Children (WISC-V)
Wechsler Individual Achievement Test (WIAT-III;IV)
Wide Range Achievement Test (WRAT 4; 5)
Wechsler Memory Scales (WMS-III; IV)
Delis-Kaplan Executive Function Scales (D-KEFS)
Halstead-Reitan Battery
Kaplan Process Battery
Repeatable Battery for the Assessment of Neuropsychological Status (RBANS)
California Verbal Learning Test (CVLT)
Minnesota Multiphasic Personality Inventory - Restructured (MMPI-2-RF)
Personality Assessment Inventory (PAI)
Personality Assessment Inventory - Adolescent (PAI-A)
Millon Clinical Multiaxial Inventory (MCMIV)
Structured Clinical Interview for DSM-5
Structured Clinical Interview for DSM-5- Personality Disorders (SCID-5-PD)
Kiddie-Schedule for Affective Disorders (K-SADS) for DSM-5
Children's Behavioural Checklist (CBCL)
Positive and Negative Symptoms Scale (PANSS)
Trauma Symptom Inventory (TSI)
Posttraumatic Stress Disorder Checklist for DSM-5 (PCL-5)
Beck Depression Inventory (BDI-II)
Beck Anxiety Inventory (BAI)
Historical Clinical Risk Guide (HCR-20 V3)
Psychopathy Checklist Revised (PCL-R Revised 2nd Edition)
Risk for Sexual Violence Protocol (RSVP)
Please list other tests that you have experience with that do not appear above
Other Test (A)
Other Test (B)
5. Clinical Treatment Experience
Cognitive Behavioural Therapy
Rehabilitation Counselling
Dialectical Behaviour Therapy
Psychodynamic Therapy
Interpersonal Psychotherapy
Client-centred Therapy
Marital/Couples Therapy
Family Therapy
Emotion Focused Therapy
Please select diagnoses for the clients you have seen, then in the next section that appears indicate the NUMBER of clients seen in each category.
Anxiety disorders
Cognitive Disorders
Eating disorders
Mood disorders
Personality disorders
Pervasive Developmental Delay
Psychotic disorders
Sexual Disorders
Substance use disorders
Forensic Clients - Inpatients
Forensic Clients - Outpatients
Educational Background
List Previous Practicum (if applicable)
References