CAPIC Attestation - For Students from Out-Of-State Doctoral Academic Programs

Page One
There was an error on your page. Please correct any required fields and submit again. Go to the first error


Background:

 
If you are a student from an eligible Out-Of-State doctoral academic program and you wish to participate in the CAPIC match process and obtain a CAPIC internship, you must agree to abide by certain guidelines as articulated below.   
  • You must provide your name, your Doctoral Academic Program and your email address for identification purposes; 
  • You must indicate your understanding and/or agreement for each item given below;
  • By providing your name and the date at the end of this document, you attest to your understanding of and/or agreement to these terms.  
Your internship will not be considered a CAPIC internship unless you have properly completed this attestation.  
 
Please note, for the upcoming 2017 CAPIC match process (for 2016-2017 internships), students from approved out-of-state doctoral academic programs are allowed to participate in the entire CAPIC online match process.  Previously, out-of-state Doctoral Academic Programs could only participate with Clearinghouse, which begins after the online match rounds.

Please also note that the 2017 CAPIC online match schedule is later this year than in previous years, with student application materials due by February 27th, the ranking deadline on March 29th and the CAPIC match results posted on April 5th. Students may participate in both APPIC matches and then (if unmatched) in the CAPIC match. An online match constitutes a binding internship agreement, and students remain responsible for ensuring double (APPIC/CAPIC) matches do not occur. The full 2017 
CAPIC online match schedule is posted here
 
-------------

Please note that your doctoral academic program must also (a) be approved by CAPIC and (b) complete a similar attestation allowing you to serve at a CAPIC internship.


To ensure participating students have adequate academic training to meet CAPIC standards, we have a two-tiered review.  
  • If your doctoral academic program is APA-accredited, it meets CAPIC standards. No further review is required.  
  • If your doctoral academic program is not APA-accredited but is regionally accredited (e.g. WASC, HLC, etc.) the program is eligible for CAPIC out-of-state membership.  CAPIC board review of the program is still needed. Academic programs should read our separate email and/or contact the CAPIC office for more details.
 
For students, please first review and complete this attestation.  Then inform your doctoral academic program representative of your intentions and CAPIC's requirements.  

Thank you for your understanding and cooperation.


And best of success!

René Puliatti
CAPIC Executive Director 
Identifying Information:
Understandings:
I understand that my ability to participate in the CAPIC match process and accept a CAPIC internship is dependent upon consent from my Doctoral Academic Program.    *This question is required.
I understand that an online match constitutes a binding internship agreement, and I am responsible for ensuring that double (APPIC/CAPIC) matches do not occur.  *This question is required.
I understand that while CAPIC-member internships are accepted by the California Board of Psychology (BoP) for the accrual of Supervised Professional Experience (SPE) hours, CAPIC internships are not APA-accredited internships.  
*This question is required.
I understand that licensure requirements for psychologists vary from state to state and that acceptance by other states is not guaranteed. *This question is required.
I understand that some employers (e.g. US Deptartment of Veterans Affairs aka VA) only accept experience gained at APA-accredited internship programs. *This question is required.
I understand that CAPIC sites offer a minimum of 1500 hours of Supervised Professional Experience (SPE) while some states (and Doctoral Academic Programs) require 2000 hours.  Many CAPIC internships offer 2000 hours to address this concern, although that is not always possible (esp. at school-based internships).  I should confirm the number of SPE hours offered by any internship site of interest.  This info is available on each internship program's online profile.   *This question is required.
I understand that the CAPIC Full-Time internship experience (minimum 1500 hours) must be completed in no less than 9 months, accruing no more than 44 hours per week for full-time internships. For halftime internships, the internship experience (minimum of 750 hours for halftime) must be completed in no less than 9 months, accruing no more than 24 hours per week for a halftime internship.

Some states (and Doctoral Academic Programs) require 12 months.  Many CAPIC sites offer more than the minimum 9-month internship experience to address this concern. I should confirm the duration of the internship with the internship site in question to ensure it meets those requirements, as appropriate. This info is available on each internship program's online profile.
  *This question is required.
I understand that CAPIC encourages but does not require internships to provide stipends to its interns.  Approximately half of CAPIC internships are funded (i.e. provide stipends).  This info is available on each internship program's online profile.   *This question is required.
Agreements:
I attest that all information provided in my application materials is true to the best of my knowledge and that I have not intentionally misrepresented myself or my doctoral academic program in any way. I understand that any intentional falsification, in my application materials or during any aspect of the internship application process, may lead to a withdrawal of consideration or dismissal from an internship program. *This question is required.
I agree to read the information in CAPIC's online Internship Directory about a specific internship program before I apply to that program.  *This question is required.

I agree to comply with the rules and policies of the internship program and institution(s) in which the internship training takes place, and to be available to begin training at the internship where I match on the day specified in the internship's online program materials or otherwise mutually agreed upon with the internship program.

*This question is required.

I agree to comply with all CAPIC policies, the APA Ethical Principles of Psychologists and Code of Conduct, as well as with the Laws and Regulations of the California Board of Psychology.

*This question is required.
ATTESTATION:

By providing my name and the date below, I formally attest to my understanding of all of the items noted above and my agreement to abide by them.