VIRGINIA TREATMENT CENTER FOR CHILDREN
Pre-doctoral Internship in Clinical Psychology

Application Check List:

• Completed Application - Download from APPIC web site: www.appic.org/

                            1.  Completed Practicum Documentation Form           
                            2.  Verification of Internship Eligibility and Readiness
                            3.  APPIC Professional Conduct Form
                            4.  Child and Adolescent Test Administration Form

• All Graduate School Transcripts

• Curriculum Vitae

• Written Work Sample of Psychological Evaluation Skills (Child or Adolescent)

• Written Work Sample of Psychotherapy Skills - Treatment Summary (Child/Adolescent or Family case)

• Three Letters of Recommendation

• Names and Addresses of Recommendations

___ Recommendation #1
___ Recommendation #2
___ Recommendation #3