Externship Application Form

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Part I: Background Information

Name(Required)

First Last

How Do You Identify Yourself?

(e.g. gender, sexual orientation, race/ethnicity, and any other identities which are important to you and include pronouns we should use when talking to you)

Email(Required)

Enter Email Confirm Email

Phone(Required)

Part VI: Professional References

As part of your application, you are required to submit two specific letters of recommendation. One letter should come from the Director of Training of your doctoral program, attesting to your current academic standing and readiness for an advanced externship. The second letter should be from a recent clinical supervisor, confirming your psychotherapy training and skills within the last 2 years.

You have two options for managing your letters of recommendation:

Provide your references’ contact information now: We will immediately contact your references via the email addresses you provide, requesting them to send their letters directly to the externship program.

Opt not to provide reference information at this time: You will receive an email immediately after submitting this form, which will include a link to a letter of recommendation form. You must complete this form by providing your recommender's contact information, and we will then reach out to them directly.

Please ensure all letters are received by us no later than Feb 16, 2026. An offer for the externship cannot be extended until both letters of recommendation are in hand. We appreciate your prompt attention to this matter and look forward to receiving your recommendations.

How would you like to submit your professional references?(Required)

I will provide my professional references information now.

I will ensure my professional references send their letters by Feb 6, 2026

Professional Reference # 1 - Director of Clinical Training (DCT) or Academic Advisor

This letter should include your academic standing and readiness for advanced doctoral externship training

Name of Professional Reference # 1(Required)

Email of Professional Reference # 1(Required)

Enter Email Confirm Email

Professional Reference # 2 - Current or Recent Supervisor

This letter should include reference to your clinical skills/competence

Name of Professional Reference # 2(Required)

Email of Professional Reference # 2(Required)

Enter Email Confirm Email

Part I: Background Information

Part II: Theoretical Orientation

Rank your top three theoretical orientations with your level of interest and experience.

Part III: Level of Competency

Select your current level of competence for each common presenting concern

Part IV: Registered Psychology Associate in Maryland- Status

Part V: Document Upload

Part VI: Professional References

Professional Reference # 1 - Director of Clinical Training (DCT) or Academic Advisor

This letter should include your academic standing and readiness for advanced doctoral externship training

Professional Reference # 2 - Current or Recent Supervisor

This letter should include reference to your clinical skills/competence

Part VII: Brief Video Recording

In the section below, please record a video of your responses to the following two questions.

1. What are your externship training goals? And how do you envision a private practice setting like PsychCare can play a role in meeting those goals?

2.What has worked best in terms of supervision and/or what are you seeking in a supervisor?

When recording your video, please keep in mind the following:

Phone

Part I: Background Information

Part II: Theoretical Orientation

Rank your top three theoretical orientations with your level of interest and experience.

Part III: Level of Competency

Select your current level of competence for each common presenting concern

Part IV: Registered Psychology Associate in Maryland- Status

Part V: Document Upload

Part VI: Professional References

Professional Reference # 1 - Director of Clinical Training (DCT) or Academic Advisor

This letter should include your academic standing and readiness for advanced doctoral externship training

Professional Reference # 2 - Current or Recent Supervisor

This letter should include reference to your clinical skills/competence

Part VII: Brief Video Recording

In the section below, please record a video of your responses to the following two questions.

1. What are your externship training goals? And how do you envision a private practice setting like PsychCare can play a role in meeting those goals? 2.What has worked best in terms of supervision and/or what are you seeking in a supervisor?

When recording your video, please keep in mind the following:

1. What are your externship training goals? And how do you envision a private practice setting like PsychCare can play a role in meeting those goals?

2.What has worked best in terms of supervision and/or what are you seeking in a supervisor?