Psychology 195A – New Site Application for Supervisors Form "*" indicates required fields Fieldwork in Psychology To recruit undergraduate Psychology students for your paid or unpaid internships, please submit the Description of Fieldwork Position form below. Once your site is approved, it will be added to the online internship placement listings. The Psychology Undergraduate Fieldwork Program offers undergraduate students the opportunity to work (paid or non-paid) for course credit in a fieldwork setting in the area of Psychology and earn 4 units of upper-division course credits for the experience. The internship is designed as a 6-8 hour per week experience for the 10-week quarter; and students must meet with their supervisor at least once each week. In addition to the internship, students also enroll in a companion 2-hour seminar led by a UCLA instructor that will teach them professional development skills and is meant to complement the internship experience. This course is not offered during Summer Sessions. Supervisor’s Responsibilities The fieldwork supervision and training will include a weekly meeting with the student. Below are specific expectations of the supervisor: Provide an initial orientation that includes an explanation of the organization’s overall purpose and operations and how they relate to the student. Describe what is expected in order to receive credit for the course and provide related materials. During the 10-week internship period, provide feedback to the student on a regular basis about their performance. At two points during the quarter, complete a brief survey to indicate whether the student is meeting expectations. The second survey will ask the supervisor to evaluate the student’s performance to confirm that all course requirements have been fulfilled. Placement Name*Name of the primary contact or the intern supervisor.*Email* Address*Phone*Website*Description of Organization and Population Served*Description of Fieldwork Project and Responsibilities of Intern. Indicate how the proposed internship is related to the field of psychology (e.g., how the interns’ duties would apply and expand upon what students are learning in their psychology classes).*Are there any special qualifications for this internship?*Is this internship fully in-person, remote, or hybrid?*Will you require students to commit to more than one quarter (10 weeks) in order to intern with your organization? If so, please explain the proposed length of the internship.*Please let us know if you would like this internship publicly posted to the Psychology website. If not, and you are submitting this opportunity only for a specific student, please specify student’s name and which quarter they will be working in your organization. Please also let us know why you don’t want to post this opportunity.* Δ