PY 397: Community-Based Practicum in Psychology Opportunity Submission Form
For questions or comments regarding this form, e-mail the Director of Undergraduate Studies.
Supervisor’s Name:
Please describe the project and activity in which the student would participate:
What would you expect the student to learn as a result of participation in this activity?
How many students are you seeking? 1 2 3 4 5 or more
When could the student(s) start?
Minimum commitment: Hours/week:
Over how many terms? 1 2 3 (1 year)
Necessary skills, qualifications, or completed coursework:
Contact phone number for supervisor:
Contact e-mail address for supervisor:
Opportunity ends (give date or state “ongoing”):