UNIVERSITY OF KANSAS SCHOOL OF MEDICINE—WICHITA
Neuropsychology Fellowship Application
The University of Kansas School of Medicine—Wichita, Postdoctoral Fellowship in Clinical Neuropsychology is a two-year postdoctoral specialty training program which includes clinical, didactic, and research activities. The program currently has an opening for one full-time postdoctoral position.
Prior to starting in our program, applicants must have completed all requirements of an APA-approved doctoral program in psychology and a one-year clinical internship. Applications will also be accepted from individuals who have completed all requirements of a university-based, APA-approved program for retraining in clinical or counseling psychology.
Each applicant is asked to submit:
1. Letter of interest, including career goals
2. Completed copy of the KUSM-W application form (see below)
3. Curriculum vitae containing background information and academic, clinical, and research experience
4. Official transcript of all graduate academic work
1. If available, a copy of the completed standard APPIC form used when you applied for internship. If you did not complete the APPIC form when you applied for internship, complete Part IV of the KUSM-W Application Form
5. Three (3) letters of recommendation, sealed with signature of the writer across the flap
6. Two (2) example neuropsychology reports
This program participates in the APPCN Match; therefore applicants must register with National Matching Services, Inc.
You are responsible for gathering and sending to us all of your application materials. This will work best if all materials are sent in a single mailing.
Interviews will be held at the annual meeting of the International Neuropsychological Society in Denver, Colorado, by invitation only. The majority of interviews will be scheduled for Tuesday, February 3, 2015, although some times throughout the remainder of the week may be available. If you are unable to attend INS, telephone or video conferencing interviews may be arranged at the discretion of the program administrators. All application materials for this fellowship must be received by the University of Kansas School of Medicine-Wichita by Monday, January 26, 2015.
Send all application materials to:
Robin J. Heinrichs, Ph.D., LP
Director Neuropsychology Training
Kansas University School of Medicine-Wichita
7829 E. Rockhill, Suite 105
Wichita, Kansas 67206
(316)293-3850
NEUROPSYCHOLOGY FELLOWSHIP APPLICATION
KANSAS UNIVERSITY SCHOOL OF MEDICINE-WICHITA
Date: ______
I. Identifying Information
Name:______
Indicate the address and Email address that you preferred we use to contact you
Address: Phone:
(Home)
Mobile Ph:
Email:
Address: Phone:
(Work)
Citizenship: SSN:
II. Education
A. Schools and degrees
Name Year Graduated Department Degree
B. Doctoral Dissertation Status/Timeline (If not completed, fill in projected dates below. Your dissertation Chair must indicate your expected completion before the start date of Postdoctoral training.)
Completed, Final Approval by Committee: Date: ______
Research & analysis completed, draft to committee: Date: ______
Data gathered & analyzed, draft in progress: Date: ______
Data gathered: Date: ______
Proposal/prospectus approved by committee: Date: ______
III. Interests & Goals:
A. Discuss specific areas of neuropsychology that interest you and the basis of your interest.
B. Why are you applying to our program?
C. What do you hope to gain from your postdoctoral experience?
F. What type of position would you like to hold five years from now?
If you supply a copy of the completed standard APPIC form used when you applied for internship you do not need to complete part IV
Part IV
TEST ADMINISTRATION
Please indicate all instruments used by you in your assessment experiences completed during your practicum and during internship, excluding practice administrations to fellow students. . You may include any experience you have had with these instruments such as research, practicum, paid work as a neuropsychological technician, etc., other than practice administrations. Please indicate the number of tests that you administered and scored during practicum in the first column. In the second column, list the number of tests that you administered and scored and/or interpreted during internship. Please designate your experiences for the instruments listed below. You may include additional instruments (under “Other Tests”) for any tests other than those listed below. If you have additional testing experience as a neuropsychological technician, include these administrations with your practicum administrations.
NAME OF TEST / ADMINISTERED AND SCORED,in PRACTICUM ETC. / ADMINISTERED or INTERPRETED on INTERNSHIP
MCMI-III
MMPI-A
MMPI-II
Personality Assessment Inventory
Wechsler Adult Intelligence Scale- IV
Wechsler Memory Scale-IV
Delis-Kaplan Executive Function System (DKEFS)
RBANS
Wisconsin Card Sorting Test
Halstead Reitan Neuropsychological Test Battery
Benton Visual Retention Test
Boston Naming Test
California Verbal Learning Test (CVLT)
Children’s Memory Scale
Clinical Assessment Scales for the Elderly
Computerized Assessment of Response Bias
Controlled Oral Word Association Test (COWAT)
Dementia Rating Scale-II
Developmental Test of Visual-Motor Integration
Independent Living Scales
Kaplan Baycrest Neurocognitive Assessment.
Kaufman Test of Educational Achievement
NEPSY
North American Adult Reading Test (NAART)
Peabody Individual Achievement Test
Peabody Picture Vocabulary Test
Portland Digit Recognition Test
Raven Progressive Matrices
Reitan-Indian Aphasia Screening Test
Reitan-Klove Sensory Perceptual Examination
Rey Auditory Verbal Learning Test
Rey-Osterrieth Complex Figure
Tactual Performance Test
Test of Memory Malingering
Trail Making Test A & B
Validity Indicator Profile
Victory Symptom Validity Test
Wechsler Abbreviated Scale of Intelligenc
Wechsler Individual Achievement Test (WIAT)
Wechsler Intelligence Scale for Child- IV
Wechsler Memory Scale-IV
Wide Range Achievement Test Extended Version
Wide Range Achievement Test-3rd Edition
Wide Range Assessment of Memory and Learning
Wide Range Assessment of Visual Motor Abilities
Woodcock-Johnson Achievement Test 3rd edition
Other Tests (Specify:)
You are responsible for gathering and sending to us all of your application materials. This will work best if all materials are sent in a single mailing. A complete application consists of 1) letter or interest; 2) completed application form; 3) official transcript of all graduate work; 4) a current curriculum vitae; 5) a copy of the completed standard APPIC form used when you applied for internship (or part IV of this application); 6) three sealed letters of recommendation with signature on the seal and 7) two sample neuropsychological reports.
Send to the address below:
Robin J. Heinrichs, Ph.D. LP
Director of Neuropsychology Training
Neuropsychologist & Assistant Professor
KU School of Medicine-Wichita
7829 E. Rockhill
Wichita, Kansas 67206