Internship Training AgreementInternship Training Agreement • August 30th, 2019
Contract Type FiledAugust 30th, 2019STUDENT INFORMATION Student Name: Phone Number: Program: PhDPsyD Anticipated Start Date: Type of Setting: CA Psychological Assistantship CA Exempt SettingCA Department of Mental Health WaiverNon-accredited outside California (Attach description of how this internship meets licensure requirements in the state you plan to become licensed)