Doctoral Course Work Check Sheet For Psychologist Form - Alaska Board Of Psychologist And Psychological Associate Examiners Page 3

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7. Cognitive - affective ............................................................................................
Yes
No
(e.g., learning, memory, perception, cognition, motivation, emotion)
COURSE
DATES
CREDIT
INSTITUTION
NUMBER
FULL COURSE TITLE
FROM / TO
HOURS
8. Social...................................................................................................................
Yes
No
(e.g., social psychology, cultural, ethnic, group processes, sex roles,
organizational and systems theory)
COURSE
DATES
CREDIT
INSTITUTION
NUMBER
FULL COURSE TITLE
FROM / TO
HOURS
9. Individual .............................................................................................................
Yes
No
(e.g., personality theory, human development, individual differences, abnormal
psychology, psychology of women, and psychology of handicapped)
COURSE
DATES
CREDIT
INSTITUTION
NUMBER
FULL COURSE TITLE
FROM / TO
HOURS
10. Supervised practicum appropriate to area to practice........................................
Yes
No
COURSE
DATES
CREDIT
INSTITUTION
NUMBER
FULL COURSE TITLE
FROM / TO
HOURS
11. Internship ............................................................................................................
Yes
No
COURSE
DATES
CREDIT
INSTITUTION
NUMBER
FULL COURSE TITLE
FROM / TO
HOURS
08-4113c (Rev. 6/00)

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