Clinical Services Training Program

Trainee/Intern Application 2008-2009

 

Applications should ideally be received by the Pacific Center prior to February 28, 2008.  Pacific Center utilizes a rolling admission policy and applications will be accepted until all positions are filled.  The first round of interviews will start in January 2008.  The Clinical Services Training Program positions are from August 2008 through July 2009.

You will need to complete this form and return it, along with your most recent resume or curriculum vitae and two (2) letters of recommendation:

Pacific Center
Judith Weatherly, Clinic Director
2712 Telegraph Avenue
Berkeley, CA 94705

 

** Please send an original and two copies of your application. **

Thank you.

 

The spirit of this application is to develop some sense of who you are as a person, as well as an understanding of who you are growing into as a clinician.

 

Please fill in the following information and submit as the cover sheet with your application. 

 

Name                                                                          Date of application                                                     

 

Telephone                                                                    Email address                                                           

 

Address                                                                                                                                                          

 

 

EDUCATION

Undergraduate: (college or university, major, degree, year of graduation)                                                  

 

                                                                                                                                                                       

 

Graduate: (college or university, major, degree, year awarded)                                                                  

 

                                                                                                                                                                       

 

Other                                                                                                                                                              

 

Please describe your licensing status in the state of California (and/or other states)                                   

 

                                                                                                                                                                       

 

CLINICAL EXPERIENCE

·         Please provide the names and phone numbers of two people who know your clinical work.  If you have no clinical experience you may include the names and numbers for persons familiar with your graduate academic work, as well as the history and nature of your relationship with them.  All references will be contacted by telephone.

 

·         Please describe previous internships and other clinical experiences of all kinds, including work with the LGBT community, in social services, and/or work taking place in religious/spiritual settings.  If conducting psychotherapy was involved in these settings, include details of how many hours of therapy you have conducted, the modality and theoretical orientation, the client population, and the number of hours of individual and group supervision or consultation.  Please indicate direct face-to-face clinical experience.   

 

 

GENERAL INFORMATION

Please respond to each question on separate paper.  With the exception of question number one, please limit your responses to one page.  

 

1.    Write a biographical statement addressing your interest in becoming a psychotherapist, as well as your current understanding of who you hope to become as a therapist.  Include any aspects of your life which seem relevant to you. 

 

2.    The Pacific Center Clinic primarily serves the mental health needs of the LGBT community in the Bay Area.  Please reflect on your motivation to work with this community, as well as any personal or professional experience you may have with the LGBT community.

 

3.    The impact of culture and society on the development of the self is an important aspect of clinical thinking at the Pacific Center.  Please reflect upon the impact of socio-cultural issues, focusing upon your own lived experiences of difference as it relates to your own development.

 

4.    Talk about your personal experience with psychotherapy including what was helpful, what was not, and your understanding of why.

 

5.    The clinical training program at the Pacific Center can be quite demanding on many levels—emotionally,  intellectually, and personally, and requires a significant amount of time and energy (approximately 20 hours per week) without pay.   How will you manage this and in what ways do you imagine its impact on your life?