Practicum Pre-Screening Form

for Virtual Practicum Placement with Square Peg Psychology

Please correct the errors described below.
https://www.squarepegpsychology.ca/supervision-for-provisional-psychs-and-students.html

Hello and thank you for your interest in a practicum placement with Square Peg Psychology.

We offer a unique placement experience for practicum students. Our practicum placements are entirely virtual, and can therefore be completed from the comfort of a private and secure space in your home anywhere in Edmonton, Alberta or surrounding area.

Our private practice caters mainly to 2SLGBTQIA+ adult clients and clients in non-normative relationships, although we do have a small number of cisgender heterosexual clients as well. You will be supervised by the clinic owner, a Registered Psychologist (Alberta, 2012) who has been supervising students and Provisional Psychologists since 2018.

Due to the virtual nature of the practicum placement, students who are likely to do well will be self-directed, organized, and highly motivated to learn and grow in their clinical skillset.

    Please upload a file
      Please upload a file
      Please note I cannot supervise clients who present with issues outside of my scope of competence.

      Thank you so much for the time and reflection you have given to completing this screener.

      We will be in touch within 14 business days to schedule an interview if I believe this would be a good fit.

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