FELLOWSHIP

PROFESSIONAL ACTIVITIES CONSIDERED FOR FELLOWSHIP

I.  GENERAL LEADERSHIP For Categories 1 – 7, list experience on an annual basis. Leadership in AGPA, GPF, NRCGP, IAGP, its Affiliates or other Professional Organizations should be included. Specify position, organization and length of service.

1.  Officer

AGPA

Affiliate/Regional

International

Other Professional Organizations*

2.  Board
3.  Chair
4.  Committee Member
5.  AGPA Representative
6.  Faculty at Scientific Meetings (specify date, title and length)

Institute

Workshop/Seminar

3 hours

Seminar/paper presentation 1 hour

7.  Group Therapy Related Awards and Honors (list)

AGPA

OTHER

* Promotion of group therapy through other professional organizations

II-A. CLINICAL PRACTICE AND ADMINISTRATION

1.  Active Group Psychotherapy Practice List number of ongoing group(s) per year.
2.  Group Therapy Programs (Development and/or Administration)
  • Initiation of/development of
List experience.
  • Director
List number of years per experience.
  • Supervisor/Consultant
List number of years, experience and name of program.
  • Leader-training group
List number of years, experience and name of program.
  • Participation as group therapist
List number of groups per year.
3.  ProBono Services (Group Leader, Supervisor, Consultant)List number of groups per year.

II-B. TEACHING AND TRAINING

1.  Group Therapy Supervision/Consultation List number of ongoing groups per year.
2.  Group Therapy Teaching (College setting, agencies, post graduate programs, Internet/Chatrooms)List courses, location, and number of semesters.
3.  Part Time Lecturer/PresenterList each presentation and its length.
4.  Leader of a training groupList number of groups per year and duration.
5.  Faculty at Scientific Meetings.
  • Institute
List Institute title, location and length.
  • Workshop/Seminar
List Workshop/Seminar title, location and length.
  • Seminar/Paper Presentation
List Seminar/Paper Presentation title, location and length.

* Activities listed above should not duplicate those listed under General Leadership

II-C. RESEARCH

1.  Director of Research Project re: Groups Describe experience and duration.
2.  Developing Research Methodology Describe experience and duration.
3.  Holding a Research Position Describe experience and duration.
4.  Promoting Research on Groups (Teaching, grant writing, thesis or dissertation committees) Describe experience and duration.

II-D. PUBLICATIONS

1.  Publications on Groups in peer reviewed journals, chapters, booksList references.
2.  Editorial Staff of a Newsletter (Group Circle, Group Solution, Group Assets or other newsletter) Describe experience and publications.
3.  Editorial Board (IJGP or other group journal) Describe experience and duration.
4.  Other related but non-group focus Describe experience and duration.
5.  Book Reviews (Group Related)List references.