Thank you for completing the application form below to be considered for serving on the Job Task Analysis Task Force (JTATF) for the Examination for Professional Practice in Psychology (EPPP). The EPPP consists of two parts, the EPPP (Part 1- Knowledge) and the EPPP (Part 2-Skills).

Please complete the application form and submit an up-to-date CV no later than September 2, 2024, to Emelyn East (eeast@asppb.org) or attach it at the end of this survey. If you have any questions about this call for volunteers, please email Emelyn East.

The JTATF is scheduled to participate in two in-person meetings. The in-person meetings will be held at the ASPPB home office in Tyrone, GA.

  • Meeting 1: December 8-11, 2024 in Tyrone, Georgia
  • Meeting 2: Spring/Summer 2025 in Tyrone, Georgia

Question Title

* 1. First name:

Question Title

* 2. Last name:

Question Title

* 3. At what email address would you like to be contacted?

Question Title

* 4. Phone number:

Question Title

* 5. In what country do you currently reside?

Question Title

* 6. Are you currently employed? 

Question Title

* 7. What is your job title?

Question Title

* 8. Work Location (City, State/Province):

Question Title

* 9. Is your practice primarily urban or rural?

Question Title

* 10. How many years of experience do you have in the field of Psychology?

Question Title

* 11. What type of Licenses/Credentials do you currently hold (e.g., C.Psych., ABPP)?

Question Title

* 12. In which jurisdiction(s) are you currently licensed?

Question Title

* 13. How long have you been licensed in those jurisdictions?

Question Title

* 14. What is the highest level of education you have completed?

Question Title

* 15. Graduation year of highest degree:

Question Title

* 16. Educational institution that granted your degree:

Question Title

* 17. Major area of training:

Question Title

* 18. Gender

Question Title

* 19. For US Residents: Ethnicity (Select all that apply)

Question Title

* 20. For Canadian Residents: Ethnicity (Select all that apply)

Question Title

* 21. ASPPB is committed to maintaining a group of volunteers that is diverse in identities and represents as many viewpoints and backgrounds as possible. Please list any relevant salient identities you would like us to be aware of (LBGTQ+, BIPoC, etc.).

Question Title

* 22. EPPP (Part 1-Knowledge) Domain Content Areas. Please select any area(s) that align with your professional experience and rank the area(s) based on your expertise.

Question Title

* 23. EPPP (Part 2-Skills) Domain Content Areas. Please select any area(s) that align with your professional experience and rank the area(s) based on your expertise.

Question Title

* 24. Areas of Expertise: please list ANY additional, relevant, areas of professional expertise.

Question Title

* 25. Please attach an up-to-date CV here or email it to Emelyn East (eeast@asppb.org) no later than September 2, 2024.

PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only.
Choose File

T