WISC-IV* Training Program: Information & Registration Form Mylne Street Mental Health Pty. Ltd. is a private psychology practice centrally located in Toowoomba, south-east Queensland, approximately 2 hours drive from Brisbane Airport. Clinical Director, Michelle Aniftos (Clinical Psychologist and Accredited Supervisor) is planning to host a training program for those seeking to have a thorough understanding of the WISC-IV for purposes of administration and/or interpretation. Your early expressions of interest are sought as this program requires between six and twelve participants to run effectively. The theory program is scheduled for Sunday the 16th of November 2014 and the practicum to follow on Monday 17th of November 2014. For participants seeking proficiency certification, a subsequent day for evaluation and supervision has been scheduled for Monday the 15th December 2014. Intended Audience: • Provisional Psychologists seeking introductory level training in cognitive assessment • Registered Psychologists seeking refresher training in implementation of the WISC-IV • Other professionals with responsibility for test administration and interpretation N.B. The WISC-IV is a registered test which requires a high level of expertise. It is expected that participants in this training opportunity will have at least provisional registration as a psychologist OR at least a masters degree in psychology, education, or closely related field with formal training in the ethical administration, scoring, and interpretation of clinical assessments related to the intended use of the assessment. It is also expected that participants will access clinical supervision by an accredited psychologist to ensure that minimum competencies are developed and maintained. Program Objectives: • To address Intellectual Assessment as a core competency for Australian psychologists • To provide a sound framework of knowledge about assessment practices • To develop competency in test administration, scoring and interpretation • To encourage self-critical and self-reflective evaluations of skill development Course Components: Day 1, Sunday 16th November-8.30am-5pm: • Introduction: formal and informal methods of assessment; standardized assessment • Demonstration: administration, scoring & interpretation of the WISC-IV by the presenter Day 2, Monday 17th November-8.30am-5pm: • Practice Administration: participants working in triads to administer the WISC-IV with observation and feedback from trained facilitators • Evaluation: participants complete a self-critique of their developing competencies & observers provided constructive feedback and peer-mentoring • Reporting: scoring and interpretation competencies will be extended into the preparation of formal reports of assessment findings Day 3, Monday 15th December-8.30am-5pm: • Following their initial training, participants will have practised administration of the WISC-IV in their own place of study or work and will have submitted at least two sample reports for supervision prior to 15/12/14. The final reports will be presented to peers for discussion during Day 3. * Wechsler, D. (2003). Wechsler Intelligence Scale for Children–Fourth Edition (WISC-IV). San Antonio, TX: The Psychological Corporation. Enquiries: Athina Cantle, Business Administrator Mylne Street Mental Health P/L PO Box 6570, Toowoomba WEST, Q 4350 T +61 7 4638 8464 | E [email protected] Registration Due Date: 17th Oct 2014 1. Personal Details Surname: Given names: Postal address: State: Postcode: Country: Telephone: Home: Work: Email: Mobile: Fax: 2. Academic Qualifications Please indicate your level of suitability for participation in this WISC-IV training program. I am: [ ] a Provisional Psychologist* seeking introductory level training in cognitive assessment [ ] a Registered Psychologist* seeking refresher training in implementation of the WISC-IV [ ] a professional responsible for test administration and interpretation. Please add detail: ______________________________________________________________________________________ Name of Qualification Year completed / Expected completion date Awarding institution (indicate country) *Psychologists, please provide your AHPRA registration number: __________________________ 3. Professional Experience in Test Administration Present position: Employer/University Course: Clinical Supervisor: Summary of experience in test administration: 4. Course Expectations Please provide a brief explanation of why you are interested in participating in this course and your expectations of the program and presenters. This is essential to design a relevant program. 5. Credit Card Payment Form Full registration will include teaching notes and handouts; access to WISC-IV test resources throughout the training days; catering for morning tea, lunch and afternoon tea. I am registering __________________________________________________ (insert name of registrant) for: [ ] Introductory Day 1, Sunday 16th Nov: $395 [ ] Practicum Day 2, Monday 17th Nov: $495 (Prerequisite: must have completed Introductory Day 1) [ ] Certification Day 3, Monday 15th Dec: $695 (Prerequisite: must have completed Introductory Day 1 & Practicum Day 2. Registration fee includes supervision toward development of your practice-reports which must be submitted prior to training day 3; and presented to peers on Day 3.) Please debit my Credit Card as follows: Credit Card Type: [ ] Visa or [ ] Mastercard or [ ] ____________________ Card Number: Expiry Date: M M Amount to be debited: [ ] Day 1 Only - $395 Y Y or [ ] Day 1 & Day 2 - $890 or [ ] Day 1, 2 & 3 - $1585 Cardholder’s Name: Cardholder’s Signature: Please submit your registration to: Athina Cantle, Business Administrator Mylne Street Mental Health P/L PO Box 6570, Toowoomba WEST, Q 4350 T +61 7 4638 8464 | E [email protected] Date: Registration Due Date: 17th Oct 2014
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