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SPDP Documents

The Student Intern Application documents can be viewed or downloaded individually, or as a COMPLETE PACKET here.

Student Intern Application Packet SPDP Checklist SPDP Application Volunteer Application Affiliation Agreement Exhibit A	Code of Organizational Conduct Sexual Harassment Policy Internet Registration Form Nation Provider Identification (NPI)
Additional Forms Rendering Provider Form & Instructions Training Application Form MSW Employment Verification MFT Employment Verication

All documentation should be mailed to:  

Student Professional Development Program
Jeff Gorsuch, Psy.D
695 S. Vermont Ave., 15th Floor
Los Angeles, CA. 90005

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For further information please contact SPDP