Professional Activities Considered for Fellowship

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Professional Activities Considered for Fellowship

I. GENERAL LEADERSHIP

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

1. Officer	AGPA/GF/IBCGP	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/Presenter	List each presentation and its length.
4. Leader of a training group	List 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, books	List 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.