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. |
| List number of years per experience. |
| List number of years, experience and
name of program. |
| 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. |
| List
Institute title, location and length. |
| 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. |