Association of Psychology Postdoctoral and Internship Centers
INTERNSHIP MATCHING PROGRAM

APPLICANT AGREEMENT

I plan to apply for a psychology internship position to start between June 1, 2013 and December 31, 2013. I agree to participate in and to abide by the policies of the Association of Psychology Postdoctoral and Internship Centers (APPIC) Internship Matching Program (the “Match”). Specifically, I agree:

1. To abide by all APPIC Match Policies as shown on the Match web site (www.natmatch.com/psychint), which are incorporated by reference in and are an integral part of this Agreement.


2. To abide by the Schedule of Dates of the Match as shown on the Match web site (www.natmatch.com/psychint), which is incorporated by reference in and is an integral part of this Agreement.


3. To provide complete and accurate information to the Match as well as to all internship programs to which I apply.


4. Not to make any commitments to or contracts with any participating internship program prior to the release of the results of Phase I of the Match. Furthermore, if I do not obtain a position in Phase I of the Match, I agree not to make any commitments to or contracts with any participating internship program prior to the release of the results of Phase II of the Match. If I choose to accept a position at an internship program that is not participating in the Match, or decide not to participate in the Match for any other reason, then I will submit a withdrawal from the Match, and will NOT submit a Rank Order List for the Match.


5. To accept appointment to and attend the internship program with which I am matched. I understand that I cannot avoid accepting appointment to or attending the program with which I am matched without a written release from APPIC; also, that another program participating in the Match cannot offer me a position unless I have this release.


6. To pay to National Matching Services Inc. (NMS) a non-refundable, non-transferable, irrevocable applicant fee to register for the Match for positions beginning 2013. If my academic program is an APPIC Doctoral Program Associate or a member of the Canadian Council of Professional Psychology Programs (CCPPP), my applicant fee is $130 U.S. If my academic program is NOT an APPIC Doctoral Program Associate or member of CCPPP, my applicant fee is $160 U.S. The applicant fee includes both registration for the Match and use of the APPIC Online Directory.

I am enrolled in a doctoral program in professional psychology that requires internship training, and I expect to complete practicum experience by the start of internship. I understand that my academic program has the authority to determine my eligibility for participation in the Match and which training sites I am permitted to include on my Rank Order List.

I understand that I must immediately notify all internship sites to which I have applied in the event of any change in my standing with my academic program (e.g., being put on probation) or in my eligibility to apply for internship.

I understand that I am free to make personal contacts with any participating internship program in which I am interested, to apply to as many of these programs as I wish, and to rank them according to my judgement.

I also understand that I must not communicate my ranking intentions to any program, and must not request that a program inform me as to how it intends to rank any applicant. I understand further that participating internship programs must not communicate their ranking intentions to me and must not request that I state how I intend to rank any program. Any statement or other expression concerning how I intend to rank an internship program or how that program intends to rank me is a violation of APPIC Match Policies, and in any event is subject to change based on further considerations.

The Rank Order List I submit for each Phase of the Match will be the sole determinant of my order of preference for the internship programs to which I have applied for that Phase of the Match. Similarly, the Rank Order List(s) submitted by each program for each Phase of the Match will be the sole determinant of the program's order of preference for applicants for that Phase of the Match.

I understand and agree that information concerning my participation in the Match, including my Match result, may be provided to me electronically.

I understand that the result I obtain in the Match, whether I am matched or not and to which program I have been matched, may be reported to my academic program, to programs participating in the Match, and to others, either by mail or electronically.

I understand that my appointment to the internship program with which I am matched may be contingent on my satisfying eligibility requirements specified by the internship site and internship program.

I understand that the information provided to the Match may be used for research purposes.

I understand that APPIC may, in its discretion, release me and/or the internship program from the Match commitment with APPIC when APPIC determines that exceptional circumstances or reasonable cause warrant such release. I also understand that even if I am released from the Match commitment with APPIC, I may be subject to legal and/or disciplinary action by my academic and/or internship program if I do not attend the internship program to which I have been matched.

I understand that APPIC is responsible for enforcing this Agreement, and violations of the terms of this Agreement may be reported to the APPIC Standards and Review Committee. I understand that if I violate any of the terms of this Agreement, such as refusing to accept a position at the internship program with which I have been matched and/or refusing to attend the program with which I have been matched, the APPIC Board may pursue all available remedies, including barring me from participation in future APPIC Matching Programs. Furthermore, I could be subject to legal and/or disciplinary actions on the part of my academic and/or internship program.