Thank you for applying to serve on the Examination Committee (ExC) and/or the Item Development Committee (IDC) for the integrated Examination for Professional Practice in Psychology (EPPP).

Please complete the survey below and submit, along with a statement of interest and an up-to-date CV, to Emelyn East (eeast@asppb.org). Applications should be submitted no later than March 23, 2026, to be considered.

If you have any questions about this call for volunteers, please email Emelyn East (eeast@asppb.org).

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* 1. First Name:

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* 2. Last Name:

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* 3. At what email address would you like to be contacted?

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* 4. Phone Number:

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* 5. In what country do you currently reside?

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* 6. What is your place of employment/work setting (if not currently working, skip to item 11)?

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* 7. What is your job title?

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* 8. Work Location (City, State/Province):

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* 9. Home Location (if different from above):

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* 10. Is your practice primarily urban or rural?

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* 11. How many years of relevant experience do you have in the field of Psychology?

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* 12. In which jurisdiction(s) are you licensed/certified to practice psychology independently?

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* 13. How long have you been licensed in those jurisdictions?

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* 14. What type of Licenses/Credentials do you currently hold (e.g., C.Psych., ABPP)?

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* 15. What is the highest level of education you have completed?

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* 16. Graduation year of highest degree:

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* 17. Educational institution that granted your degree:

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* 18. Major Area of Training (select any that apply)

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* 19. Gender

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* 20. For US Residents: Ethnicity (Select all that apply)

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* 21. For Canadian Residents: Ethnicity (Select all that apply)

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* 22. ASPPB is committed to maintaining a group of volunteers that is diverse in identities and represents as many viewpoints and backgrounds as possible. Please list any relevant identities you would like us to know (LBGTQ+, BIPoC, etc.).

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* 23. Please rank order the EPPP domains for which you would like to be considered (with ‘1’ being highest), with rankings based on both your interest and professional experience/expertise.

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* 24. Other Areas of Expertise: Please list ANY additional relevant areas of professional expertise:

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* 25. Please indicate if your first choice to serve on is the:

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* 26. Please attach a statement of interest and an up-to-date CV here or email it to Emelyn East (eeast@asppb.org) no later than March 23, 2026.

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