Thank you for completing the application form below to be considered for serving on the Job Task Analysis Task Force (JTATF) for the Psychopharmacology Examination for Psychologists (PEP).

Please complete the application form and submit an up-to-date CV no later than April 15, 2026, to Justin Sims jsims@asppb.org or attach it at the end of this survey. If you have any questions about this call for volunteers, please email Justin Sims.

There will be three required meetings of the PEP-JTATF (two virtual and one in-person meeting in 2026).

  • First meeting – Test Definition (virtual 2-hours; end of May 2026). Objective: To discuss high-level changes to the certification program (e.g., purpose, the target audience, minimum requirements, scope of exam, and minimal level of competence required to pass the exam).
  • Second meeting – Job Task Analysis (2-day, in-person; held at the ASPPB home office in Tyrone, GA, Friday and Saturday, June 12-13, 2026). Objective: Members will participate in developing a questionnaire to survey licensed psychologists with prescribing privileges in Canada and the United States. The survey will be used to update the PEP content areas and associated knowledge and skills statements, and to develop test specifications to reflect evolving competence and practice in prescriptive authority.
  • Third meeting – Job Analysis Data Review & Test Blueprint (virtual, 4-hours; early-mid Fall 2026). Objective: Review the preliminary results of the job task analysis survey and gather your feedback on the domains, knowledge, and skills to be measured by the PEP.

This survey will also be used to recruit for open positions for the PEP EDC. Unlike the JTATF above, this is a commitment of a 4-year term on the committee with a possibility of a renewal for a second 4-year term.

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* 1. I am interested in volunteering for…

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* 2. First Name:

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* 3. Last Name:

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

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* 5. Phone Number:

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* 6. In what country do you currently reside?

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* 7. Are you currently employed?

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* 8. What is your job title?

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

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* 10. Is your practice primarily urban, suburban, or rural?

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

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

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* 13. In which jurisdictions(s) are you currently licensed?

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

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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. Besides psychopharmacology, which is your major field in psychology? (Select the one category that best describes your major field, rather than your particular specialty area.)

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* 20. Select the age group or groups that you serve. (Select all that apply)

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* 21. Are you currently authorized to prescribe psychotropic medications?

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* 22. [If you answered “No” to #21] Have you ever been authorized to prescribe psychotropic medications?

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* 23. [If you answered “Yes” to #21 or #22] For how many years have you been or were you authorized to prescribe psychotropic medications?

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* 24. [If you answered “Yes” to #21 or #22] What jurisdiction granted you prescriptive authority?

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* 25. [If you answered “No” to #21 and #22] Do you consider yourself to be an expert in psychopharmacology who can collaborate with individuals who prescribe psychotropic medications?

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* 26. Do you have an advanced degree in clinical psychopharmacology (i.e., MSCP)?

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* 27. [If you answered “Yes” to #26] From which program did you receive your degree?

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* 28. [If you answered “No” to #26] Are you currently in a training program for an advanced degree clinical psychopharmacology?

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* 29. Are you currently an instructor/faculty for one of the clinical psychopharmacology degree programs, and if so, which one?

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* 30. Gender

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

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

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

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* 34. Rank the Psychopharmacology Examination for Psychologists (PEP) Domain Content Areas below that align with your professional experience and level of expertise. Use the up and down arrows or click and drag each Domain in the correct order. The top choice should reflect the content area with which you are most familiar, followed by your second and third most familiar areas, etc. until you have ranked all of them.

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* 35. Areas of Expertise: Please list ANY additional, relevant, areas of professional expertise:

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* 36. Please attach an up-to-date CV here or email it to Justin Sims (jsims@asppb.org) no later than April 15, 2026.

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