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Instructions: Applicants need to complete this form and also an application to Washburn University. The Faculty of the Department of Psychology reserves the right to select those applicants it deems most qualified to pursue the program. Records of graduation, grade point average, and special test results are required to substantiate statements in this application. Submit official transcripts of all undergraduate and graduate course work directly to the Department. Request Educational Testing Service to send Graduate Record Exam scores directly to the Department. The Department acts only on complete applications. Each completed application will be considered on its merits and a formal decision will be made as to admission of the applicant; this decision will be communicated in writing to the applicant. Submit this application and the Washburn University application to the Department. BEGINNING WITH THE MOST RECENT, list in order of your attendance all colleges and universities you have attended, including the one in which you are currently enrolled. List all schools, regardless of the length of time enrolled or number of credits earned. Name of Institution (no initials) Location City & State From Mo/Yr To Mo/Yr Number of Credits Major Degree Obtained Date of Degree / / / / / / / / / / / / / / / ACADEMIC PERFORMANCE: Applicants must provide all of the following information: Overall Grade Point Average (GPA): GPA for last 60 undergrad credits: Psychology GPA: HONORS, AWARDS, SCHOLARSHIPS: Please list and explain in the box below. EXPERIENCE IN PSYCHOLOGY: Indicate any research experience, clinically related public service (e.g., publications, papers presented, practica, field work, etc.) PREREQUISITE COURSES: Grade Course Title Institution Where Completed Elementary Statistics Abnormal Psychology Experimental Psychology PREVIOUS GRADUATE COURSEWORK: List any graduate level courses in Psychology completed, giving the course title, grade, year, and institution where the course was taken. PREVIOUS EMPLOYMENT: Describe past and present work experiences directly related to Psychology (e.g., work in Psychology Department, psychiatric technician, research or teaching assistantships, counselor, etc.). Do not include unrelated work. Indicate length of employment, part or full-time, kind of work done. GOALS and OBJECTIVES: What do you hope to be able to do as a result of earning this degree? SPECIAL SKILLS: Indicate below any aspecial skills or interests which you feel would enhance your abilities to function in the area of Psychology (e.g., foreign language fluency, computer skills, managerial or supervisory experience, knowledge of a particular sub-culture, or any other experience or skill you feel would support your application). PROGRESS IN PROGRAM: The course of study has been designed to be completed by full-time students in two years. Please indicate below if you expect to be a full or part-time student. Full time, expect to complete the program in two years (four courses/semester). Part time, expect to take: one course, two courses, three courses each semester. When do you wish to begin the program? Fall Spring Year: LETTERS OF RECOMMENDATION: Letters are required from three or more persons who know your academic and personal abilities well. The most preferred letters are from former college instructors in Psychology or from mental health professionals with whom you have worked. The recommendation form is available online. You should fill out the top part. Have the recommending person complete the rest and mail the recommendation to the Department. List below the names of persons you are asking to write letters. Name: Position: Address: ABILITY TO WORK WITH PEOPLE: Prior to admission to candidacy and practica, the student will have to demonstrate an ability to interact successfully and ethically with other people in a manner consistent with the role of a professional person in Psychology. The applicant is advised that this quality is difficult to evaluate prior to admission; problems may become apparent only as he or she progresses through the program. The applicant who recognies that this may be a significant difficulty is urged to consider other academic programs. By submitting this form to the Psychology department, you are certifying that the above information is correct and complete. Falsification will be grounds for suspension from the University.
By submitting this form to the Psychology department, you are certifying that the above information is correct and complete. Falsification will be grounds for suspension from the University.