Department of
To assist the faculty in determining
those individuals who should be awarded a scholarship from the Psychology
department here at
***Please type or clearly print
the information requested.***
Name: _____________________________________________
Address: _____________________________________________
_____________________________________________
_____________________________________________
Phone: _____________________________________________
Email: _____________________________________________
GPA: Overall
__________
Psych classes __________
Class standing: Freshman
Sophomore Junior
Senior
Total number of hours completed
__________
Number of hours completed in Psychology __________
1. Please list all of the Psychology courses that you have taken (including the
ones that you are presently enrolled in) and the grades earned:
2. List any research experience (include PY389, PY390, and all other
experiences) you have.
3. List all conference presentations here. Make sure you include all oral
and poster presentations and where they occurred.
4. List any field or volunteer experience you have obtained.
5. List any awards or honors you have received.
6. List all organizations you belong to or are a part of. Be sure to
include any positions or offices that you have held.
7. Write a short essay (no more than a single page, single-spaced) on
what your goals are and how this scholarship will help you reach those goals.
8. List 3 individuals who have agreed to serve as a reference.
Include contact information for each person.
For rich text version click here: PY Application
For PDF version click here: PY Application
SUBMIT YOUR COMPLETED APPLICATION TO THE
SECRETARY, Bonnie Paine, HC 211
DEADLINE: NO LATER THAN MARCH 31ST!!!