Coordinated Program Application for Post-Graduate Students Completing CP Requirements
Instructions:
1)
Applications must be TYPED and all requested information must be submitted by October 1st or
February 1st. All applicants MUST be currently enrolled in the graduate program in the Department of
Dietetics & Nutrition at the time of the application to the Coordinated Program. Incomplete applications will not
be considered for review for the Coordinated Program. Students may only apply twice.
2)
Official Transcripts:
Required from all colleges or universities (including FIU) from which you have taken courses applicable to the
Coordinated Program (CP). Official transcripts are to be sent from college/university directly to the Program
Assistant. All transcripts from foreign countries must be evaluated by an outside agency approved by the
Accreditation Council for Education in Nutrition and Dietetics (ACEND) and the Academy of Nutrition and
Dietetics (AND) and a course equivalency to a US Regional Accredited Degree.
3)
Eligibility for Application as Post Graduate Students Completing CP Courses Only
All applicants must meet with their advisor to determine their eligibility to apply:
a. Evaluation of all dietetic courses completed compared to coursework requirements of the CP.
b. Graduate courses: Have < 9 credit hours remaining.
c. Master's thesis/project requirement: A first draft of project/thesis must be given to Major Professor.
d. Signature of your Major Professor is required on the application form. Professor's signature denotes that the
graduate course and thesis/project requirements are met.
4)
Applicants should have an overall GPA of 3.0 or above at the time of application to the CP and prior to the start
of the supervised practice.
5)
Personal Statement:
a. Should be 12-pt. font and 1.5 spacing. It will be reviewed as part of the application process by the CP
admission's committee.
b. Content of the Personal Statement should include:
i. Your professional goals
ii. How previous work and/or volunteer experience has prepared you for this program
iii. Skills and knowledge that you can contribute to this program
iv. Your reasons for aspiring to become a Registered Dietitian
Recommendation Forms:
Select two individuals to complete the Recommendation Forms*. These persons should be familiar with your
academic ability and work performance. They cannot be related to you. The CP Director or Committee members
will not write letters or recommendations.
http://rscphsw.fiu.edu/docs/dietetics/CP_Recommendation_Form%20_rev013113.pdf
*The writers of your letters of recommendation may choose to send a personal letter but the Recommendation
Form Rating Checklist must be completed to be considered by the Program Director of the CP program. Each
form must be in a sealed envelope with the writer's signature on the seal.
6)
7)
Checklist:
1.
2.
3.
4.
5.
6.
7.
8.
Complete Background check, FBI level 2 and Fingerprinting:
a. The CP applicant must submit with the application a copy of their COMPLETED Level II FBI Background
Check including the Finger-Printing completed by American DataBank. The student is responsible for any
costs that this requirement incurs. (NOTE: THIS PROCESS CAN TAKE UP TO 3 WEEKS.)
Typed completed CP program application form
Official transcripts sent to the Program Director
List of the remaining graduate courses by semester
Signature of Major Professor
Personal Statement
Two completed Recommendation Forms
Panther Degree Audit
Completed background check, FBI level 2 and Fingerprinting
Transcripts must be mailed to:
CP Program Director
Dept. of Dietetics and Nutrition
Florida International University
11200 SW 8th Street
Miami, FL 33199
Completed application packet can be mailed or
dropped off in person by the due date.
Coordinated Program Application for Post-Graduate Students Completing CP Requirements
Cover Page
I ________________________ understand the following policies and procedures regarding this application:
(Student Name and PID#)
1.
IN ORDER TO BEGIN THE SUPERVISED PRACTICE EXPERIENCE, STUDENTS MUST:
a. Have completed ALL their didactic course requirements.
b. Have completed ALL the MS course requirements.
c. Complete the MS thesis/project requirement, including presentation of the results in Graduate Seminar (DIE
6937).
2.
The Coordinated Program will not consider applicants who:
a. Have received lower than a C in any course taken in the Department of Dietetics and Nutrition or its transfer
equivalent.
b. Have received lower than a C in any science course required for the CP.
3.
The student will be responsible for his/her own transportation to the supervised practice site. Students assume
all liability for safely traveling to and from assigned areas.
4.
The CP is designed for FIU degree-seeking students only.
5.
Before supervised practice begins, each student will need to provide documentation:
a. Vaccinations, including varicella titer, PPD X 2, MMR, and tetanus vaccines.
b. Level II FBI background check including finger-printing.
c. Active adult CPR certification (only by American Heart Association (AHA)).
d. A 10-panel drug test could be required by the placement facility.
i. The Supervised Practice Instructor will let you know if a 10 panel drug test is required. If required,
you will need to complete it within 30 days of beginning the practicum. The student is responsible
for any costs that the above requirement incurs. Details and appropriate forms will be provided to
the student by the Department.
6.
The CP applicant must submit with the application a copy of the COMPLETED Level II FBI Background Check
including the Finger-Printing completed by American DataBank. The student is responsible for any costs that this
requirement incurs. The CP applicant understands that final admission to the CP is contingent on the outcome of
their background check.
7.
There is an additional fee of $100 per credit hour assessed for supervised practicum classes, for the purpose of
meeting the expenses associated with the supervised practice education.
8.
Students must abide by the Academy of Nutrition and Dietetics’ Code of Ethics for the Profession of Dietetics.
Students must also abide by the standards as discussed in the FIU CP Handbook. Students will not be admitted
into the CP if their conduct does not meet these codes. During the Supervised Practicum, any student who does
not perform in accordance to applicable policies and procedures as outlined in the CP handbook may be removed
from the Coordinated Program.
I have read the above statements and agree to abide by the requirements. The information included in my application is true
and accurate and can be verified:
_____________________________________________
____________________
_____________________________________________
____________________
(Student's Signature)
(Dietetics and Nutrition Department Witness)
(Date)
(Date)
Panther ID#: _____________
Graduate Courses remaining:
Course #
Course Description
Credits
Major Professor’s Information
The Major Professor’s signature assures the CP Program Director that the student has discussed with the
advisor his/her intention to begin the supervised practice. All graduate requirements must be met before
the student begins the supervised practice. This signature is required at the time of application
submission to the CP.
Major Professor’s Name (printed):
___________________________________
Major Professor’s Signature:
___________________________________
2014-2015
Page 3 of 7
_____________
(Date)
Panther ID#:
Name:
Last Name
First Name
Initial
Address:
City:
Zip Code:
State:
FIU e-mail address:
Home Phone Number:
Non FIU e-mail address:
Cellular Number:
Type all Universities/Colleges attended (chronological order):
Institution
City/State
Degree Granted
Major
Education, Work/Volunteer, and Extracurricular Activities (can use additional sheet)
1.
Grade point average to date
Cumulative GPA:
Dietetics GPA:
2.
Grading Scale For Calculations
A
4.00
A3.67
B+
3.33
B
2.67
C+
2.33
C
2.00
Are you a member of any Professional Organizations?
Yes
No
If yes, please list your current memberships.
3.
A. Were you ever required to leave any college, graduate, or
professional school, or ever denied readmission because
of deficiencies in either conduct or scholarship?
If yes, explain briefly.
B. Have you ever been charged or convicted of a misdemeanor and/or felony?
If yes, explain briefly.
2014-2015
Page 4 of 7
Date
Panther ID#:
WORK/VOLUNTEER EXPERIENCES
Please list the most current (within 5 years) place(s) of employment/volunteer experience(s) you have had,
include dates of service, hours per week and duties for each. If space below is insufficient, please use the same
format and attach another page.
1. Place of Employment/Volunteer Experience:
(Circle which one)
Position:
Hours per week:
Dates of Service:
Description of duties:
2. Place of Employment/Volunteer Experience:
(Circle which one)
Position:
Hours per week:
Dates of Service:
Description of duties:
3. Place of Employment/Volunteer Experience:
(Circle which one)
Position:
Dates of Service:
Hours per week:
Description of duties:
4. Place of Employment/Volunteer Experience:
(Circle which one)
Position:
Dates of Service:
Hours per week:
Description of duties:
2014-2015
Page 5 of 7
Written Communication Skills: Autobiographical Statement
Provide a brief personal history including your background, personal and professional goals, your reasons for
aspiring to become a Registered Dietitian, and the influences (e.g., people, situations) that have contributed to
your decision. Include a summary of how previous employment or volunteer experiences prepared you for this
program and the skills and knowledge you would bring to this program. This written statement will also be
evaluated for spelling, grammar, clarity of thought, in addition to content. A maximum of two typed pages
with 12 point font and 1.5 spacing is required.
2014-2015
Page 6 of 7
CRITERIA FOR SELECTION OF STUDENTS
Applications are due in the department of Dietetics and Nutrition on the assigned date (October
1st or February 1st) - no exceptions will be made. Should the due date fall on a weekend, the
application will be due the Friday before the due date.
The admission criteria are specified and weighted in the following point system. Do not complete this
section; it is for your information only.
Criteria Point
1. Cumulative GPA
3.00 - 3.33 ……………………………………… 10 points
3.34 - 3.67 ……………………………………… 15 points
3.68 – 4.00 ……………………………………… 20 points
2. Dietetics GPA
3.00 - 3.33 ……………………………………… 10 points
3.34 - 3.67 ……………………………………… 15 points
3.68 – 4.00 ……………………………………… 20 points
3. Work/Volunteer and Extracurricular Activities
Work Experience/Volunteer/Community/Church Service …………..…………….……… 20 points (maximum)
4. Personal Statement
Content, clarity, grammar, spelling and statement of professional goals…………… 15 points (maximum)
5. Recommendation Forms ……………………………………………………………..…………..10 points (maximum)
6. Recommendation Form Rating Checklist (Committee Evaluation)……..… 15 points (maximum)
This form will be identical to the one used for obtaining recommendations.
Faculty Evaluation of Applicants
Department faculty members who have taught, advised, or supervised applicants will be invited to complete
the “Recommendation Form Rating Checklist.”
The CP Program Director or Committee members will NOT write letters of recommendation for students
applying to the program.