BACHELOR of PHILOSOPHY (BPhil)
Application for Admission to Degree Candidacy
(Please Type Application or Print Legibly)
PART I: CANDIDATE BIOGRAPHIC DATA FORM
Name
PeopleSoft Number
Permanent Address
Cell Phone
Pitt E-Mail Address
Home School (Kenneth P. Dietrich School of Arts and Sciences, Swanson School of
Engineering, College of Business Administration, School of Nursing, etc.)
Major(s)
Minor(s) and Certificate(s)
Expected Graduation Date
ON A SEPARATE SHEET, PLEASE PROVIDE THE FOLLOWING INFORMATION:
Academic Awards and Honors
List and explain the nature of any academic awards, honors, or singular achievements.
Independent Study or Research
List and explain the nature of any independent study or research you have been
pursuing. Please be as specific as possible and list faculty supervisors where relevant.
Extracurricular Activities
List the extent of your involvement in any extracurricular activities; note any leadership
positions held.
Post-Graduate Plans
Indicate whether you plan to pursue further education, seek employment, or proceed
otherwise; describe your plans.
Three Academic References
Provide the names, department affiliations, campus addresses and phone numbers, and
e-mail addresses of three faculty members who can comment on your academic
performance to date and on your potential to fulfill the BPhil requirements. NOTE: You
need not request formal letters of recommendation; in the event that we would wish to
contact the faculty members, we would notify you of our intent prior to doing so in
order that you may inform them and confirm their willingness to be a reference for you.
PROVIDE AN OFFICIAL COPY OF YOUR UNIVERSITY OF PITTSBURGH TRANSCRIPT
If you are a transfer student, please include a transcript from each school previously
attended (transcripts from other schools need not be official).
Student’s Signature
Date
PART II: PLAN OF STUDY
THIS SECTION TO BE COMPLETED BY THE STUDENT
On a separate sheet, please provide a narrative in which you discuss your academic plan
of study in detail. This document should make clear your specific interests and areas of
concentration in your chosen major(s), connections between the majors you have
chosen, and the ways in which your curriculum reflects breadth, depth, and/or focus. In
sum, you are to discuss the ways in which the course work you have completed (or plan
to complete) is demanding, interesting, and rigorous. This statement should include a
consideration of course work outside your major. This statement must be reviewed and
approved by your major advisor (if you have multiple majors, review by only one major
advisor is required).
Student’s Name (printed)
THIS SECTION TO BE COMPLETED BY THE STUDENT’S ACADEMIC ADVISOR
I affirm that I have reviewed this student’s Plan of Study and it represents an accurate
description of the student’s academic program.
Academic Advisor’s Name (printed)
Academic Advisor’s Signature
Date
PART III: THESIS PROSPECTUS
THIS SECTION TO BE COMPLETED BY THE STUDENT
Thesis Topic
Please provide a “working title” for your thesis (please type or print legibly).
Description of Research
On a separate sheet, please provide a detailed description of your thesis project. Include
a statement of the question under investigation, a description of your research
methodology, and a discussion of your expected results. You should include a
theoretical justification for your work to explain how this project will contribute to the
field in which the research/project is being conducted. This statement must be reviewed
and approved by your thesis advisor.
Student’s Name (printed)
THIS SECTION TO BE COMPLETED BY THE STUDENT’S THESIS ADVISOR
I affirm that I will be able to provide this student with a research/scholarship experience
similar to that of graduate students in my academic discipline. Furthermore, I believe
that the scope of the student’s proposed project is similar to that of a master’s level
student and that the candidate is capable of producing a thesis/project of the same
caliber as a master’s thesis/project in my academic discipline.
Thesis Advisor’s Name (printed)
Thesis Advisor’s Signature
Date
RETURN COMPLETED APPLICATION TO:
David A. Hornyak
UHC Director of Advising
3600 Cathedral of Learning
Pittsburgh, PA 15260
If you have any questions regarding the completion of the application, please contact
David Hornyak by e-mail at hornyak@pitt.edu or by phone at 412-624-6884.
REMEMBER TO INCLUDE THE FOLLOWING:

Transcripts from all undergraduate institutions attended (you must provide an
official transcript from Pitt; all others may be unofficial)

Your signature on the Candidate Biographic Data Form (Part I)

Signature of your academic advisor as verification of review and approval of your
Plan of Study (Part II)

Signature of your thesis advisor as verification of review and approval of your Thesis
Prospectus (Part III)