Organizational Psychology Application

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Organizational Psychology
Application for Admission
CALIFORNIA SCHOOL OF PROFESSIONAL PSYCHOLOGY
ALLIANT INTERNATIONAL UNIVERSITY
California School of Professional Psychology – Organizational Psychology
Application for Admission
If you have a disability and require assistance or reasonable accommodation in the application process,
please email admissions@alliant.edu or call (866) U-ALLIANT (toll-free in USA) or (800) 735-2929 (CRS)
www.alliant.edu
Use this application for the following programs:
• Consulting Psychology PhD:
San Diego
• Industrial-Organizational Psychology MA:
Los Angeles and San Diego
• Industrial-Organizational Psychology PhD:
Los Angeles and San Diego
• Organizational Behavior MA:
Fresno
Application Components
To complete your application, read all information in this packet,
including Admissions Policies and Admissions Requirements,
complete the required forms, and return them by the deadline to:
Alliant International University
Admissions Processing Center
10455 Pomerado Road
San Diego, CA 92131
• Organization Development PsyD:
Fresno
1. Form A and B: Application and Program Supplement
• Organizational Psychology PhD:
San Francisco
Required for all applicants. $70 for Doctoral, $55 for Master’s
applicants. Please make your check or money order payable to
Alliant International University. A limited number of application and
interview fee waivers are available to on-time applicants with the
greatest demonstrated need. If you would like to request a fee
waiver, you must submit your request in writing with an explanation
of your current financial circumstances and your prior year Federal
Income Tax Form 1040, if one was filed. Please enclose these
documents with your application materials. If you do not submit
both the written statement of fee waiver request and the
documentation, you will not be considered for a fee waiver.
• Organizational Psychology MA:
San Francisco
• Dual Master of Arts (MA) in Industrial-Organizational
Psychology and Master of Business Administration
(MBA/MIBA): San Diego
• Dual Doctorate (PhD) in Industrial-Organizational Psychology
and Master of Business or International Business
Administration (MBA/MIBA): San Diego
• Dual Doctorate (PhD) in Consulting Psychology and Master
of Business or International Business Administration
(MBA/MIBA): San Diego
Please use the Clinical Psychology application for the Dual Clinical
Psychology/Industrial-Organizational Psychology PhD program in San
Diego and the Joint MAOB/Clinical Psychology PhD or PsyD programs
in Fresno. For the Joint MAOB/Forensic Psychology programs in
Fresno, please complete separate applications for each program.
APPLICATION DEADLINES
The priority application deadline is March 1 for the Fall semester
and October 1 for the Spring semester. Applications submitted after
the priority deadlines are welcome, and will be considered on a
space available basis. These are postmark deadlines; deadlines
that fall on a postal holiday will be observed the following postal
business day. Applications must be complete in order to be
considered for admission.
Once the program receives your complete application, it is read by
an admissions committee. All finalists are interviewed, and most
programs require an in-person interview. Telephone interviews may
be approved for those applicants for whom travel to the interview
site is not feasible.
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Required for all applicants. See forms on pages 7 and 9.
2. Non-refundable Application Fee
3. Transcripts
Required for all applicants. Transcripts must be submitted from
each institution attended, even if transfer units appear on another
document. If you attend(ed) an institution with pass/fail grades you
should request that the registrar attach any accompanying narrative
evaluations. The transcripts are for Alliant International University
and are submitted as part of your application material. You must
send sealed official transcripts of all undergraduate and graduate
work, including part-time and summer sessions, regardless of the
dates the work was completed. It is your responsibility to see
that all transcripts reach the Admissions Processing Center by
the appropriate application deadline. In order to meet the
deadline it is often necessary to send transcripts on which fall
semester grades have not yet been posted. If this is the case,
supplementary transcripts should be provided as soon as possible.
In cases where registrars are backed up with transcript requests or
it is very near the application deadline, applicants should submit
photocopies of transcripts in the interim. Without a complete set of
transcripts, your application will be considered incomplete.
*For international applicants and those who received bachelor’s
degrees and/or master’s degrees from higher education institutions
outside the United States, please see page 6 for further
instructions.
4. Form E: GPA Exemption Petition
Required only if any GPA is under 3.0. Alliant International
University requires that applicants have an undergraduate and
graduate (if applicable) minimum grade point average of 3.0 on a
4.0 scale. If your undergraduate or graduate (if applicable) GPA is
below 3.0, you must submit a GPA exemption petition requesting an
exemption from this academic requirement. Use the GPA exemption
petition Form E on page 11. The form allows you to provide a
statement of exception or submit additional material that would
document your ability to perform in an intensive academic
environment.
5. Resume/Curriculum Vita
Required for all applicants. Include a current resume or
curriculum vita with your application materials. Describe each
position you have held including the name of the organization, job
title, work responsibilities and dates of employment.
6. Essay
Required for all applicants. The essay is an extremely important
part of the application. See page 5 for essay instructions.
7. Course Descriptions
Course descriptions are required in the following two
instances:
1. If the courses you are using to meet entry pre-requisites are
titled differently from program requirements, you must submit
course descriptions. Appropriate documentation includes copies
of course descriptions, outlines or syllabi. This information should
be submitted when you submit your application material. For
more information on this requirement, see page 5.
2. If you are petitioning to receive Credit for Previous Graduate
Work, you must submit a detailed coursework portfolio which
includes course outlines, syllabi or letters from instructors
describing specific course content for all relevant graduate
courses completed. If coursework was taken at more than one
institution, indicate the institution where each course was taken.
For more information on Credit for Previous Graduate Work, see
page 6.
All coursework used to fulfill pre-requisites for any program must
have been completed prior to beginning the program. All
coursework must have been taken at fully accredited institutions.
8. Form F: TOEFL, TWE
The Test of English as a Foreign Language (TOEFL), including the
Test of Written English (TWE), is required for non-native speakers.
Students whose native language is not English or who have not
earned an undergraduate or graduate degree from an accredited
U.S. higher education institution are required to show English
proficiency by taking the TOEFL. Alliant/CSPP requires a minimum
score of 80 or higher on the Internet-based TOEFL, 213 on the
computer-based TOEFL, 550 on the paper-based TOEFL and 5 or
higher on the TWE. Please contact TOEFL directly to request an
official score report; Alliant’s TOEFL code is 4039.
Alliant/CSPP will accept IELTS scores of 6.0 or above, or another
approved test of English proficiency with scores equivalent to the
TOEFL scores as listed above.
Please note that academic performance at Alliant may reveal the
necessity for further English language study by any student. The
University reserves the right to make the final determination of a
student’s English proficiency in all cases.
9. Form G: Recommendation Forms
Two are required for all applicants. It is your responsibility to see
that the completed recommendation forms arrive by the application
deadline. Give the people you’ve chosen as recommenders the
opportunity to begin working on them as soon as you make the
decision to apply.
All recommendations should be submitted on Alliant International
University forms. We are interested in quantified information in the
areas we ask about on the recommendation forms; therefore
generic information will not be as supportive of your application as
will our forms. There is a copy of Form G in the back of this
application packet on pages 13-14; please make additional copies
as necessary.
The recommendations should be from references familiar with your
work, your academic abilities, or your potential for scholarship and
professional accomplishment. If you have been out of school for
several years, please feel free to submit recommendations from
persons who are familiar with you on any level of professional
involvement.
10. Dual and Joint Programs
Applicants to all dual and joint programs must meet the
requirements for each program. For information about requirements
for all Alliant programs, visit www.alliant.edu.
Alliant’s Continuing Education Division offers some of the CSPP
prerequisite courses in an online format. Contact the admissions
office or the CE website (www.ce-psychology.com) for full details.
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Alliant International University
Offices and Contacts
Please consult the Alliant International University Catalog for more
detailed information regarding the University and its policies and
procedures (see www.alliant.edu). If you have any questions about
the admissions process, contact the Admissions Processing Center.
Admissions Processing Center
10455 Pomerado Road
San Diego, CA 92131
866-U-ALLIANT (toll-free in USA)
fax: 858-635-4555
admissions@alliant.edu
Financial Aid
Questions? Email: finaid@alliant.edu or call 1-866-U-ALLIANT
Alliant International University
Admissions Policies
Review Process
Applications and supporting documents are reviewed by the
Admissions Processing Center for completeness and then sent to
the program for review. The designated faculty member or review
committee examines all applications and decides which of those
candidates who meet the academic entry requirements should be
interviewed. Final admissions decisions are made after the results
of the interviews have been reviewed.
Incomplete Applications
Alliant International University does not guarantee review of
applications which are incomplete or submitted after priority
application deadlines, and fees are not refunded under these
circumstances.
Applying to More than One Location
Multi-location applications within a specialty are made on one form.
You may apply to one degree program at multiple campuses
ranked by location preference; you may not apply to more than one
degree program in the same year unless you are not accepted at
your first choice program. Use only one application form. A multilocation applicant is considered for admission at the locations in the
order of preference indicated on the application form. An applicant
not admitted to a higher-choice location is then considered for the
next choice location, and so on. A multi-location applicant admitted
to one location is not considered for admission by subsequent,
lower-choice locations. A multi-location applicant may at any time
forfeit consideration at one location and have the application
forwarded to the next lower choice. However, once having forfeited
consideration at a location, the applicant cannot be reconsidered
there in the same year for that specific program.
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Reapplication
If you have applied to Alliant International University (or CSPP or
USIU) in a prior year you must submit a new application form, fees
and essay. Transcripts, course descriptions and letters of
recommendation are usually kept on file for one year and thus need
not be resubmitted if you are applying within one year after
submitting a previous application. However, transcripts of any
additional coursework must be sent to us, and since it is our policy
to destroy recommendations for enrolling students, under some
circumstances this material is not available in a subsequent year. If
you are a reapplicant, you are considered for admission on the
basis of your new application.
Applicants may attempt to gain admission to Alliant three times.
They may apply in three separate years, to three separate
specialties or degree programs, or a combination. Alliant will not
accept further applications from individuals who fail to gain
admittance after three attempts.
Notification of Decisions
The reasons for a program’s decision to decline admission are not
shared with the applicant. The California School of Professional
Psychology receives many more applications that meet our basic
requirements than there are places available. If you are admitted
while continuing graduate or undergraduate coursework, you are
expected to maintain the standard of academic performance on
which your admission is based until enrollment; failure to do so may
void the Acceptance Agreement. Therefore, if you are admitted you
must submit transcripts of all work completed between acceptance
and enrollment prior to fall registration.
Alliant adheres to a resolution adopted by the Council of Graduate
Schools and supported by APA, COGDOP and NCSPP protecting
applicants against the need to make premature acceptance
decisions.
Acceptance and Matriculation Deposit
Admitted applicants to Alliant must sign and return the Acceptance
Agreement and submit a new student deposit to hold a place in the
class. This fee is $600 for doctoral students and $300 for master’s.
The Acceptance Agreement and deposit are due two weeks after
the date of the letter of notification. If a response is not received by
the date specified, the place will be offered to another applicant.
Students who decide not to accept an offer of admission from a
program are urged to notify the campus admissions office in writing
as soon as possible so that their places may be offered to other
applicants.
International Students
Alliant International University welcomes international applicants
whose academic work and English proficiency is of the highest
level. All international students must carry a full course load in their
program in order to qualify for an I-20 certification. All international
students must submit the documents described under the
Admissions Requirements section of this application on page 6.
Non-Degree Study
Students registered in non-degree (or non-matriculated) status may
not earn an Alliant International University degree. Students must
register on a space-available basis, and may not apply more than
nine units of non-degree status Alliant International University
academic work toward an Alliant International University degree.
Some courses are not available on a non-degree basis.
Family Educational Rights and Privacy Act
In accordance with the Family Educational Rights and Privacy Act
of 1974, only enrolled students, not non-matriculated applicants,
have access to academic records including the application material
on file at Alliant International University. All documents presented
for admission or evaluation of credit become the property of Alliant
International University and may not be returned to the applicants.
Therefore, please keep copies of all the information you submit to
us. Most material is kept on file for one year; it is not kept indefinitely.
Admissions Requirements
1. Undergraduate Degree
You must hold or be eligible for an earned baccalaureate degree
from a regionally accredited institution prior to entry.
2. General Academic Ability
You must have a grade point average of 3.0 on a 4.0 scale, both
undergraduate and graduate (if applicable) or submit a Grade Point
Average Exemption Petition (see page 11). Both undergraduate and
graduate work will be evaluated.
3. Preparation in Psychology and Pre-requisites
Applicants to the Consulting Psychology, Industrial-Organizational
Psychology and Organizational Psychology programs must have
completed one of these three options prior to matriculation:
Option #1: Earned a baccalaureate degree with a major in
psychology or behavioral science.
Option #2: If the baccalaureate degree is not in psychology or
behavioral science, you must have completed coursework in the
following areas with a grade of "B" or better:
a) Introductory Statistics (may be taken outside the psychology
department)
b) Two undergraduate or graduate courses in the behavioral
sciences or human resources
Option #3: Earned a score in the 80th percentile or better on the
GRE Psychology Subtest. The admissions office must be notified
in writing if scores are being submitted for this purpose. Official
scores should be sent directly to Alliant International University
from ETS and should arrive by the priority application deadline.
The preparation in psychology and pre-requisite courses listed
above are not required for applicants to the Organizational Behavior
MA program or the Organization Development PsyD program.
Applicants to the Organization Development PsyD program must
have completed one of these two options prior to matriculation:
Option #1: Earned a master’s degree in organization behavior,
organization development, business, management, or a related field.
Option #2: If the master’s degree is not in a related field,
demonstrate 10 or more years of significantly related work experience.
4. Personal and Non-Academic Factors
Non-academic factors are evaluated using:
a) Essay (see essay instructions below)
b) Professional experience (resume required)
c) Two letters of recommendation
d) An interview in person or by telephone (required for finalists)
Essay Instructions
Applicants to all organizational psychology programs must submit
an essay along with the application and supplementary materials.
Please prepare a Statement of Purpose of 6-7 typed double-spaced
pages that addresses the following, using separate sections for
each part. Put your name and page number at the top of each page.
A. Describe your career objectives, including your reasons for
wanting to undertake studies in the particular program you have
selected (i.e., the specific PhD, PsyD, or master’s program to
which you are applying). Please also discuss why you are
attracted to studying in the California School of Professional
Psychology at Alliant International University.
B. Write a brief autobiographical sketch, highlighting those
experiences most relevant to your interest in organizational
psychology, organizational behavior, or organization
development.
C. Although we recognize that your specific areas of study may
change over the course of your training, in responding to part
“C,” please describe a research or applied organizational
problem that you might like to explore in your studies at Alliant
International University. Please be as specific as possible. This
essay should demonstrate your knowledge of organizational
psychology or organizational behavior and how multi-cultural
and/or international issues play a role in the project or research
you describe. Also, as relevant, please demonstrate in this
section your knowledge of contemporary issues and current
research in the field. Use the essay to show your understanding
of research methods, the application of theory and scholarship to
applied problems, and your ability to integrate the professional
literature with your own perspectives on the issues.
Interviews
Finalists for admission to all programs are required to be
interviewed. The program prefers an in-person interview. Telephone
interviews may be approved for those applicants for whom travel to
an interview site is not feasible. The cost of travel and
accommodations related to the interview is borne by the applicant.
Interview formats may vary by program and campus. Some
programs may require applicants to write a brief essay as part of
the interview process.
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Credit for Previous Graduate Work
Applicants to CSPP graduate programs may be eligible to receive
credit for previous graduate work. These credits must be
completed with a grade of a B or better from a regionally accredited
institution within the past seven years. A maximum of 6 semester
units of graduate coursework can be accepted into a master’s
program of 40 semester hours or less and a maximum of 9
semester units in an academic program of 41 semester units or
more. A maximum of 30 semester units can be accepted into a
doctoral program. All applicants must meet the graduate level entry
requirements for the program of application before they will be
reviewed for transfer credit. More information relating to the total
allowable course units, and courses that may be waived, may be
obtained from the admissions office, the program office or an
academic advisor.
Additional Requirements for International Students
• You must submit official, translated transcripts and results from an
educational credential evaluation service agency. The evaluation
must include degree equivalency to a 4 year bachelor’s degree
from an accredited university, US semester credit and grade
equivalent for each course, and US grade point average. Any
master’s level courses and/or degrees should also be included in
the evaluation. To locate an agency, go to www.naces.org.
• English proficiency must be evidenced by TOEFL and TWE results
(see page 3).
• Copy of passport.
• Alliant International Student Financial Certification Form. This form
must be completed and submitted if you are not a US citizen and
have not been classified by the United States Citizenship and
Immigration Services as a permanent resident. The Alliant
Admissions and Financial Aid Offices will furnish this form upon
request. In addition, you must provide an original and most
current bank statement showing the required US funds for
studying at Alliant. Students accompanied by other family
members must certify additional US funds per year for each
dependent. Alliant International University will not issue the I-20
Certification of Eligibility until this certification has been submitted.
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Other Organizational Psychology Program
Information and Reminders
Dual and Joint Programs
Applicants to the dual programs should ensure they have read all
material and understand the requirements of both programs.
Applicants to the Dual Clinical Psychology/Industrial-Organizational
Psychology PhD program in San Diego and the Joint MAOB/Clinical
Psychology PhD or PsyD programs in Fresno should use the
Clinical Psychology application packet to apply, read all the material
on the programs, and understand the commitments required by the
dual programs.
Full-time/Part-time Status
Students enrolled during the fall and spring semesters are
considered to be full-time if they are enrolled in 8 or more units per
term. Those enrolled in a summer session are considered to be fulltime if they are taking 5 or more units per term. Students taking
less than these amounts are considered part-time.
Full-time status is required in two instances:
1) To be eligible to receive Alliant International University
Scholarships and Federal Perkins Loans
2) To be eligible to attend on a student visa. International
students should work closely with Alliant International
University staff to make sure they are enrolled for the
requisite number of units in order to meet Department of
Immigration requirements.
The master’s program in organization behavior is available on an
accelerated basis which may decrease the time to complete the
program by up to a year. Requests for accelerated programs should
be negotiated with the program director.
FORM A
Organizational Psychology Programs
California School of Professional Psychology
APPLICATION
For Alliant use only
Name ID#:
Admissions Processing Center
10455 Pomerado Road, San Diego, CA 92131
866-U-ALLIANT (toll-free in USA), (800) 735-2929 (CRS), FAX (858) 635-4555, admissions@alliant.edu
Complete both sides of this supplement. Please provide the following information:
Personal Information (All Applicants)
Mr.
Ms.
Family Name/Surname
First
Middle Initial
Other Last Name(s) Used, If Any
Home Phone
Mailing Address
City
State
Zip/Postal Code
Country
Primary E-mail Address
Work Phone
Cell Phone
Other E-mail Address
Permanent Address (if different from mailing address)
City
State
Zip/Postal Code
Country
Phone Number
Date of Birth (Month/Day/Year)
Country of Birth
Country of Citizenship
Social Security Number
Country/State of Residence
Permanent U.S. Resident?
Yes No
Enrollment Information (All Applicants)
Check the campus location you wish to attend. If applying to more than one, rank #1, #2, etc.
_____
Fresno
_____
Los Angeles
Program or Degree Applying For:
_____
Sacramento
San Diego
_____
San Francisco
Please indicate below to which degree program you are applying.
Consulting Psychology (PhD) SD
Dual Industrial-Organizational
Psychology (MA) and Business or
International Business Administration
(MBA/MIBA) SD
Industrial-Organizational (MA) LA, SD
Industrial-Organizational (PhD) LA, SD
Organizational Behavior (MA) F
Organizational Psychology (MA) SF
Organizational Psychology (PhD) SF
Campus Legend:
Term and year you are applying for.
Dual Consulting Psychology (PhD) and
Business or International Business
Administration (MBA/MIBA) SD
Dual Industrial-Organizational
Psychology (PhD) and Business or
International Business Administration
(MBA/MIBA) SD
Organization Development (PsyD) F
F = Fresno
Fall
Have you previously attended Alliant, CSPP or USIU?
Friend
Radio
LA = Los Angeles
Spring
Have you previously applied to Alliant, CSPP or USIU?
How did you hear about Alliant?
_____
Yes
Yes
Alumnus/ae
No
No
Graduate Fair
SD = San Diego
Year:
SF = San Francisco
____________________
If yes, list which year and term.
________________________________________________
If yes, list previous ID number (if known). ______________________
Faculty
Internet Search
Alliant Mailing
Newspaper Ad
Other
Magazine Ad
________________________________________________
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Education (All Applicants)
Please list all colleges and universities from which you earned a degree. Attach an extra page if necessary.
ETS Code
Location
City/State/Zip/Country
College/University
For Office Use Only
Attendance Dates
Mo/Yr to Mo/Yr
Certificate or Degree
GPA
and Mo/Yr Awarded
Major
to
to
to
List the Month/Year you have taken (or will take) the following test(s), and score if known. Test scores should be reported directly to Alliant from the testing
service.
GRE (Optional)
Mo/Yr
TOEFL ( paper-based) ( computer-based) ( Internet-based)
Score
Mo/Yr
International Students – Visa Status
F-1
Visa Type
F-2
J1
J2
B1
B2
Score
TWE
Mo/Yr
Score
Other
Immigration Admission Number or Alien Registration Number
Name on Passport of Family Member Coming with You to Alliant
Statistical Information (Optional)
Institution You Are Authorized to Attend or Are Transferring From
Date of Birth
Relationship
Country of Birth
This information will be used for statistical purposes only and will in no way affect the admission decision. Completion of this section is not mandatory, however,
the data collected will help the University determine needs in planning and obtaining funding for grants and scholarships. Providing this information is appreciated.
Ethnicity (Select one): (for U.S. citizens and U.S. permanent residents only)
Non-Hispanic/Latino Hispanic/Latino (A person of Cuban, Mexican, Puerto Rican, South or Central American, or other Spanish culture or origin)
Race: (Regardless of your answer above, select all that apply)
American Indian or Alaska Native
Asian
Other ____________________________________________
Black/African American
Military Status: Have you ever served in the United States Military? Yes
Native Hawaiian/Pacific Islander
No
White
Will you be seeking financial aid? Yes
No
Disabilities, if any (optional) ___________________________________________________ Note: If you have a disability and you will need accommodation related to your disability
during your program, please contact the Student Affairs Office after you are accepted, if you plan to enroll.
Please list the top three colleges and universities to which you are applying. If Alliant is among them, please list.
1.
2.
(All Applicants)
Have you ever been convicted of a criminal offense (other than a traffic violation)?
3.
Yes
No
If yes, please attach a statement of explanation specifying the date of conviction, offense and disposition. Please note that a conviction will not necessarily disqualify
an applicant from acceptance, but may prevent an applicant from being placed at some practicum or internship sites, and may prevent or delay some forms of
professional licensure. Felony or certain misdemeanor convictions may negatively impact a student’s ability to obtain licensure or to work in a chosen professional
field. Such convictions may also affect Alliant International University’s ability to place the student at training sites or the student’s ability to obtain training necessary
for completing academic requirements. Disclosure is therefore needed to ensure that the student can successfully complete a program of training.
I hereby certify the information given in this application is correct and complete and to the best of my knowledge, and hereby give my permission to the
Admissions Committee to obtain any verification deemed necessary to process my application. I further certify that I will arrange for the forwarding of official
transcripts and other documents as requested in the application instructions. I will include with this application the nonrefundable application fee. I understand
that all submitted documents become the property of the University and will not be forwarded to another institution nor returned to me.
_______________________________________________________________________________________________________________________
Signature (Required)
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_______________________________________________________________
Date
ALL APPLICANTS PLEASE NOTE:
Falsification of the application and/or supporting credentials will be grounds for immediate refusal of an application and/or dismissal from the University.
FORM B
PROGRAM SUPPLEMENT
Organizational Psychology Programs
California School of Professional Psychology
For Alliant use only
Name ID#:
Admissions Processing Center
10455 Pomerado Road, San Diego, CA 92131
866-U-ALLIANT (toll-free in USA), (800) 735-2929 (CRS), FAX (858) 635-4555, admissions@alliant.edu
Complete both sides of this supplement. Please provide the following information:
Legal Name (Last, First, Middle)
Social Security Number
Other Names on Transcripts and Records
Do you intend to be:
Full-Time
Moderate/Extended Degree
Part-Time
If you would like to be considered for an advanced entry level, please indicate your intention by checking the box below:
Credit for Previous Graduate Work
How are you meeting the Graduate Entry Level Requirement? (check one/fill in the boxes as appropriate):
Applicants to the Consulting Psychology, Industrial-Organizational Psychology and Organizational Psychology programs:
I will have a BA/BS in Psychology prior to beginning the program. (A master’s degree will not meet this requirement.)
I will be submitting my GRE Psychology Test score, with a score in the 80th percentile or better.
I am taking the coursework option and am supplying the following information on courses which will be completed prior to beginning the program:
Course Title
Introductory Statistics
Equivalent Course Title
Institution
Dept. and Course No.
Term and Year
TWO COURSES IN BEHAVIORAL SCIENCES:
1.
2.
Use additional pages if necessary and attach them to this form.
Applicants to the Organization Development PsyD program:
I will have an MA/MS in organization behavior, organization development, business, management or a related field prior to beginning the program.
My resume/CV demonstrates 10 years or more of significantly related work experience.
Recommendations: (Two recommendations are required) Write the names and addresses of recommenders below:
1)
2)
Name
Street Address
Phone
City
Name
Street Address
State
Zip
Phone
City
State
Zip
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FORM E
GRADE POINT AVERAGE EXEMPTION PETITION
Graduate Programs
For Alliant use only
Name ID#:
Admissions Processing Center
10455 Pomerado Road, San Diego, CA 92131
866-U-ALLIANT (toll-free in USA), (800) 735-2929 (CRS), FAX (858) 635-4555, admissions@alliant.edu
Applicant Name
Social Security Number
Alliant International University requires that applicants have an undergraduate and graduate (if applicable) minimum grade point average of 3.0 on a 4.0
scale. You must submit the GPA exemption form if either your undergraduate or graduate GPA is below 3.0.
This form allows you to provide a statement of exception, or submit additional material that would document your ability to perform in an intensive academic
environment.
With the form you must submit one of the following:
A brief statement discussing past special academic or personal circumstances explaining academic performance below 3.0
Official copies of standardized test scores (GRE, MAT) supporting academic ability (strongly recommended)
A list of scholarly publications supporting past academic/intellectual achievement
Please check the item above which you will be submitting.
If you choose to submit the statement please begin it below. If you choose to submit the supporting publication material, please attach it to this form. If you
choose to submit official GRE or other test scores, please indicate below when we should expect to receive them.
Please use additional pages if necessary.
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FORM F
Graduate Programs
TOEFL (Test of English as a Foreign Language)
TWE (Test of Written English)
For Alliant use only
Name ID#:
Admissions Processing Center
10455 Pomerado Road, San Diego, CA 92131
866-U-ALLIANT (toll-free in USA), (800) 735-2929 (CRS), FAX (858) 635-4555, admissions@alliant.edu
Applicant Name
Social Security Number
Alliant International University’s programs are very demanding and the school attempts to ensure that students have an adequate level of English proficiency
to enter the program. Applicants whose native language is not English or who have not earned an undergraduate or graduate degree from an American
university are required to show English proficiency and must submit results of the Test of English as a Foreign Language (TOEFL) given by the Educational
Testing Service (ETS) and the Test of Written English (TWE).
Please complete the items below:
I have taken/plan to take the TOEFL on __________________________________________ and will have ETS forward a copy of the official test result directly
to Alliant International University.
date
I have taken/plan to take the TWE on __________________________________________ and will have ETS forward a copy of the official test result directly
to Alliant International University.
date
Signature
Date
I am requesting exemption from the TOEFL requirement. Please list reasons below.
I am requesting exemption from the TWE requirement. Please list reasons below.
Please use additional pages if necessary.
For Alliant Use Only
TOEFL/TWE Authorization Waiver
TOEFL Score (Paper) _______________________________________ (Computer) ________________________________________ (Internet)
________________________________________
TWE Score _______________________________________________________ Waiver Approved
Authorized Signature
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Waiver Denied
Date
FORM G
RECOMMENDATION FOR APPLICANT ADMISSION
Graduate Programs
For Alliant use only
Name ID#:
Admissions Processing Center
10455 Pomerado Road, San Diego, CA 92131
866-U-ALLIANT (toll-free in USA), (800) 735-2929 (CRS), FAX (858) 635-4555, admissions@alliant.edu
Applicant Name
Social Security Number
Person Writing Recommendation
To Person Making Evaluation:
The person whose name appears above has made application for graduate study at Alliant International University. We would greatly appreciate your candid
appraisal of the applicant.
As required by the Family Educational Rights and Privacy Act of 1974, a student may either elect to waive or not waive the privilege of viewing this recommendation form. If the student has not waived that right in the section below, you should consider this form to be non-confidential.
Please feel free to attach a letter or additional page on your letterhead, but please also complete the reverse side of this form.
NOTE: Please mail this form directly to: Alliant International University, Admissions Processing Center, 10455 Pomerado Road, San Diego, CA 92131
Instruction To Applicant:
Please copy this form and distribute it to those providing recommendations for you.
Complete the information above and below and give this form to an appropriate person who is familiar with your work performance, your educational
abilities, or your potential for productive scholarship and professional accomplishment.
Waiver Section: Do not detach
Check one of the following statements:
I waive the right provided by the Family Educational Rights and Privacy Act of 1974 (Buckley Amendment) to view this letter of recommendation in my file at Alliant
International University.*
I do not wish to waive this right. Rather, I wish to retain the right to view this letter in my file at Alliant International University.*
Signature of Applicant
Typed Name of Applicant
Typed Name of Recommender
(In compliance with the California Educational Code, all offices receiving letters of recommendation to be used for admissions purposes must detach the waiver information, whether confidential or
non-confidential, and such offices must retain this information separate from the applicant’s file. It must not be revealed to the Admissions Committee whether the letters were submitted in confidence.)
All admissions documents become the property of Alliant International University once submitted. Enrolled students have the right to view these documents unless that right has been specifically waived.
* Recommendations are used for admissions purposes and are usually destroyed after application decisions have been made. Under these
circumstances, recommendations would not be retained in your student file.
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1. How long and in what capacity have you known the applicant?
2. Please assess by a checkmark the applicant relative to other employees or students whom you have known in a similar capacity.
Intellectual ability
Outstanding
top 2%
Superior
top 10%
Good
top third
Fair
middle third
Poor
bottom third
Unable
to judge*
Industry/motivation/initiative
Emotional maturity
Judgement
Creativity/originality/resourcefulness
Ability to work with others
Ability to organize
Effectiveness in oral communication
Effectiveness in written communication
Academic preparation/knowledge of field
Independence of thought
Perseverance
Sensitivity to diversity
*If unable to judge, please clarify
3. Please list any unique/special qualities or skills, or any other qualifications that you think make this individual a viable candidate for the graduate
program/degree to which s/he is applying.
4. What are the applicant’s primary strengths and weaknesses? Please describe instances or accomplishments which demonstrate them.
5. Comment on the applicant’s competency in his/her area of specialization (technical knowledge, analytical ability, attention to detail, creativity) and his/her
potential for achievement.
6. What is your overall recommendation?
Strongly recommend
Recommend
Recommend with some reservation (please explain) ______________________________________________________________________________
Do not recommend (please explain)
____________________________________________________________________________________________________________________
Name of Applicant
Signature of Recommender
Name of Recommender (Please Print)
Position/Title
Institution/Organization
Business Address
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Please do not write below this line.
Notes
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Accreditation
All locations of Alliant International University are accredited by the
Accrediting Commission for Senior Colleges and Universities of the
Western Association of Schools and Colleges, an institutional
accrediting body recognized by the U.S. Department of Education.
The Commission can be contacted at: Western Association of
Schools and Colleges, 985 Atlantic Avenue, Suite 100, Alameda,
CA 94501, (510) 748-9001.
The PhD and PsyD clinical psychology programs located on the
Fresno/Sacramento, Los Angeles, San Diego and San Francisco
campuses are all separately accredited by the American
Psychological Association (APA). The PhD programs have been
accredited at each campus since the 1980s and the PsyD
programs, which were instituted later, all received accreditation in
the 1990s and Sacramento in 2002. The PsyD program in clinical
psychology that existed at USIU in San Diego was not APAaccredited. Questions regarding the accreditation status of a clinical
psychology program attended by an Alliant student or graduate
should be directed to the University Registrar. The address of the
APA Committee on Accreditation is 750 First St., N.E. Washington,
DC 20002, (202) 336-5979.
The Couple and Family Therapy programs are accredited by the
American Association for Marriage and Family Therapy’s (AAMFT)
Commission on Accreditation for Marriage and Family Therapy
Education (COAMFTE). AAMFT’s address is 112 South Alfred
Street, Alexandria, VA 22314-3061, (703) 838-9808.
Non-Discrimination Policy
Alliant International University prohibits discrimination in
employment and in its educational programs and activities,
including admission or access thereto, on the basis of race,
national origin, color, creed, religion, sex, age, marital status,
disability, medical condition, veteran status, sexual orientation,
gender identity or associational preference. The University will
conduct its programs, services and activities consistent with
applicable federal, state and local laws, regulations and orders.
This policy is governed by Titles VI and VII of the Civil Rights Act of
1964, the Civil Rights Act of 1991, Title IX of the Education
Amendments Act of 1972, Section 504 of the Rehabilitation Act of
1973, the Americans with Disabilities Act of 1990, the Age
Discrimination Act of 1975, the regulations implementing these
statutes, and applicable federal and California law.
Alliant International University has implemented grievance
procedures concerning cases of alleged discrimination, including
those of alleged sexual harassment, for faculty, staff and students.
It is the policy of the University that harassment on the basis of sex
among employees constitutes an impermissible employment
practice, which is subject to disciplinary action and shall not be
tolerated. Sexual harassment involving students and University
personnel or among students is equally impermissible and shall not
be tolerated. The University is committed to providing an
environment to study free of sexual harassment. Grievances or
complaints that are based on one of these areas needs to be
reported to Human Resources at humanresources@alliant.edu.
This information is located on Alliant’s website at www.alliant.edu.
Consumer Information
Alliant International University annually publishes information about
its policies on the use of illegal drugs and alcohol on campus, crime
statistics on campus including sex crimes and school policies
regarding sexual and other forms of harassment. This information is
published and distributed annually to all students and employees
and is located on Alliant’s website at www.alliant.edu.
Information Subject to Change Without Notice
The requirements, programs, course offerings, fees, policies, and
all other subjects covered in this publication may be changed
without notice. Users of this publication should contact Alliant
International University representatives to learn the current status of
matters covered herein. Alliant International University assumes no
responsibility for any damages that may be claimed to have
resulted from such changes.
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www.alliant.edu
4-000c-0611
Alliant International University is an equal opportunity employer and educator.
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