College of Optometry Application for Doctor of Philosophy in Vision Science Degree Program For Current Graduate Students 2015-16 OD/MS Application 11/4/2015 PACIFIC UNIVERSITY COLLEGE OF OPTOMETRY APPLICATION FOR ADMISSION IN DOCTOR OF PHILOSOPHY IN VISION SCIENCE FROM CURRENT MS STUDENTS Application Instructions and Procedures Applications Accepted: Application Deadline: September 8, 2015 March 15, 2016 Thank you for your interest in Pacific University College of Optometry Doctor of Philosophy in Vision Science Graduate Program. Please submit this application if you wish to enroll in the PhD degree program. The Vision Science Graduate Program requires that applicants have a bachelor's degree (or equivalent). A completed application must be submitted before the deadline of March 15, 2016. The Vision Science Graduate Committee will not evaluate an incomplete application. The accuracy, completeness, and neatness of your application are determining factors in the admission decision. Failure to do so may result in disqualification for admission. Application Checklist: Application Form - Type or print clearly all information requested on the optometry application forms. Your signature is required to validate the information you provide. Curriculum Vita (C.V.) or Resume – Please include a detailed curriculum vita (C.V.) or resume. Personal Statement The statement should help us understand who you are, what motivates you, and what you hope to gain from a PhD degree. You should explain why you choose to apply to the Doctor of Philosophy in Vision Science graduate program in Pacific University, your academic and career objectives. Include also a description of your current research interests -- be as specific as you can – and the faculty members whom you would like to work with (if the information is available). Describe any research projects you may have participated in and any other training/experience you have that are applicable to this degree. Two Letters of Recommendation Obtain two letters of recommendation from a college faculty member, an optometrist, ophthalmologist, scientist or researcher who knows you well and can comment objectively about your qualifications. The letter can be sent by surface mail or by email. For delivery through surface mail: Provide a self-addressed, stamped envelope to each individual providing a recommendation. Ask each recommender to enclose the letter of recommendation in the envelope, sign it across the seal, and return the envelope to you. Include these envelopes, with the seals unbroken and the signatures intact, with your application materials. Alternatively, the recommender may send his/her letter directly to Dr. YuChi Tai as email attachment to ytai@pacificu.edu. Make sure the letter contains his/her signature. Please be sure the letters to be received by the application deadline. We encourage you to begin the process of gathering letters of recommendation early. Application fee for current graduate or OD students are waived. SEND COMPLETED APPLICATION AND ALL MATERIALS TO: Pacific University College of Optometry Attn: Lisette Romig 2043 College Way Forest Grove, OR 97116 2015-16 OD/MS Application 11/4/2015 PACIFIC UNIVERSITY COLLEGE OF OPTOMETRY APPLICATION FOR ADMISSION DOCTOR OF PHILOSOPHY IN VISION SCIENCE FROM CURRENT MS STUDENTS Type or print clearly in black or blue ink. NAME Last First Middle Preferred Name Names that may appear on transcripts (if different) Currently enrolled in Pacific University College of Optometry (list the program and class)___________________________________ Current address (Until date: / / ) Street City ( ) International calling code, if applicable State Apartment Number Zip Code/Postal Code ( ) Home Phone with area code Country ( ) Cell Phone with area code E-Mail address: Permanent address Street City ( ) International calling code, if applicable State ( ) Home Phone with area code Alternative E-Mail address: Bachelor’s Degree Information B.A. B.S. or Other: Date received ________________________ Major College/University Other Degree Information M.A. M.S. M.D. Ph.D. or Other: Date received/To Be Received: ________________________ Program of study College/University 2015-16 OD/MS Application 11/4/2015 Apartment Number Zip Code/Postal Code ( ) Cell Phone with area code Country PACIFIC UNIVERSITY COLLEGE OF OPTOMETRY APPLICATION FOR ADMISSION DOCTOR OF PHILOSOPHY IN VISION SCIENCE FROM CURRENT MS STUDENTS REFERENCES List the name and address of each individual from whom you have requested a letter of recommendation. Letters must be from an optometrist, ophthalmologist, faculty member, or scientist. Reference Type Name Complete Address/email/phone number Occupation Reference 1 Reference 2 Reference 3 (optional) CURRICULUM VITAE OR RESUME Please attach a resume that lists employment, from the present dating back to the time you entered college (or the last 10 years). Also include research experience, and the principal activities (college or community) in which you have participated. Please indicate any leadership positions help. In addition, list awards, honors or scholarships received. PERSONAL STATEMENT All applicants: Type a response to the essay question on a separate sheet of paper. Make sure your name is on every page, and each page is numbered. Your essay is an important part of your application. It should be clear, concise, and well-crafted. SIGNATURE This College subscribes to the ethics and moral code that characterize professionalism and feels that academic honesty is fundamental to the intellectual enterprise. Professional conduct, including academic honesty, is the expectation of all students. When a student applies for admission, the student agrees to these principles. I understand that this application becomes the property of Pacific University and is not returnable. I further understand that the application is accessible to faculty, staff, and members of the Master of Science in Clinical Optometry Admissions Committee. I affirm that all the information contained in my application is factually correct and honestly presented. I have read and understand all application instructions and the Application Checklist. Signature 2015-16 OD/MS Application 11/4/2015 Date_________________________