PACIFIC UNIVERSITY - SCHOOL OF AUDIOLOGY
UNOFFICIAL PREREQUISITES WORKSHEET
Name______________________________________
Address____________________________________
City/State/Zip_______________________________
Phone_______________________________________
Email_______________________________________
Intended Year of Entry – Fall of: 2016 2017 2018 2019
Read the following directions CAREFULLY For more information, see:http://www.pacificu.edu/audiology/apply/admissionsRequirements.cfm.
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Convert ALL coursework to SEMESTER CREDITS:
quarter credit ÷ 1.5 = semester credit
Example: 3 quarter credits ÷ 1.5 = 2 semester credits
Do NOT use Pass/Fail coursework.
Use grades of “C” or better only (“C-“ or lower not acceptable).
A single course may not be used in more than one area.
Science courses must have been taken within the last 7 years.
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RETAKES: If you repeated a course (or plan to retake a course), list
the initial course first. Mark the “R” column for that course and list the
retaken course in the next row, below the initial course.
Applicants can take summer courses, but all prerequisite courses
must be completed with a grade of “C” or higher before the
program begins in August.
List all planned courses for finishing prerequisites, and the dates
when and institutions where these courses will be completed.
HUMAN BIOLOGY – 1 course required (3 semester credits minimum)
May include: principles of biology, microbiology, anatomy and physiology, cellular biology, or other similar human biology topics.
Dept. & No.
Course Title
Semester
Credits
Grade
Lab
Y or N
R
Date
Completed
Date To Be
Completed
Institution
R
Date
Completed
Date To Be
Completed
Institution
Date To Be
Completed
Institution
MATHEMATICS – 1 course required (3 semester credits minimum)
Must include: college-level algebra or higher
Dept. & No.
Course Title
Semester
Credits
Grade
Lab
Y or N
STATISTICS - 1 course required (3 semester credits minimum)
May include: research statistics, or within a psychology/social science/mathematics department
Dept. & No.
Course Title
Semester
Credits
Grade
Lab
Y or N
R
Date
Completed
PHYSICS OR CHEMISTRY – 1 course required (3 semester credits minimum)
Must include: at least 1 course from either subject area. May include: Physics related to acoustics, acoustics from communication
science/disorders department, general physics, or general chemistry.
Dept. & No.
Course Title
Semester
Credits
Grade
Lab
Y or N
R
Date
Completed
Date To Be
Completed
Institution
SOCIAL SCIENCES – 1 course required (3 semester credits minimum)
May include: psychology, sociology, human development
Dept. & No.
Course Title
Semester
Credits
Grade
R
Date
Completed
Date To Be
Completed
Institution
ENGLISH COMPOSITION AND/OR GRAMMAR – 1 course required (3 semester credits minimum)
May include: advanced composition and/or grammar, business writing, technical writing, or other similar advanced writing courses.
Dept. & No.
Fall 2016
Course Title
Semester
Credits
Grade
R
Date
Completed
Date To Be
Completed
Institution
PACIFIC UNIVERSITY - SCHOOL OF AUDIOLOGY
ADDITIONAL RECOMMENDED COURSES WORKSHEET
The competitiveness of your application can be strengthened by taking the additional recommended courses listed below,
beyond the prerequisite courses noted on the previous page. Information on additional courses will not be considered if
incomplete or illegible.
For more information, see: http://www.pacificu.edu/audiology/apply/admissionsRequirements.cfm.
HUMAN BIOLOGY – At least 1 additional course recommended.
Dept. & No.
Course Title
Semester
Credits
Grade
Lab
Y or
N
Date
Completed
R
Date To Be
Completed
Institution
PHYSICS OR CHEMISTRY – At least 1 additional course recommended; 1 course each in physics & chemistry recommended.
Dept. & No.
Course Title
Semester
Credits
Grade
Lab
Y or N
R
Date
Completed
Date To Be
Completed
Institution
SOCIAL SCIENCES – At least 1 additional course recommended; 1 course each in psychology & sociology recommended.
Dept. & No.
Course Title
Semester
Credits
Grade
Lab
Y or
N
R
Date
Completed
Date To Be
Completed
Institution
Date To Be
Completed
Institution
WORLD LANGUAGES – At least 1 year of instruction or fluency recommended.
 Check here if fluency in a world language; and specify language(s): ____________________
Dept. & No.
Course Title
Semester
Credits
Grade
Lab
Y or
N
R
Date
Completed
BUSINESS – At least 1 course recommended; courses pertinent to managing a business recommended.
Dept. & No.
Course Title
Semester
Credits
Grade
Lab
Y or
N
R
Date
Completed
Date To Be
Completed
Institution
COMMUNICATION SCIENCES/DISORDERS – Recommended courses include Introduction to audiology (strongly recommended);
audiologic (aural) rehabilitation; anatomy & physiology of speech and hearing; phonetics; language development; language disorders.
Dept. & No.
Course Title
Return completed worksheets to:
Fall 2016
Semester
Credits
Grade
R
Date
Completed
Date To Be
Completed
Pacific University
Graduate Admissions Office
190 SE 8th Ave, Ste. 181
Hillsboro OR 97123
Fax: 503-352-7290 or Email: gradadmissions@pacificu.edu
Institution