Undergraduate Clinical Concentration Application
Student’s Name: ____________________________________________________________________________
Contact email: ______________________________________________________________________________
Psychology Courses Taken:
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Research experience(s) to date: ____________________________________________________________
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Are you planning to complete the Psychology Honors Program? ______________________
Psychology GPA: ________________________
Overall GPA: ______________________________
Please provide a statement indicating why you want to participate in the
Undergraduate Clinical Concentration? Your statement should be limited to 250
words and include some description of your future plans, if any, for graduate school
(in Clinical Psychology, Counseling Psychology, Social Work).
Print out and complete this application. Attach your typed statement and a copy of
your degree audit. Please turn in your application to Dr. Karen Rosen, Director of the
Undergraduate Clinical Concentration, by March 15 of your junior year.