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APPLICATION FOR ADMISSION
(Note: This application and the Graduate School application must be completed)
DOCTOR OF PHILOSOPHY DEGREE IN JUVENILE JUSTICE
College of Juvenile Justice & Psychology
Prairie View A&m University
P.O. Box 519, MS 2600
Prairie View, Texas 77446-0519
NAME
LAST
FIRST
MIDDLE
CURRENT ADDRESS
STATE
CITY
HOME
PHONE
E-MAIL ADDRESS
ZIP
CELL
PHONE
PERMANENT ADDRESS (IF DIFFERENT
STATE
CITY
ZIP
COUNTRY OF CITIZENSHIP, IF OTHER THAN USA
Expiration
Date
If not a citizen of the United States, what type of visa do you have?
Are you applying for a Graduate Assistantship? (Must be full-time student, no outside employment) YES
Have you previously applied for admission to graduate study at Prairie View A&M University? YES
GRE Scores: YEAR TAKEN
A. VERBAL
B. QUANTITATIVE
C. ANALYTIC
MAJOR
UNIVERSITY
YEAR GRADUATE
MASTER'S DEGREE
AREA OF STUDY
UNIVERSITY
GRADE POINT AVERAGE
NO
(Note: GRE scores more than 10 years old cannot be used for admission)
UNDERGRADUATE DEGREE
GRADE POINT AVERAGE
NO
YEAR GRADUATE
TOTAL A + B
MINOR
In chronological order, list periods of full-time employment, including military service (use a separate sheet of paper if
necessary or attach resume):
What experience, if any, have you had which you belive would be of special benefit to you as a candidate for the Ph.D. degree
in the field of degree preference?
Please list any publications, special honors or awards you have received:
Of what professional organizations are you a member? (APA, ASC, ACSS, ABPSI, etc.)
List the names and phone numbers of three academic references who are familiar with your academic achievement and
potential. You may submit non-academic reference ( e.g., current employment supervisor), only if you have been out of school
for a number of years and are unable to contact former professors. Please ask each reference to send the letter on official
university letterhead to you.
NAME
PHONE
NAME
PHONE
NAME
PHONE
I certify that the above information is complete and accurate. I understand that the submission of false information is
grounds for rejection of my application, withdrawal of any offer acceptance, cancellation of enrollment, and/or
appropriate disciplinary action. I also understand that officials of the College can verify the information provided. I
agree to notify the proper officials of the institutions of any changes in the information provided above
IMPORTANT !
We must have all of the following documents before you can be formally considered for the Ph.D. Program by the
stated deadline. (Submit all documents in one envelope and mail to the CJJP address)
1.
Completed applications (Both Doctoral Program and Graduate School forms)
2.
Official transcripts of coursework from all institutions attended, including evidence of a conferred Master's degree or final
semester in Master's program).
3.
Official copy of GRE scores
4.
Essay discussing why you want to obtain a doctoral degree in this field, describing your area of interest and stating your
professional career objectives. Your essay should be typed, double-spaced, and not less than 1000 words.
5.
Copy of your master's thesis (or a lengthy, original document if the master's program has no thesis). Published articles are
acceptable alternatives (not newspaper articles). Please note: Send a copy of your thesis or other document - we do not
return the document.
6.
Three letters of recommendation in original, self-addressed envelopes.
7.
TOEFL scores, if required.
After review of your materials, the doctoral admissions committee may invite you for an interview.
DEADLINE FOR COMPLETED APPLICATION:
March 1 - Fall admission
FOR MORE INFORMATION:
Phone:
936-261-5234
866-819-2855
Fax:
936-261-5249
E-Mail: Sandy Siegmund
slsiegmund@pvamu.edu
Web:
Revised 08/06/08
http://www.pvamu.edu/pages/307.asp
"An Equal Opportunity Institution"
The following informatin is not required to complete the application. The Department of Health, Education and Welfare has
requested that this information be obtained for statistical purposes.
Male
Female
African American
American Indian
Asian
Caucasian
East Indian
Hispanic
Other