APPLICATION FOR ADMISSION Master of Science Degree in Juvenile Forensic Psychology

advertisement
APPLICATION FOR ADMISSION
Master of Science Degree in Juvenile Forensic Psychology
College of Juvenile Justice & Psychology
Prairie View A&M University
P.O. Box 519, MS 2600, Prairie View, Texas 77446-0519
www.pvamu.edu/cojjp
NAME:
_______________________________________________________________________________________________
CURRENT ADDRESS: ______________________________________
BIRTHDATE: ____________________________
CITY: ___________________________________
STATE: _____________
ZIP: _____________________
E-MAIL ADDRESS: _________________________
HOME
PHONE: _______________
WORK
PHONE: __________________
PERMANENT ADDRESS (if different): ________________________________________________________________________
CITY: ___________________________________________ STATE: _______________
COUNTRY OF CITIZENSHIP:
(USA)
ZIP: ______________________
(OTHER):
If you are not a citizen of the United States: ___________________________________________________
What type of Visa do you have?
What is your Visa number?
YEAR AND ADMISSION STATUS FOR WHICH YOU ARE APPLYING:
Year:
Full-Time (3-4 Courses)
Part-Time (1-2 Courses)
Are you applying for an ASSISTANTSHIP (Full-time, non-working)?
Yes
No
If yes, please submit a statement describing your research interests and any research experience.
TRACK:
Thesis
(Minimum 1,000 words)
Externship
___________________________________________________________________________________________________________
Have you previously applied for admission to graduate study at Prairie View A & M University?
YES
NO
GRE Scores: Year taken
(If none, when will you take the exam?) Month
(Note: GRE scores more than 10 years old cannot be used for admission)
A. VERBAL: __________
B. QUANTITATIVE: ____________
UNDERGRADUATE DEGREE:
C. ANALYTIC: _________
MAJOR: __________________________
TOTAL: __________
YEAR: _______________
GRADE POINT AVERAGE: __________
UNIVERSITY:_____________________________________________
GRADE POINT AVERAGE: __________
UNIVERSITY: ______________________________________
How did you hear about the Master of Science Degree Program in Juvenile Forensic Psychology? ___________________________
___________________________________________________________________________________________________________
1
LIST THE NAMES AND PHONE NUMBERS OF THREE FACULTY MEMBERS WHO HAVE TAUGHT OR WHO
KNOW YOU (Please ask each of them to write a letter of recommendation on letterhead and return to us by mail):
Name: _________________________________________________________
Phone: __________________________
Name: _________________________________________________________
Phone: __________________________
Name: _________________________________________________________
Phone: __________________________
In chronological order, list period of full-time employment including military service (use another sheet of paper if necessary to or
attach resume):
_______________________________________________________________________________________________________
_______________________________________________________________________________________________________
_______________________________________________________________________________________________________
_______________________________________________________________________________________________________
________________________________________________________________________________________________________
What experience, if any, have you had which would be of special benefit to you as a candidate for the degree?
_______________________________________________________________________________________________________
_______________________________________________________________________________________________________
_______________________________________________________________________________________________________
_______________________________________________________________________________________________________
________________________________________________________________________________________________________
Please list any publications, special honors or awards that you have received:
_______________________________________________________________________________________________________
_______________________________________________________________________________________________________
_______________________________________________________________________________________________________
_______________________________________________________________________________________________________
________________________________________________________________________________________________________
Please list professional organizations in which you have membership:
_______________________________________________________________________________________________________
_______________________________________________________________________________________________________
2
_______________________________________________________________________________________________________
_______________________________________________________________________________________________________
________________________________________________________________________________________________________
__________________________________________________________________________________________________________
Please answer the following on separate sheets of paper. Your response should be typed, double spaced, and a
minimum of 1,000 words.
- Essay: Discuss why you want to obtain the master's degree and your vocational goals upon graduation. How can the
Master of Juvenile Forensic Psychology (MSJFP) assist you in meeting your goals?
___________________________________________________________________________________________________________
IMPORTANT!
We must receive all the following before you may be considered for admission:
1. Completed application for the College of Juvenile Justice and Psychology MSJFP program.
2. Completed application for the Graduate School.
3. Official transcripts from all colleges and universities attended.
Note: Applicants must have completed all pre-requisite courses.
4. Official copies of GRE scores.
5. Evidence of a conferred Bachelor's degree
6. Essay
7. Three letters of recommendation written on letterhead from faculty sufficiently acquainted with you to be able to comment on the
potential to successfully complete the program.
8. TOEFL scores, if you are not a citizen of the United States.
___________________________________________________________________________________________________________
Application Deadline: March 1
Please email the MSJFP application to applypsychology@pvamu.edu.
For more information contact:
Aisha Asby, PhD
Assistant Professor, Master Program Coordinator
Department of Psychology
Prairie View A&M University
Don K. Clark Bldg. Rm. 250
atasby@pvamu.edu
phone: 936-261-5215
fax: 936-261-5251
3
Download