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