Name:
Current Mailing Address:
City, State, Zip:
MTSU ID # M
MTSU Email Address:
Degree Sought:
If applicable:
Concentration:
Major:
Specialization: Minor:
Choose One: Thesis Option Non-Thesis Option
I understand that if human or animal subjects are involved in my research(including thesis research), it is my responsibility to file a research protocol application with the Institutional Review Board (Sam H. Ingram Building, 011B) before I begin collecting data.
Failure to secure this permission prior to conducting my data collection using human or animal subjects will negate the use of that data for any academic purpose including thesis.
Signature of Student Date
Signatures in this area are required for approval of all degree plans.
I certify that the following program, when successfully completed, meets all coursework requirements for this degree.
Graduate Advisor Name (Print) Signature Date
College of Graduate Studies Approval Date
Signatures in this area are required for approval only if applicable to degree program.
This individual holds a professional license, or licensure requirements will be met by the courses listed below.
Signature Teacher Licensure Office Approval (Print)
Programs that require educational component
Chair of Educational Leadership/Elementary
Education (Print)
Minor Advisor
Graduate Minor Advisor (Print)
Signature
Signature
Date
Date
Date
A Tennessee Board of Regents Institution
MTSU is an equal opportunity, non-racially identifiable, educational institution that does not discriminate against individuals with disabilities.

Name: MTSU ID # M
List ONLY graduate-level courses to be counted toward the degree. Include those completed as well as those still to be taken to fulfill degree requirements.
Candidate must complete 43 hours in the following course of study:
Transfer Credit
Course
ID Institution Course ID Course Title Cr Hrs Grade
Required Courses (6 Hours)
PSY 6280 Psychological Statistics: Regression
PSY 6281 Psychological Statistics: Regression Lab
3
0
PSY 6290 Psychological Statistics: Anova
PSY 6291 Psychological Statistics: Anova Lab
3
Core Courses (22 Hours)
PSY 6070
PSY 6090
PSY 6300
Advanced Industrial Organizational
Training & Development
Practicum: Industrial & Organizational
Psychology
Literature Review & Reading in
Psychology: Industrial & Organizational
PSY 6320 Performance Appraisal & Job Analysis
0
3
3
2
3
PSY 6330
PSY 6420
Professional Issues in Industrial &
Organizational Psychology
Advanced Personnel Selection &
Placement
PSY 6450 Advanced Organizational Psychology
PSY 6570
PSY 6085
Psychological Research Methods in
Human Resource Management
Pre-Practicum for Industrial
Organizational Psychology
1
3
3
3
1
PSY 6640 Thesis Research (1 to 6 Hours)
Thesis (3 Hours)
Electives (12 Hours)
Department must verify that all admission conditions(s) were or were not met:
Department Admissions Conditions Met? Yes No
A Tennessee Board of Regents Institution
MTSU is an equal opportunity, non-racially identifiable, educational institution that does not discriminate against individuals with disabilities.