TEXAS WOMAN’S UNIVERSITY College of Arts and Sciences Department of Psychology and Philosophy Undergraduate Psychology Program I. COMPLETING AND SUBMITTING THE APPLICATION The application must be printed or typed and fully completed upon submission. Failure to disclose information, especially that which might represent increased liability risks to the student, agency, university or program, is grounds for denial of admission or later dismissal from the program. Please mail the completed application to: Undergraduate Psychology Program Dept. of Psychology and Philosophy Texas Woman’s University P.O. Box 425470 Denton, TX 76204 Or bring the completed application to: TWU Denton Campus, Classroom and Faculty Building, Room 701 The evaluation process will focus upon academic standards and all information contained in the application. II. OTHER APPLICATION INFORMATION If additional information is required, members of the Admissions Review Committee may request an interview to consider the student’s ability to successfully complete the program. Such students will be contacted to arrange an interview. All students who meet the minimum academic requirements are invited to apply. Any student who transfers out of the program and/or does not take classes at TWU for two or more sequential semesters must reapply for program admission. *Transfer students, not currently enrolled in TWU, that are applying directly into the Psychology Program, please include transcripts (can be unofficial). APPLICATION FOR ADMISSION TWU PSYCHOLOGY PROGRAM III. PERSONAL DATA Full name: _______________________________________ Date: _________________ Local Address: __________________________________________________________ City: _____________________ State: __________ Zip: ________________________ Permanent Address: ______________________________________________________ City: _____________________ State: __________ Zip: ________________________ Phone: __________________________ Cell Phone: ____________________________ Email: ________________________________ TWU ID #: ______________________ Emergency Contact: Name: _______________________________________ Phone: _______________________________________ What semester do you plan to enter the program? __Spring __Summer __Fall ____Year IV. ACADEMIC DATA List any previous colleges or universities attended: ______________________________________________________________________________ ______________________________________________________________________________ List all previous Psychology courses completed and the grades received in each of them: Introduction to General Psychology (PSY 1013) Grade: ____ Sem/Year: ________ Developmental Psychology (PSY 1603) Grade: ____ Sem/Year: ________ Professional Development in Psychology (PSY 2013) Grade: ____ Sem/Year: ________ Abnormal Psychology (PSY 2513) Grade: ____ Sem/Year: ________ ______________________________________ Grade: ____ Sem/Year: ________ ______________________________________ Grade: ____ Sem/Year: ________ List all core Math courses completed and the grades received in each of them: V. ______________________________________ Grade: ____ Sem/Year: ________ ______________________________________ Grade: ____ Sem/Year: ________ AGREEMENT I agree to the following conditions in applying to the Undergraduate Psychology Program at Texas Woman’s University: 1) I have read and I believe I can adhere to and abide by the Program Code of Professional Conduct. I realize that failure to do so may result in disciplinary action by the Undergraduate Psychology Program, up to and including dismissal from the program. 2) I understand that I am required to maintain a minimum 2.5 overall GPA and to complete each required Psychology and Philosophy course with a grade of C or better. I understand that my grades will be monitored each semester, and I will be reviewed by the Admission/Review Committee for possible action should my grades fall below the minimum level. 3) I understand my individual progress as a Psychology student will be monitored by the Undergraduate Psychology Program. Therefore, I agree to allow appropriate information concerning my academic progress to be shared with representatives within the Undergraduate Psychology Program. 4) I understand that I have three opportunities to complete each Psychology and Philosophy courses successfully (C or better) before I am dismissed from the program. 5) I agree to observe all policies and procedures of the Texas Woman’s University Undergraduate Psychology Program as explained in the Student Handbook and General Catalog. I hereby swear and affirm that I agree to the conditions set forth above. _______________________________ Student Signature _______________ Date *Attach signed Program Code of Professional Conduct agreement sheet.