Application for Honors Program in Psychology
Name:
B#:
E-mail
Phone:
Permanent Address:
Major:
Overall GPA:
Major GPA:
Credit hours completed to date (not in progress):
Thesis Title:
Chair of Honors committee (please print name):
Committee Member (please print name):
Committee Member (please print name):
UNDERGRADUATE DIRECTOR SIGNATURE REQUIRED:
The above named student was: ☐ accepted into the Honors Program ☐not accepted into the Honors Program
Undergraduate Director Signature:
Date:
STATEMENT TO BE SIGNED BY STUDENT:
☐I understand and have met all of the requirements for the Honors Program in Psychology.
☐I plan to defend my thesis by the last week of classes in the
semester.
☐I have/will register for at least 4 credit hours of PSYC 499. If I do not complete my thesis I must switch from 499 to 397.
Signature:
Date:
PLEASE ATTACH:
(1) Copy of most recent transcript or DARS report;
(2) PSYC 499 Independent Research registration form;
(3) Copy of approved thesis proposal signed by all members of the committee
Deliver to Undergraduate Academic Advisor, Science IV Room 230B