PSY 495/496 Application Form

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Senior Honors Thesis Program (PSY 495 & 496)
Application Form
Student
Name
Student ID
Email
Phone
Faculty
Sponsor Name
Email
Phone
►There are several requirements for entrance to the Senior Honors Thesis Program.
1. A grade point average in psychology of 3.60 or above.
2. Completion of both PSY 215 and PSY 216 prior to the start of the fall semester in which
participation in the Senior Honors Thesis Program would begin.
3. A grade of “B” or better in both PSY 215 and PSY 216.
4. A faculty sponsor who agrees to support and supervise the project that will become the
Thesis.
 Strong recommendation: Completion of any one advanced lec/lab course before taking PSY
496.
Overall GPA
Grade in PSY 215
Grade in PSY 216
►Previous PSY 395 Experiences:
Faculty Sponsor
Semester(s)
Psychology GPA
Taken when?
Taken when?
Responsibilities
►General Topic of the Honors Thesis:
“I support this student’s application for entry into the Senior Honors Thesis Program and agree to
supervise the student’s honors thesis.”
____________________________________________
Faculty Sponsor’s Signature
______________________
Date
Please submit this completed form to Dr. Richard Smith in Kastle Hall 207 I-1.
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