Organizational Psychology Application for Admission CALIFORNIA SCHOOL OF PROFESSIONAL PSYCHOLOGY ALLIANT INTERNATIONAL UNIVERSITY California School of Professional Psychology – Organizational Psychology Application for Admission If you have a disability and require assistance or reasonable accommodation in the application process, please email admissions@alliant.edu or call (866) U-ALLIANT (toll-free in USA) or (800) 735-2929 (CRS) www.alliant.edu Use this application for the following programs: • Consulting Psychology PhD: San Diego • Industrial-Organizational Psychology MA: Los Angeles and San Diego • Industrial-Organizational Psychology PhD: Los Angeles and San Diego • Organizational Behavior MA: Fresno Application Components To complete your application, read all information in this packet, including Admissions Policies and Admissions Requirements, complete the required forms, and return them by the deadline to: Alliant International University Admissions Processing Center 10455 Pomerado Road San Diego, CA 92131 • Organization Development PsyD: Fresno 1. Form A and B: Application and Program Supplement • Organizational Psychology PhD: San Francisco Required for all applicants. $70 for Doctoral, $55 for Master’s applicants. Please make your check or money order payable to Alliant International University. A limited number of application and interview fee waivers are available to on-time applicants with the greatest demonstrated need. If you would like to request a fee waiver, you must submit your request in writing with an explanation of your current financial circumstances and your prior year Federal Income Tax Form 1040, if one was filed. Please enclose these documents with your application materials. If you do not submit both the written statement of fee waiver request and the documentation, you will not be considered for a fee waiver. • Organizational Psychology MA: San Francisco • Dual Master of Arts (MA) in Industrial-Organizational Psychology and Master of Business Administration (MBA/MIBA): San Diego • Dual Doctorate (PhD) in Industrial-Organizational Psychology and Master of Business or International Business Administration (MBA/MIBA): San Diego • Dual Doctorate (PhD) in Consulting Psychology and Master of Business or International Business Administration (MBA/MIBA): San Diego Please use the Clinical Psychology application for the Dual Clinical Psychology/Industrial-Organizational Psychology PhD program in San Diego and the Joint MAOB/Clinical Psychology PhD or PsyD programs in Fresno. For the Joint MAOB/Forensic Psychology programs in Fresno, please complete separate applications for each program. APPLICATION DEADLINES The priority application deadline is March 1 for the Fall semester and October 1 for the Spring semester. Applications submitted after the priority deadlines are welcome, and will be considered on a space available basis. These are postmark deadlines; deadlines that fall on a postal holiday will be observed the following postal business day. Applications must be complete in order to be considered for admission. Once the program receives your complete application, it is read by an admissions committee. All finalists are interviewed, and most programs require an in-person interview. Telephone interviews may be approved for those applicants for whom travel to the interview site is not feasible. 2 Required for all applicants. See forms on pages 7 and 9. 2. Non-refundable Application Fee 3. Transcripts Required for all applicants. Transcripts must be submitted from each institution attended, even if transfer units appear on another document. If you attend(ed) an institution with pass/fail grades you should request that the registrar attach any accompanying narrative evaluations. The transcripts are for Alliant International University and are submitted as part of your application material. You must send sealed official transcripts of all undergraduate and graduate work, including part-time and summer sessions, regardless of the dates the work was completed. It is your responsibility to see that all transcripts reach the Admissions Processing Center by the appropriate application deadline. In order to meet the deadline it is often necessary to send transcripts on which fall semester grades have not yet been posted. If this is the case, supplementary transcripts should be provided as soon as possible. In cases where registrars are backed up with transcript requests or it is very near the application deadline, applicants should submit photocopies of transcripts in the interim. Without a complete set of transcripts, your application will be considered incomplete. *For international applicants and those who received bachelor’s degrees and/or master’s degrees from higher education institutions outside the United States, please see page 6 for further instructions. 4. Form E: GPA Exemption Petition Required only if any GPA is under 3.0. Alliant International University requires that applicants have an undergraduate and graduate (if applicable) minimum grade point average of 3.0 on a 4.0 scale. If your undergraduate or graduate (if applicable) GPA is below 3.0, you must submit a GPA exemption petition requesting an exemption from this academic requirement. Use the GPA exemption petition Form E on page 11. The form allows you to provide a statement of exception or submit additional material that would document your ability to perform in an intensive academic environment. 5. Resume/Curriculum Vita Required for all applicants. Include a current resume or curriculum vita with your application materials. Describe each position you have held including the name of the organization, job title, work responsibilities and dates of employment. 6. Essay Required for all applicants. The essay is an extremely important part of the application. See page 5 for essay instructions. 7. Course Descriptions Course descriptions are required in the following two instances: 1. If the courses you are using to meet entry pre-requisites are titled differently from program requirements, you must submit course descriptions. Appropriate documentation includes copies of course descriptions, outlines or syllabi. This information should be submitted when you submit your application material. For more information on this requirement, see page 5. 2. If you are petitioning to receive Credit for Previous Graduate Work, you must submit a detailed coursework portfolio which includes course outlines, syllabi or letters from instructors describing specific course content for all relevant graduate courses completed. If coursework was taken at more than one institution, indicate the institution where each course was taken. For more information on Credit for Previous Graduate Work, see page 6. All coursework used to fulfill pre-requisites for any program must have been completed prior to beginning the program. All coursework must have been taken at fully accredited institutions. 8. Form F: TOEFL, TWE The Test of English as a Foreign Language (TOEFL), including the Test of Written English (TWE), is required for non-native speakers. Students whose native language is not English or who have not earned an undergraduate or graduate degree from an accredited U.S. higher education institution are required to show English proficiency by taking the TOEFL. Alliant/CSPP requires a minimum score of 80 or higher on the Internet-based TOEFL, 213 on the computer-based TOEFL, 550 on the paper-based TOEFL and 5 or higher on the TWE. Please contact TOEFL directly to request an official score report; Alliant’s TOEFL code is 4039. Alliant/CSPP will accept IELTS scores of 6.0 or above, or another approved test of English proficiency with scores equivalent to the TOEFL scores as listed above. Please note that academic performance at Alliant may reveal the necessity for further English language study by any student. The University reserves the right to make the final determination of a student’s English proficiency in all cases. 9. Form G: Recommendation Forms Two are required for all applicants. It is your responsibility to see that the completed recommendation forms arrive by the application deadline. Give the people you’ve chosen as recommenders the opportunity to begin working on them as soon as you make the decision to apply. All recommendations should be submitted on Alliant International University forms. We are interested in quantified information in the areas we ask about on the recommendation forms; therefore generic information will not be as supportive of your application as will our forms. There is a copy of Form G in the back of this application packet on pages 13-14; please make additional copies as necessary. The recommendations should be from references familiar with your work, your academic abilities, or your potential for scholarship and professional accomplishment. If you have been out of school for several years, please feel free to submit recommendations from persons who are familiar with you on any level of professional involvement. 10. Dual and Joint Programs Applicants to all dual and joint programs must meet the requirements for each program. For information about requirements for all Alliant programs, visit www.alliant.edu. Alliant’s Continuing Education Division offers some of the CSPP prerequisite courses in an online format. Contact the admissions office or the CE website (www.ce-psychology.com) for full details. 3 Alliant International University Offices and Contacts Please consult the Alliant International University Catalog for more detailed information regarding the University and its policies and procedures (see www.alliant.edu). If you have any questions about the admissions process, contact the Admissions Processing Center. Admissions Processing Center 10455 Pomerado Road San Diego, CA 92131 866-U-ALLIANT (toll-free in USA) fax: 858-635-4555 admissions@alliant.edu Financial Aid Questions? Email: finaid@alliant.edu or call 1-866-U-ALLIANT Alliant International University Admissions Policies Review Process Applications and supporting documents are reviewed by the Admissions Processing Center for completeness and then sent to the program for review. The designated faculty member or review committee examines all applications and decides which of those candidates who meet the academic entry requirements should be interviewed. Final admissions decisions are made after the results of the interviews have been reviewed. Incomplete Applications Alliant International University does not guarantee review of applications which are incomplete or submitted after priority application deadlines, and fees are not refunded under these circumstances. Applying to More than One Location Multi-location applications within a specialty are made on one form. You may apply to one degree program at multiple campuses ranked by location preference; you may not apply to more than one degree program in the same year unless you are not accepted at your first choice program. Use only one application form. A multilocation applicant is considered for admission at the locations in the order of preference indicated on the application form. An applicant not admitted to a higher-choice location is then considered for the next choice location, and so on. A multi-location applicant admitted to one location is not considered for admission by subsequent, lower-choice locations. A multi-location applicant may at any time forfeit consideration at one location and have the application forwarded to the next lower choice. However, once having forfeited consideration at a location, the applicant cannot be reconsidered there in the same year for that specific program. 4 Reapplication If you have applied to Alliant International University (or CSPP or USIU) in a prior year you must submit a new application form, fees and essay. Transcripts, course descriptions and letters of recommendation are usually kept on file for one year and thus need not be resubmitted if you are applying within one year after submitting a previous application. However, transcripts of any additional coursework must be sent to us, and since it is our policy to destroy recommendations for enrolling students, under some circumstances this material is not available in a subsequent year. If you are a reapplicant, you are considered for admission on the basis of your new application. Applicants may attempt to gain admission to Alliant three times. They may apply in three separate years, to three separate specialties or degree programs, or a combination. Alliant will not accept further applications from individuals who fail to gain admittance after three attempts. Notification of Decisions The reasons for a program’s decision to decline admission are not shared with the applicant. The California School of Professional Psychology receives many more applications that meet our basic requirements than there are places available. If you are admitted while continuing graduate or undergraduate coursework, you are expected to maintain the standard of academic performance on which your admission is based until enrollment; failure to do so may void the Acceptance Agreement. Therefore, if you are admitted you must submit transcripts of all work completed between acceptance and enrollment prior to fall registration. Alliant adheres to a resolution adopted by the Council of Graduate Schools and supported by APA, COGDOP and NCSPP protecting applicants against the need to make premature acceptance decisions. Acceptance and Matriculation Deposit Admitted applicants to Alliant must sign and return the Acceptance Agreement and submit a new student deposit to hold a place in the class. This fee is $600 for doctoral students and $300 for master’s. The Acceptance Agreement and deposit are due two weeks after the date of the letter of notification. If a response is not received by the date specified, the place will be offered to another applicant. Students who decide not to accept an offer of admission from a program are urged to notify the campus admissions office in writing as soon as possible so that their places may be offered to other applicants. International Students Alliant International University welcomes international applicants whose academic work and English proficiency is of the highest level. All international students must carry a full course load in their program in order to qualify for an I-20 certification. All international students must submit the documents described under the Admissions Requirements section of this application on page 6. Non-Degree Study Students registered in non-degree (or non-matriculated) status may not earn an Alliant International University degree. Students must register on a space-available basis, and may not apply more than nine units of non-degree status Alliant International University academic work toward an Alliant International University degree. Some courses are not available on a non-degree basis. Family Educational Rights and Privacy Act In accordance with the Family Educational Rights and Privacy Act of 1974, only enrolled students, not non-matriculated applicants, have access to academic records including the application material on file at Alliant International University. All documents presented for admission or evaluation of credit become the property of Alliant International University and may not be returned to the applicants. Therefore, please keep copies of all the information you submit to us. Most material is kept on file for one year; it is not kept indefinitely. Admissions Requirements 1. Undergraduate Degree You must hold or be eligible for an earned baccalaureate degree from a regionally accredited institution prior to entry. 2. General Academic Ability You must have a grade point average of 3.0 on a 4.0 scale, both undergraduate and graduate (if applicable) or submit a Grade Point Average Exemption Petition (see page 11). Both undergraduate and graduate work will be evaluated. 3. Preparation in Psychology and Pre-requisites Applicants to the Consulting Psychology, Industrial-Organizational Psychology and Organizational Psychology programs must have completed one of these three options prior to matriculation: Option #1: Earned a baccalaureate degree with a major in psychology or behavioral science. Option #2: If the baccalaureate degree is not in psychology or behavioral science, you must have completed coursework in the following areas with a grade of "B" or better: a) Introductory Statistics (may be taken outside the psychology department) b) Two undergraduate or graduate courses in the behavioral sciences or human resources Option #3: Earned a score in the 80th percentile or better on the GRE Psychology Subtest. The admissions office must be notified in writing if scores are being submitted for this purpose. Official scores should be sent directly to Alliant International University from ETS and should arrive by the priority application deadline. The preparation in psychology and pre-requisite courses listed above are not required for applicants to the Organizational Behavior MA program or the Organization Development PsyD program. Applicants to the Organization Development PsyD program must have completed one of these two options prior to matriculation: Option #1: Earned a master’s degree in organization behavior, organization development, business, management, or a related field. Option #2: If the master’s degree is not in a related field, demonstrate 10 or more years of significantly related work experience. 4. Personal and Non-Academic Factors Non-academic factors are evaluated using: a) Essay (see essay instructions below) b) Professional experience (resume required) c) Two letters of recommendation d) An interview in person or by telephone (required for finalists) Essay Instructions Applicants to all organizational psychology programs must submit an essay along with the application and supplementary materials. Please prepare a Statement of Purpose of 6-7 typed double-spaced pages that addresses the following, using separate sections for each part. Put your name and page number at the top of each page. A. Describe your career objectives, including your reasons for wanting to undertake studies in the particular program you have selected (i.e., the specific PhD, PsyD, or master’s program to which you are applying). Please also discuss why you are attracted to studying in the California School of Professional Psychology at Alliant International University. B. Write a brief autobiographical sketch, highlighting those experiences most relevant to your interest in organizational psychology, organizational behavior, or organization development. C. Although we recognize that your specific areas of study may change over the course of your training, in responding to part “C,” please describe a research or applied organizational problem that you might like to explore in your studies at Alliant International University. Please be as specific as possible. This essay should demonstrate your knowledge of organizational psychology or organizational behavior and how multi-cultural and/or international issues play a role in the project or research you describe. Also, as relevant, please demonstrate in this section your knowledge of contemporary issues and current research in the field. Use the essay to show your understanding of research methods, the application of theory and scholarship to applied problems, and your ability to integrate the professional literature with your own perspectives on the issues. Interviews Finalists for admission to all programs are required to be interviewed. The program prefers an in-person interview. Telephone interviews may be approved for those applicants for whom travel to an interview site is not feasible. The cost of travel and accommodations related to the interview is borne by the applicant. Interview formats may vary by program and campus. Some programs may require applicants to write a brief essay as part of the interview process. 5 Credit for Previous Graduate Work Applicants to CSPP graduate programs may be eligible to receive credit for previous graduate work. These credits must be completed with a grade of a B or better from a regionally accredited institution within the past seven years. A maximum of 6 semester units of graduate coursework can be accepted into a master’s program of 40 semester hours or less and a maximum of 9 semester units in an academic program of 41 semester units or more. A maximum of 30 semester units can be accepted into a doctoral program. All applicants must meet the graduate level entry requirements for the program of application before they will be reviewed for transfer credit. More information relating to the total allowable course units, and courses that may be waived, may be obtained from the admissions office, the program office or an academic advisor. Additional Requirements for International Students • You must submit official, translated transcripts and results from an educational credential evaluation service agency. The evaluation must include degree equivalency to a 4 year bachelor’s degree from an accredited university, US semester credit and grade equivalent for each course, and US grade point average. Any master’s level courses and/or degrees should also be included in the evaluation. To locate an agency, go to www.naces.org. • English proficiency must be evidenced by TOEFL and TWE results (see page 3). • Copy of passport. • Alliant International Student Financial Certification Form. This form must be completed and submitted if you are not a US citizen and have not been classified by the United States Citizenship and Immigration Services as a permanent resident. The Alliant Admissions and Financial Aid Offices will furnish this form upon request. In addition, you must provide an original and most current bank statement showing the required US funds for studying at Alliant. Students accompanied by other family members must certify additional US funds per year for each dependent. Alliant International University will not issue the I-20 Certification of Eligibility until this certification has been submitted. 6 Other Organizational Psychology Program Information and Reminders Dual and Joint Programs Applicants to the dual programs should ensure they have read all material and understand the requirements of both programs. Applicants to the Dual Clinical Psychology/Industrial-Organizational Psychology PhD program in San Diego and the Joint MAOB/Clinical Psychology PhD or PsyD programs in Fresno should use the Clinical Psychology application packet to apply, read all the material on the programs, and understand the commitments required by the dual programs. Full-time/Part-time Status Students enrolled during the fall and spring semesters are considered to be full-time if they are enrolled in 8 or more units per term. Those enrolled in a summer session are considered to be fulltime if they are taking 5 or more units per term. Students taking less than these amounts are considered part-time. Full-time status is required in two instances: 1) To be eligible to receive Alliant International University Scholarships and Federal Perkins Loans 2) To be eligible to attend on a student visa. International students should work closely with Alliant International University staff to make sure they are enrolled for the requisite number of units in order to meet Department of Immigration requirements. The master’s program in organization behavior is available on an accelerated basis which may decrease the time to complete the program by up to a year. Requests for accelerated programs should be negotiated with the program director. FORM A Organizational Psychology Programs California School of Professional Psychology APPLICATION For Alliant use only Name ID#: Admissions Processing Center 10455 Pomerado Road, San Diego, CA 92131 866-U-ALLIANT (toll-free in USA), (800) 735-2929 (CRS), FAX (858) 635-4555, admissions@alliant.edu Complete both sides of this supplement. Please provide the following information: Personal Information (All Applicants) Mr. Ms. Family Name/Surname First Middle Initial Other Last Name(s) Used, If Any Home Phone Mailing Address City State Zip/Postal Code Country Primary E-mail Address Work Phone Cell Phone Other E-mail Address Permanent Address (if different from mailing address) City State Zip/Postal Code Country Phone Number Date of Birth (Month/Day/Year) Country of Birth Country of Citizenship Social Security Number Country/State of Residence Permanent U.S. Resident? Yes No Enrollment Information (All Applicants) Check the campus location you wish to attend. If applying to more than one, rank #1, #2, etc. _____ Fresno _____ Los Angeles Program or Degree Applying For: _____ Sacramento San Diego _____ San Francisco Please indicate below to which degree program you are applying. Consulting Psychology (PhD) SD Dual Industrial-Organizational Psychology (MA) and Business or International Business Administration (MBA/MIBA) SD Industrial-Organizational (MA) LA, SD Industrial-Organizational (PhD) LA, SD Organizational Behavior (MA) F Organizational Psychology (MA) SF Organizational Psychology (PhD) SF Campus Legend: Term and year you are applying for. Dual Consulting Psychology (PhD) and Business or International Business Administration (MBA/MIBA) SD Dual Industrial-Organizational Psychology (PhD) and Business or International Business Administration (MBA/MIBA) SD Organization Development (PsyD) F F = Fresno Fall Have you previously attended Alliant, CSPP or USIU? Friend Radio LA = Los Angeles Spring Have you previously applied to Alliant, CSPP or USIU? How did you hear about Alliant? _____ Yes Yes Alumnus/ae No No Graduate Fair SD = San Diego Year: SF = San Francisco ____________________ If yes, list which year and term. ________________________________________________ If yes, list previous ID number (if known). ______________________ Faculty Internet Search Alliant Mailing Newspaper Ad Other Magazine Ad ________________________________________________ 7 Education (All Applicants) Please list all colleges and universities from which you earned a degree. Attach an extra page if necessary. ETS Code Location City/State/Zip/Country College/University For Office Use Only Attendance Dates Mo/Yr to Mo/Yr Certificate or Degree GPA and Mo/Yr Awarded Major to to to List the Month/Year you have taken (or will take) the following test(s), and score if known. Test scores should be reported directly to Alliant from the testing service. GRE (Optional) Mo/Yr TOEFL ( paper-based) ( computer-based) ( Internet-based) Score Mo/Yr International Students – Visa Status F-1 Visa Type F-2 J1 J2 B1 B2 Score TWE Mo/Yr Score Other Immigration Admission Number or Alien Registration Number Name on Passport of Family Member Coming with You to Alliant Statistical Information (Optional) Institution You Are Authorized to Attend or Are Transferring From Date of Birth Relationship Country of Birth This information will be used for statistical purposes only and will in no way affect the admission decision. Completion of this section is not mandatory, however, the data collected will help the University determine needs in planning and obtaining funding for grants and scholarships. Providing this information is appreciated. Ethnicity (Select one): (for U.S. citizens and U.S. permanent residents only) Non-Hispanic/Latino Hispanic/Latino (A person of Cuban, Mexican, Puerto Rican, South or Central American, or other Spanish culture or origin) Race: (Regardless of your answer above, select all that apply) American Indian or Alaska Native Asian Other ____________________________________________ Black/African American Military Status: Have you ever served in the United States Military? Yes Native Hawaiian/Pacific Islander No White Will you be seeking financial aid? Yes No Disabilities, if any (optional) ___________________________________________________ Note: If you have a disability and you will need accommodation related to your disability during your program, please contact the Student Affairs Office after you are accepted, if you plan to enroll. Please list the top three colleges and universities to which you are applying. If Alliant is among them, please list. 1. 2. (All Applicants) Have you ever been convicted of a criminal offense (other than a traffic violation)? 3. Yes No If yes, please attach a statement of explanation specifying the date of conviction, offense and disposition. Please note that a conviction will not necessarily disqualify an applicant from acceptance, but may prevent an applicant from being placed at some practicum or internship sites, and may prevent or delay some forms of professional licensure. Felony or certain misdemeanor convictions may negatively impact a student’s ability to obtain licensure or to work in a chosen professional field. Such convictions may also affect Alliant International University’s ability to place the student at training sites or the student’s ability to obtain training necessary for completing academic requirements. Disclosure is therefore needed to ensure that the student can successfully complete a program of training. I hereby certify the information given in this application is correct and complete and to the best of my knowledge, and hereby give my permission to the Admissions Committee to obtain any verification deemed necessary to process my application. I further certify that I will arrange for the forwarding of official transcripts and other documents as requested in the application instructions. I will include with this application the nonrefundable application fee. I understand that all submitted documents become the property of the University and will not be forwarded to another institution nor returned to me. _______________________________________________________________________________________________________________________ Signature (Required) 8 _______________________________________________________________ Date ALL APPLICANTS PLEASE NOTE: Falsification of the application and/or supporting credentials will be grounds for immediate refusal of an application and/or dismissal from the University. FORM B PROGRAM SUPPLEMENT Organizational Psychology Programs California School of Professional Psychology For Alliant use only Name ID#: Admissions Processing Center 10455 Pomerado Road, San Diego, CA 92131 866-U-ALLIANT (toll-free in USA), (800) 735-2929 (CRS), FAX (858) 635-4555, admissions@alliant.edu Complete both sides of this supplement. Please provide the following information: Legal Name (Last, First, Middle) Social Security Number Other Names on Transcripts and Records Do you intend to be: Full-Time Moderate/Extended Degree Part-Time If you would like to be considered for an advanced entry level, please indicate your intention by checking the box below: Credit for Previous Graduate Work How are you meeting the Graduate Entry Level Requirement? (check one/fill in the boxes as appropriate): Applicants to the Consulting Psychology, Industrial-Organizational Psychology and Organizational Psychology programs: I will have a BA/BS in Psychology prior to beginning the program. (A master’s degree will not meet this requirement.) I will be submitting my GRE Psychology Test score, with a score in the 80th percentile or better. I am taking the coursework option and am supplying the following information on courses which will be completed prior to beginning the program: Course Title Introductory Statistics Equivalent Course Title Institution Dept. and Course No. Term and Year TWO COURSES IN BEHAVIORAL SCIENCES: 1. 2. Use additional pages if necessary and attach them to this form. Applicants to the Organization Development PsyD program: I will have an MA/MS in organization behavior, organization development, business, management or a related field prior to beginning the program. My resume/CV demonstrates 10 years or more of significantly related work experience. Recommendations: (Two recommendations are required) Write the names and addresses of recommenders below: 1) 2) Name Street Address Phone City Name Street Address State Zip Phone City State Zip 9 This page intentionally left blank. 10 FORM E GRADE POINT AVERAGE EXEMPTION PETITION Graduate Programs For Alliant use only Name ID#: Admissions Processing Center 10455 Pomerado Road, San Diego, CA 92131 866-U-ALLIANT (toll-free in USA), (800) 735-2929 (CRS), FAX (858) 635-4555, admissions@alliant.edu Applicant Name Social Security Number Alliant International University requires that applicants have an undergraduate and graduate (if applicable) minimum grade point average of 3.0 on a 4.0 scale. You must submit the GPA exemption form if either your undergraduate or graduate GPA is below 3.0. This form allows you to provide a statement of exception, or submit additional material that would document your ability to perform in an intensive academic environment. With the form you must submit one of the following: A brief statement discussing past special academic or personal circumstances explaining academic performance below 3.0 Official copies of standardized test scores (GRE, MAT) supporting academic ability (strongly recommended) A list of scholarly publications supporting past academic/intellectual achievement Please check the item above which you will be submitting. If you choose to submit the statement please begin it below. If you choose to submit the supporting publication material, please attach it to this form. If you choose to submit official GRE or other test scores, please indicate below when we should expect to receive them. Please use additional pages if necessary. 11 FORM F Graduate Programs TOEFL (Test of English as a Foreign Language) TWE (Test of Written English) For Alliant use only Name ID#: Admissions Processing Center 10455 Pomerado Road, San Diego, CA 92131 866-U-ALLIANT (toll-free in USA), (800) 735-2929 (CRS), FAX (858) 635-4555, admissions@alliant.edu Applicant Name Social Security Number Alliant International University’s programs are very demanding and the school attempts to ensure that students have an adequate level of English proficiency to enter the program. Applicants whose native language is not English or who have not earned an undergraduate or graduate degree from an American university are required to show English proficiency and must submit results of the Test of English as a Foreign Language (TOEFL) given by the Educational Testing Service (ETS) and the Test of Written English (TWE). Please complete the items below: I have taken/plan to take the TOEFL on __________________________________________ and will have ETS forward a copy of the official test result directly to Alliant International University. date I have taken/plan to take the TWE on __________________________________________ and will have ETS forward a copy of the official test result directly to Alliant International University. date Signature Date I am requesting exemption from the TOEFL requirement. Please list reasons below. I am requesting exemption from the TWE requirement. Please list reasons below. Please use additional pages if necessary. For Alliant Use Only TOEFL/TWE Authorization Waiver TOEFL Score (Paper) _______________________________________ (Computer) ________________________________________ (Internet) ________________________________________ TWE Score _______________________________________________________ Waiver Approved Authorized Signature 12 Waiver Denied Date FORM G RECOMMENDATION FOR APPLICANT ADMISSION Graduate Programs For Alliant use only Name ID#: Admissions Processing Center 10455 Pomerado Road, San Diego, CA 92131 866-U-ALLIANT (toll-free in USA), (800) 735-2929 (CRS), FAX (858) 635-4555, admissions@alliant.edu Applicant Name Social Security Number Person Writing Recommendation To Person Making Evaluation: The person whose name appears above has made application for graduate study at Alliant International University. We would greatly appreciate your candid appraisal of the applicant. As required by the Family Educational Rights and Privacy Act of 1974, a student may either elect to waive or not waive the privilege of viewing this recommendation form. If the student has not waived that right in the section below, you should consider this form to be non-confidential. Please feel free to attach a letter or additional page on your letterhead, but please also complete the reverse side of this form. NOTE: Please mail this form directly to: Alliant International University, Admissions Processing Center, 10455 Pomerado Road, San Diego, CA 92131 Instruction To Applicant: Please copy this form and distribute it to those providing recommendations for you. Complete the information above and below and give this form to an appropriate person who is familiar with your work performance, your educational abilities, or your potential for productive scholarship and professional accomplishment. Waiver Section: Do not detach Check one of the following statements: I waive the right provided by the Family Educational Rights and Privacy Act of 1974 (Buckley Amendment) to view this letter of recommendation in my file at Alliant International University.* I do not wish to waive this right. Rather, I wish to retain the right to view this letter in my file at Alliant International University.* Signature of Applicant Typed Name of Applicant Typed Name of Recommender (In compliance with the California Educational Code, all offices receiving letters of recommendation to be used for admissions purposes must detach the waiver information, whether confidential or non-confidential, and such offices must retain this information separate from the applicant’s file. It must not be revealed to the Admissions Committee whether the letters were submitted in confidence.) All admissions documents become the property of Alliant International University once submitted. Enrolled students have the right to view these documents unless that right has been specifically waived. * Recommendations are used for admissions purposes and are usually destroyed after application decisions have been made. Under these circumstances, recommendations would not be retained in your student file. 13 1. How long and in what capacity have you known the applicant? 2. Please assess by a checkmark the applicant relative to other employees or students whom you have known in a similar capacity. Intellectual ability Outstanding top 2% Superior top 10% Good top third Fair middle third Poor bottom third Unable to judge* Industry/motivation/initiative Emotional maturity Judgement Creativity/originality/resourcefulness Ability to work with others Ability to organize Effectiveness in oral communication Effectiveness in written communication Academic preparation/knowledge of field Independence of thought Perseverance Sensitivity to diversity *If unable to judge, please clarify 3. Please list any unique/special qualities or skills, or any other qualifications that you think make this individual a viable candidate for the graduate program/degree to which s/he is applying. 4. What are the applicant’s primary strengths and weaknesses? Please describe instances or accomplishments which demonstrate them. 5. Comment on the applicant’s competency in his/her area of specialization (technical knowledge, analytical ability, attention to detail, creativity) and his/her potential for achievement. 6. What is your overall recommendation? Strongly recommend Recommend Recommend with some reservation (please explain) ______________________________________________________________________________ Do not recommend (please explain) ____________________________________________________________________________________________________________________ Name of Applicant Signature of Recommender Name of Recommender (Please Print) Position/Title Institution/Organization Business Address 14 Please do not write below this line. 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______________________________________________________________________________________________________________________________________________________________________________________________ ______________________________________________________________________________________________________________________________________________________________________________________________ ______________________________________________________________________________________________________________________________________________________________________________________________ ______________________________________________________________________________________________________________________________________________________________________________________________ 15 Accreditation All locations of Alliant International University are accredited by the Accrediting Commission for Senior Colleges and Universities of the Western Association of Schools and Colleges, an institutional accrediting body recognized by the U.S. Department of Education. The Commission can be contacted at: Western Association of Schools and Colleges, 985 Atlantic Avenue, Suite 100, Alameda, CA 94501, (510) 748-9001. The PhD and PsyD clinical psychology programs located on the Fresno/Sacramento, Los Angeles, San Diego and San Francisco campuses are all separately accredited by the American Psychological Association (APA). The PhD programs have been accredited at each campus since the 1980s and the PsyD programs, which were instituted later, all received accreditation in the 1990s and Sacramento in 2002. The PsyD program in clinical psychology that existed at USIU in San Diego was not APAaccredited. Questions regarding the accreditation status of a clinical psychology program attended by an Alliant student or graduate should be directed to the University Registrar. The address of the APA Committee on Accreditation is 750 First St., N.E. Washington, DC 20002, (202) 336-5979. The Couple and Family Therapy programs are accredited by the American Association for Marriage and Family Therapy’s (AAMFT) Commission on Accreditation for Marriage and Family Therapy Education (COAMFTE). AAMFT’s address is 112 South Alfred Street, Alexandria, VA 22314-3061, (703) 838-9808. Non-Discrimination Policy Alliant International University prohibits discrimination in employment and in its educational programs and activities, including admission or access thereto, on the basis of race, national origin, color, creed, religion, sex, age, marital status, disability, medical condition, veteran status, sexual orientation, gender identity or associational preference. The University will conduct its programs, services and activities consistent with applicable federal, state and local laws, regulations and orders. This policy is governed by Titles VI and VII of the Civil Rights Act of 1964, the Civil Rights Act of 1991, Title IX of the Education Amendments Act of 1972, Section 504 of the Rehabilitation Act of 1973, the Americans with Disabilities Act of 1990, the Age Discrimination Act of 1975, the regulations implementing these statutes, and applicable federal and California law. Alliant International University has implemented grievance procedures concerning cases of alleged discrimination, including those of alleged sexual harassment, for faculty, staff and students. It is the policy of the University that harassment on the basis of sex among employees constitutes an impermissible employment practice, which is subject to disciplinary action and shall not be tolerated. Sexual harassment involving students and University personnel or among students is equally impermissible and shall not be tolerated. The University is committed to providing an environment to study free of sexual harassment. Grievances or complaints that are based on one of these areas needs to be reported to Human Resources at humanresources@alliant.edu. This information is located on Alliant’s website at www.alliant.edu. Consumer Information Alliant International University annually publishes information about its policies on the use of illegal drugs and alcohol on campus, crime statistics on campus including sex crimes and school policies regarding sexual and other forms of harassment. This information is published and distributed annually to all students and employees and is located on Alliant’s website at www.alliant.edu. Information Subject to Change Without Notice The requirements, programs, course offerings, fees, policies, and all other subjects covered in this publication may be changed without notice. Users of this publication should contact Alliant International University representatives to learn the current status of matters covered herein. Alliant International University assumes no responsibility for any damages that may be claimed to have resulted from such changes. 18 www.alliant.edu 4-000c-0611 Alliant International University is an equal opportunity employer and educator.