Department of Psychology 5500 University Parkway San Bernardino, CA 92407-2397 Main Line: (909) 537-5570 Fax: (909) 537-7003 Information Form Biographical Information Name: Address: City: State: Zip: Home Phone: ( Cell Phone: ( ) ) Work Phone: ( ) Email: Date of Birth: Undergraduate University Information Undergraduate University: Major(s): Date Received (or will receive) Bachelor’s Degree: Program Information Program for which you are applying: Quarter & Year Applying: The California State University Bakersfield · Channel Islands · Chico · Dominquez Hills · East Bay · Fresno · Fullerton · Humboldt · Long Beach · Los Angeles · Maritime Academy Monterey Bay · Northridge · Pomona · San Bernardino · San Diego · San Francisco · San Jose · San Luis Obispo · San Marcus · Sonoma · Stanislaus Prequisite Coursework All Applicants: Complete the following checklist indicating the course (or equivalent) taken. Graduate Writing Requirement: Graduate students will be required to pass (or to have passed) the upper-division writing requirement before being fully classified into a graduate program unless an earlier completion is specified for a particular program. This requirement can be satisfied by one of the following: Advanced Expository Writing Course (e.g., EDUC, ENG, HUM, MGMT, NSCI, or SSCI) Equivalent Expository Writing Course taken at another university Writing Requirement Exemption Examination (WREE) Exam M.A. General/Experimental Psychology Applicants: Complete the following checklist indicating the courses (or equivalents) taken. PSYC 100 (Introduction to Psychology) PSYC 210 (Psychological Statistics) Or If Not Taken at CSUSB PSYC 311 (Introduction to Experimental Psychology) PSYC PSYC or STAT PSYC M.A. Child Development Applicants: Complete the following checklist indicating the courses (or equivalents) taken. PSYC 100 (Introduction to Psychology) PSYC 210 (Psychological Statistics) Or If Not Taken at CSUSB Child Development Course (Lower Division) PSYC PSYC or STAT PSYC M.S. Clinical/Counseling Psychology Applicants: Complete the following checklist indicating the courses (or equivalents) taken. PSYC 100 (Introduction to Psychology) PSYC PSYC 210 (Psychological Statistics) PSYC 311 (Introduction to Experimental Psychology) Or If Not Taken at CSUSB PSYC or STAT PSYC PSYC 385 or PSYC 386 (Personality or Introduction to Psychotherapy) PSYC PSYC 390 (Abnormal Psychology) PSYC M.S. Industrial/Organizational Psychology Applicants: Complete the following checklist indicating the courses (or equivalents) taken. PSYC 100 (Introduction to Psychology) PSYC PSYC 210 (Psychological Statistics) PSYC 311 (Introduction to Experimental Psychology) PSYC 302 or MGMT 302 (Management and Organizational Behavior) PSYC or STAT Or If Not Taken at CSUSB PSYC PSYC or MGMT PSYC 355 or ADMIN 455 (Industrial Psych. or Human Resources Mgmt) PSYC PSYC 377 (Tests & Measurements) PSYC