Application For Graduate Study In Psychology

Applicant Information
Name:
Email:
Telephone:
Address:
City:
State/Province:
Country:
ZIP/Postal Code:

Current School Information (if presently enrolled)
School:
Address:
Telephone:
City:
State/Province:
Country:
ZIP/Postal Code:

(Optional) Check if you might qualify for minority financial aid.

Program being applied for:
	Masters	Ph.D.

Indicate anticipated major & minor areas of interest (these choices not binding)
	Cognitive:	Major	Minor	Neither
	Developmental:	Major	Minor	Neither
	Social/Personality:	Major	Minor	Neither
	Behavioral Neuroscience:	Major	Minor	Neither
	Evolutionary:	Major	Minor	Neither

NOTE: The Department of Psychology has no clinical training program.

Previous Universities
Name of Previous University #1 (or current university):
From - To:
Under grad	Grad	Degree Received/ Anticipated	Major	Minor

Name of Previous University #2:
From - To:
Under grad	Grad	Degree Received/ Anticipated	Major	Minor

Name of Previous University #3:
From - To:
Under grad	Grad	Degree Received/ Anticipated	Major	Minor

Name of Previous University #4:
From - To:
Under grad	Grad	Degree Received/ Anticipated	Major	Minor

Name of Previous University #5:
From - To:
Under grad	Grad	Degree Received/ Anticipated	Major	Minor

Name of Previous University #6:
From - To:
Under grad	Grad	Degree Received/ Anticipated	Major	Minor

Memberships in professional and honor societies; honors and awards:

Skills

Please indicate below any specific skills you have developed that are associated with psychological research (e.g., video recording, psychophysiological recording, use of computer statistical packages, conducting computer-interfaced experiments, programming, animal handling, surgical procedures, brain assays):

Statement of research interests and career objectives

References
List names, addresses, and phone numbers of three referees that will be sending letters of recommendations NOTE: The applicant must arrange to have letters sent to the Department of Psychology. Applicants should print Referee Evaluation Forms, and provide these forms to the referees listed below.
Referee 1
Name:
Address:
Phone:
City:
State/Province:
Country:
ZIP/Postal Code:
Referee 2
Name:
Address:
Phone:
City:
State/Province:
Country:
ZIP/Postal Code:
Referee 3
Name:
Address:
Phone:
City:
State/Province:
Country:
ZIP/Postal Code:

Please provide:

GRE Scores
Verbal	Quantitative	Date Taken/To be Taken

GPA
Undergraduate:		Graduate:
Hours:		Hours:

Submission Information
Step 1 Florida Atlantic University Admissions Office You must send four items as indicated below
Send:	Application for Graduate Admissions (University application; Contact: Graduate College) $30.00 application fee Transcripts from all universities attended GRE scores
To:	Florida Atlantic University Admissions Office Florida Atlantic University 777 Glades Road Boca Raton, FL 33431
Step 2 Psychology Department You must send two items as indicated below
Item 1 - Three letters of recommendation
To:	Department of Psychology Florida Atlantic University 777 Glades Road Boca Raton, FL 33431
Item 2 - This application
Check this box to certify that you, the sender, are the person whose academic information is provided on this form.
Press the SEND button to submit this departmental application or the ERASE buttom to the clear all information and start over. Note: This is not a secure application form. If you are concerned about transmitting any of this information electronically, please request or download a paper copy of the application here and mail it to the department.

Important Information

No action will be taken on applications until ALL items are received by BOTH the University Admissions Office and the Department of Psychology. Applicants are advised to contact the Graduate College for information pertaining to their University application.

DEADLINE for completed Ph.D. application: JAN. 15^TH

DEADLINE for completed MA application: MAY 1^ST

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