Counseling
Psychology Graduate Program
Counseling Application Extra Section
(You must copy this form and paste it into a word processing program so that
you can complete it and send it in with your application. Please type all
your responses.)
Email address:
____________________________________________________
Contact information of someone who can ALWAYS reach you:
Name:________________________________________
Phone #:______________________________________
Permanent address:
___________________________________________________
PART I: EXPERIENCES
A. COURSEWORK (Note:
all questions relating to GPA should be answered using a 4.0 GPA scale.)
1) List all
psychology undergraduate courses you have completed, specifying statistics
courses with an asterick (*).
|
|
Credits |
College/University Where
Taken |
Final Grade |
Total # undergraduate psychology credit hours: _______ Cumulative psychology GPA : _______
2)
List all psychology-related graduate courses that you have completed,
specifying statistics courses with an asterisk (*).
|
|
Credits |
College/University Where
Taken |
Final Grade |
Total # graduate credit hours: ___________ Cumulative Graduate GPA: ____________
B. RESEARCH
1)
Describe your research experiences.
a. undergraduate research:
b. post-B.A./B.S. research:
2)
List the titles of any research papers presented at professional meetings or
published. If the papers were published, note the issue # and title of
the journal in which it appeared.
3)
Have you completed an undergraduate honors
thesis? Yes______
No______
Was it data-based?
Yes______ No______
Did it include a statistical
analysis?
Yes______ No______
Title:
4) Have you completed a master’s
thesis? Yes
______ No _______
Was it data-based?
Yes_______ No_______
Did it include a statistical
analysis?
Yes_______ No_______
Title:
C. TEACHING EXPERIENCES: Describe any
relevant teaching experiences, including teaching assistantships. Include
where these experiences took place and the nature of the supervision you
received.
1) Undergraduate:
2) Post-B.A./B.S.:
D. COUNSELING EXPERIENCES: Describe any
relevant counseling experiences, including formal practica.
Include where these experiences took and describe the nature of the supervision
you received.
F. BACKGROUND
EXPERIENCES: Is there anything else in your background and pursuits
– physical, cultural, motivational, or scholastic – that you
believe is relevant to our evaluation of your application? If so, please
explain.
PART II: GOALS
B. Professional Identity: Why do you want
to be a counseling psychologist?
C. Program Choice: Why have you chosen
University of Maryland’s counseling psychology program? What
aspects of the program will be most useful to you?
D. Research Interests: Describe your current research interests and relate them to the research of 1-2 faculty members in University of Maryland’s Counseling Psychology Program. How well do your research interests “fit” those of the program?