Program Preference Form - University of Nevada, Reno
Program Preference Form - University of Nevada, Reno
Program Preference Form - University of Nevada, Reno
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INSTRUCTIONS:<br />
<strong>University</strong> <strong>of</strong> <strong>Nevada</strong>, <strong>Reno</strong><br />
Department <strong>of</strong> Psychology <strong>Program</strong> <strong>Preference</strong> <strong>Form</strong><br />
Please complete this document by directly typing in this form. All applicants are required to complete, print, and mail this form to<br />
the Department <strong>of</strong> Psychology, <strong>University</strong> <strong>of</strong> <strong>Nevada</strong>, <strong>Reno</strong>. The deadlines for the receipt <strong>of</strong> this application and all supporting<br />
materials is January 1 (clinical and behavior analysis), and February 1 (cognitive brain science) *Official transcripts, GRE<br />
scores, and Graduate School Application with fee must be sent directly to the <strong>University</strong> <strong>of</strong> <strong>Nevada</strong> <strong>Reno</strong>, Graduate School M/S<br />
0326 <strong>Reno</strong>, <strong>Nevada</strong> 89557-0326*<br />
A. PERSONAL DATA:<br />
1. Name_____________________________________________________________ 2. Male___ Female____<br />
Last First Middle<br />
3. Home Address______________________________________________ City_____________________________<br />
State____ Zip__________ Home Phone_____________________ Contact Phone_________________________<br />
Email______________________________________________________________________________________<br />
4. Undergraduate Institution______________________________________________________________________<br />
Type <strong>of</strong> Degree, Major, and Date Received________________________________________________________<br />
Undergraduate GPA________________ Psychology GPA_______________ GPA Last 2 Years _____________<br />
5. Graduate Institution __________________________________________________________________________<br />
Type <strong>of</strong> Degree, Major, and Date Received ____________________________Graduate GPA _______________<br />
6. If you have taken the GRE, please list your scores:<br />
Verbal__________Quantitative_______________Analytical_______________Advanced____________________<br />
If you have not taken the GRE, please indicate the date you plan to take it: ______________________________<br />
(We strongly suggest you take it in October, as the December score sometimes arrives late)<br />
7. Have you authored or co-authored any pr<strong>of</strong>essional presentations? __________ If yes, provide list when sending<br />
additional supporting materials.<br />
8. Have you authored <strong>of</strong> co-authored any pr<strong>of</strong>essional publications? ____________ If yes, provide list when sending<br />
additional supporting materials.<br />
9. Are you a <strong>Nevada</strong> Resident? Yes No<br />
10. Equal Opportunity, Affirmative Action: The Psychology Department welcomes applications from candidates <strong>of</strong><br />
both sexes and from all ethnic groups. Although not required, we encourage you to indicate your ethnic identity:<br />
________________________________________________________________________________________
B. APPLICATION QUESTIONS:<br />
1. When would you like to begin full-time graduate study? ____________________________________________<br />
2. Please indicate your one program preference below:<br />
a. Clinical (Ph.D. only)<br />
b. Cognitive & Brain Science: (1) M.A. only (terminal degree) (2) Ph.D.<br />
c. Behavior Analysis: (1) M.A. only (terminal degree) (2) Ph.D.<br />
3. Please indicate any special interest you have within the field marked above. _____________________________<br />
4. Please rank order the faculty member(s) you are interested in working with for the program you are applying.<br />
BEHAVIOR ANALYSIS: ____Pat Ghezzi _____Linda J. Parrott _____Ramona Houmanfar ______Larry Williams<br />
CLINICAL: ___Melanie Duckworth ____Jane Fisher ____Victoria Follette ____William Follette ____Alan Fruzzetti<br />
____Steven Hayes ____Holly Hazlett-Stevens ____William O'Donohue ____Anthony Papa<br />
COGNITIVE & BRAIN SCIENCE: ____Marian Berryhill ____Gideon Caplovitz ____Michael Crognale<br />
____Jeffrey Hutsler ____Michael Webster ____ Jacqueline Snow ____ Lars Strother<br />
5. Have you applied for admission to this department before? ________________If so, indicate the date _________<br />
6. If you are applying to Clinical or to Behavior Analysis please answer the following question: We realize that your<br />
plans may change after you have been in graduate school, but at this time how would you prefer to be employed<br />
after receiving your degree? (choose only one):<br />
Providing direct services in a private practice setting<br />
Providing direct services in a hospital, community mental health center, or similar institution<br />
A relatively equal mix <strong>of</strong> direct service delivery and research in some institutional (non-private practice)<br />
setting<br />
Doing primarily research in a hospital, community mental health center, or similar institution<br />
An academic position in a 4-year undergraduate college<br />
An academic position in a university with a graduate program<br />
C.<br />
ADDITIONAL SUPPORTING MATERIALS:<br />
Note: The Department <strong>of</strong> Psychology requires that you send the following items DIRECTLY to the department,<br />
timed to arrive before January 1 (clinical, behavior analysis) or February 1 (cognitive brain science).<br />
Three letters <strong>of</strong> recommendation (from instructors or individuals who know your work). Have Recommenders sign<br />
the back seal <strong>of</strong> the envelope before they return the letter to you for forwarding<br />
Letters <strong>of</strong> recommendation have been requested from:<br />
Name<br />
Institution<br />
1. ___________________________________________ __________________________________________<br />
2. ___________________________________________ __________________________________________<br />
3. ___________________________________________ __________________________________________<br />
4. (optional) ____________________________________ __________________________________________<br />
On a separate sheet <strong>of</strong> paper(s) provide a brief statement <strong>of</strong> purpose for graduate study (e.g. career aims,<br />
pr<strong>of</strong>essional and research interests and experiences, and why you want to study at UNR).