MASTERS IN CLINICAL PSYCHOLOGY ONLINE APPLICATION

 LAST NAME        FIRST NAME

 Today's date:  YEAR MONTH DATE 

 MAILING ADDRESS:    STREET

 CITY STATE ZIP

 COUNTRY

PHONE: AREA CODE  

PHONE NUMBER       

1. Program and Admission Date for which you are applying (Check one and specify date)

                Clinical Program

                Experimental Program

                DATE:

2.  Have you previously applied to this Graduate Program?

                Yes No

3. Provide the name and address of each of three persons who will be submitting a letter of  recommendation and will be completing the required recommendation form.

            Letter #1 will be from:

     Last name: First name:

     Street address:

     City: State: Zip Code:

     Country:

Letter #2 will be from:

      Last name: First name:

      Street address:

     City: State: Zip Code:

     Country:

Letter #3 will be from:

     Last name: First name:

     Street address:

     City: State: Zip Code:

     Country:

4.  Provide a list of professional or student memberships in learned and professional organizations:

5.  Provide titles of publications, presentations, major papers, or theses of which you are author or coauthor. Give citations.

6.  Please give relevant volunteer or work experience you have had, including the employer's name, work performed and duration of employment:

7.  I intend to enroll as a:

           Full-time student [9-12SCH (hrs.)/ 3 or more courses per semester]

           Part-time student [less than 9 SCH (hrs.)/less than three courses per semester]

8.  I agree to the following:

        1.  To submit a 500 word essay in English in which I will describe my career or professional goals and objectives and explain why I believe a Masters in Clinical Psychology will help me reach my goals and objectives.

        2.  That the information provided in this application is complete and correct to the best of my knowledge and belief, and that the omission of information or submission of any false information is grounds for rejection of my application, withdrawal of any offer of acceptance or dismissal after enrollment.

        3.  To submit relevant transcripts, a 500 Word Essay, Graduate Record Examination Scores, and to have letters of recommendation in by the deadline date specified elsewhere in this Web Presentation of the Masters in Clinical Psychology Program to the address below:

              I agree

I also understand that it is first necessary to be admitted into the Graduate School at The University of Texas- Pan American before I can be admitted into the Masters Program in Clinical Psychology. I must make a separate admission application to the Graduate School [Office of Admissions and Records, 1201 W. University Dr. Edinburg, Texas 78539-2999, (956) 381-2207]

Tell us how to get in touch with you:

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Please contact me as soon as possible regarding this matter.