Carnegie Mellon University Doctoral Program in Psychology Application for Admission Proposed course of study in Psychology to begin August

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1 Carnegie Mellon University Doctoral Program in Psychology Application for Admission Proposed course of study in Psychology to begin August PLEASE TYPE OR PRINT IN INK. Social Security Number: Primary Phone Number: Other Phone Number: Current Address: First Name: Last Name: M.Initial: Current Mailing Address: Street: City: State: Zip: Permanent Mailing Address: Street: City: State: Zip: Date of Birth: When did you take the Graduate Record Examination? Citizenship: U.S. Other (State country): (month / year): GRE Scores: If you are not a native English Speaker: Verbal: Quantitative: Analytical: TOEFL: TSE: In the space below, list all colleges you have attended, regardless of whether or not credit or a degree was obtained. If you wish to comment on any item on your transcript, please attach a letter of explanation. Degree Received or Expected: Major Subject: Overall GPA/QPA: Degree Received or Expected: Major Subject: Overall GPA/QPA: Degree Received or Expected: Major Subject: Overall GPA or QPA:

2 In the space below, list recognitions for scholarship (e.g., awards, honorary societies, scholarships), memberships in professional societies, articles or books published, papers presented, research, inventions, or any other creative work. In the space below, list current or pending sources of financial support for your graduate study (other than personal or family assets); give source, amount, duration, and status (current or pending). (Admission is not contingent on this information.) In evaluating your application, it is most important that you tell us about your goals and background. Please address the following topics and attach your response to this form. Why do you want to pursue a Ph.D. in Psychology? If you have had research experience, please describe it. (Be sure to cover the nature and results of the research and the knowledge and skills you acquired from your research experience). What specific types of research would you like to pursue in the future? Why do you think the Carnegie Mellon University Psychology Department is a good place for you to attend graduate school? (If there are specific faculty members you would like to work with, please list them and explain.) (As a rough guideline, a total length of 1,000 words will probably be sufficient. You may append additional materials such as research papers if you wish.) Below, list all full-time employment and military service, plus significant part-time and summer positions: Dates Employed From: Employed To: Company: Location: Job Description:

3 Preliminary screening of applications to the Psychology Graduate Program is done by one or more subcommittees. These separate subcommittees are composed of faculty from the relevant sub-area(s) of the Department. Please indicate which subcommittee(s) should review your application. If you wish to be considered by more than one subcommittee, use digits to indicate primary and secondary interest. Cognitive/Cognitive Neuroscience Developmental Social/Personality/Health Whom are you asking to send us letters of recommendation? (At least two of the three should be from faculty or employers who know your work well.) 4. Please indicate two or three research topics described in the faculty research section of our website or catalog that you are interested in. If there are specific faculty members you would like to work with, please list them.

4 Related Programs The Department uses a variety of sources to provide a stipend and tuition for all students in good standing during the first four years of their graduate training. Departmental sources include departmental funds, faculty research grants, and training programs and grants. Participation in CNBC or PIER extends the support period by an additional year and contributes to the support of participating students. Program in Interdisciplinary Educational Research (PIER) (supplemental application required) URL: Program in The Center of the Neutral Basis of Cognition (CNBC) (supplemental application required) URL: Sources of Support Among the departmental sources of support are three training grants that have some special curricular requirements but do not require an extra year of academic work. Information about these training grants can be found at the websites list below. If you are interested in any of these programs, please check the appropriate box below Pre and Post-Doctoral Training in Health Psychology URL: Basic Processes and Variation in Cognition URL: Combined Computational and Behavioral Approaches to the Study of Cognition URL: Brain Research Training Program (B 2 ) URL:http://www.psy.cmu.edu/home/training/grantbehavioralbrainresearch.html NOTE: Even if you indicate interest in a training grant, you must choose one or more of the areas of interest listed on the previous page. These interest areas determine which subgroup of faculty will review your application and make the primary decision about which students to admit to the department.

5 In addition to this form, please be sure that we receive all of the following before December 15: Official transcripts of all college or university work to date. A copy from the Educational Testing Service of your scores on the aptitude section of the Graduate Record Examination. Three letters of recommendation evaluating your potential for graduate study and research from persons who know you well, including at least two faculty or employers. For Online Recommendation Letters: Applicants need to indicate if they want their recommenders to fill out the recommendation form online. An with instructions will be automatically sent to the recommender. Letters also can be submitted directly to the Psychology Department. 4. A check or money order for $45 to cover the application fee, payable to Carnegie Mellon University. 5. If English was not the primary language spoken at the college where you received your undergraduate education, a report of the scores you achieved on the Test of English as a Foreign Language (TOEFL) and/or the Test of Spoken English (TSE). Optional: Carnegie Mellon seeks students from all ethnic and racial backgrounds. If you d like to be identified as a member of a particular race or ethnic group, please check any that apply. African-American or Black Asian American (incl. Indian subcontinent) Caucasian or White Chicano or Mexican American Puerto Rican Other Hispanic Native American (Alaskan, Hawaiian, or American Indian) Other Signature: Date Carnegie Mellon University does not discriminate and Carnegie Mellon University is required not to discriminate in admission, employment or administration of its programs or activities on the basis of race, color, national origin, sex or handicap in violation of Title VI of the Civil Rights Act of 1964, Title IX of the Education Amendments of 1972 and Section 504 of the Rehabilitation Act of 1973 or other federal, state or local laws, or executive orders. In addition, Carnegie Mellon does not discriminate in admission, employment or administration of its programs on the basis of religion, creed, ancestry, belief, age, veteran status, sexual orientation or in violation of federal, state, or local laws, or executive orders. However, in the judgment of the Carnegie Mellon Human Relations Commission, the Department of Defense policy of, Don t ask, don t tell, don t pursue, excludes openly gay, lesbian and bisexual students from receiving ROTC scholarships or serving in the military. Nevertheless, all ROTC classes at Carnegie Mellon University are available to all students. Inquiries concerning application of these statements should be directed to the Provost, Carnegie Mellon University, 5000 Forbes Avenue, Pittsburgh, PA 15213, telephone (412) or the Vice President of Enrollment, Carnegie Mellon University, 5000 Forbes Avenue, Pittsburgh, PA 15213, telephone (412) Please return the completed application to: Graduate Admissions Department of Psychology Carnegie Mellon University 5000 Forbes Avenue Pittsburgh, PA

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