Personal Details. Surname: First Name/s: Wits Student Number/ Application Number: Cellphone Number: Email Address:

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Wits Hoours Pros i Pschoo 2016: i partta Prsoa tais Su: First Na/s: i Wits Stut Nubr/ Aicatio Nubr: Cpho Nubr: Eai Arss: To which hoours pro i Pschoo ar ou ai a aicatio? Hoours i isatioa Pschoo Hoours i Pschoo Both Rac: Bac Whit Iia Coour t thr (ist s itiicatio) Citizship: South Arica thr SAC Coutr thr Arica Coutr thr (pas ist coutr)

Wits Hoours Pros i Pschoo 2016: i partta Gr: Ma Fa thr (ist s itiicatio) isabiit: No i Ys I 'Ys', pas scrib our isabiit: Ho Laua(s): 1. 2. 3. Lv o proicic i South Arica oicia auas: No Bir Itriat Fut Ssotho sa Lboa Ssotho Stswaa siswati Tshiva Xitsoa Ariaas Eish isinb t isixhosa isizuu o ou spa a othr auas (othr tha our ho aua/s a SA oicia auas)? Ys No

Wits Hoours Pros i Pschoo 2016: i partta First aitioa aua (i aicab): Lv o proicic i irst aitioa aua: Bir Itriat i Fut Sco aitioa aua (i aicab): Lv o proicic i sco aitioa aua: Bir Itriat Fut Thir aitioa aua (i aicab): Lv o proicic i thir aitioa aua: t Bir Itriat Fut Guaria(s)'/ Part(s)' Prossio(s)/ ccupatio(s) Guaria/Part 1: Guaria/Part 2: Guaria(s)'/ Part(s)' Hihst v o ucatio copt Priar Scoar Trtiar Guaria/ Part 1 Guaria/ Part 2

Wits Hoours Pros i Pschoo 2016: i partta Na o hih schoo att: Locatio o hih schoo att? Gaut Eastr Cap i Fr Stat Kwazuu Nata Lipopo Mpuaaa North Wst Northr Cap Wstr Cap thr SAC coutr thr Arica (o SAC) coutr Tp o hih schoo att: Privat thr (pas spci) Pubic Towship Pubic Ru Pubic Urba t thr (pas spci) Hav ou vr b th rcipit o NSFAS ui? Ys No I 's', or how a ars i ou rciv NSFAS ui? Yars

Wits Hoours Pros i Pschoo 2016: i partta i ou wor uri our uruat stuis i orr to u our ucatio? Ys No How a hours a w, o av, i ou wor? Hours pr w i I what ob(s) wr ou po, a or how o (i ars a/or oths)? (I ou wr po i or tha thr obs, pas sct th thr i which ou wr po or th ost prio o ti.) Job 1 Lth o pot Job 2 Lth o pot Job 3 Lth o pot How wi ou u our stuis i accpt ito th pro (pas choos as a as ar aicab)? c Bursar, bursar oa or stut oa c Schoarship t c Fui ro a sposor c Ico ro part ti wor c Prsoa savis c Part(s) (savis or ico) thr (pas spci) Acaic Rcor

Wits Hoours Pros i Pschoo 2016: i partta How a rs hav ou a copt? 1 2 3 4 i No r copt as t tais o irst r: r Facut Uivrsit Yar Copt tais o sco r: r Facut Uivrsit Yar Copt tais o thir r: r Facut Uivrsit Yar Copt r Facut t tais o ourth r: Uivrsit Yar Copt

Wits Hoours Pros i Pschoo 2016: i partta i What is our currt status i trs o risttio as a stut? Currt ristr or a bachors r that icus a aor i Pschoo Currt copti courss i thir ar Pschoo as a occasioa stut/ or o r purposs thr (pas provi tais): 5 6 Which r (i a) ar ou currt copti? r Facut Uivrsit c Wits t Whr i ou copt/ar ou copti our uruat courss i thir ar pschoo? c Aothr istitutio c Both Wits a aothr istitutio (Pas ot: Aicats who aswr 'Both' to this qustio wi to provi tais o thir ar pschoo courss at a othr istitutio pr pas 8 courss) a 9 bow), as w as iotio tais o Thircopt Yar Pschoo Courss(as(No Wits about Pschoo courss copt at Wits (s Aix A bow). Pas tr th cours cos (as rct o our uivrsit tscript/ acaic rcor) o a th thir our courss ou hav a/or ar currt copti at a uivrsit othr tha Wits. Thir ar ou/ cours (1) - TYM1: Thir ar ou/ cours (2) - TYM2: Thir ar ou/ cours (3) - TYM3: Thir ar ou/ cours (4) - TYM4: Thir ar ou/ cours (5) - TYM5: Thir ar ou/ cours (6) - TYM6: Thir ar ou/ cours (7) - TYM7:

You wi b as a sris o qustios about our acaic rcor, starti with th cours cos or th ous/ courss i thir ar pschoo that ou hav copt/ ar copti, as rct o our uivrsit tscript. I th aicatio or, a th atr qustios about our thir ar pschoo courss wi us th cours cos ou provi. This as it iicut to prst ou with th qustios as th wi aar i th aicatio. Howvr, th tabs bow suaris th iotio that ou wi to provi about ths a our rsarch courss. Thir Yar Mous/ Courss (as rct o our uivrsit tscript) 1 2 3 4 5 6 7 8 Cours Co Cours Na Yar Copt/to b copt v ar (as a prcta)* * Whr a uivrsit os ot awar/provi ars as prctas, aicats ca copt a attiv qustio i which th sbo or cass o pass obtai is provi or ach cours/ ou. For ach o th thir ar Pschoo ous ist abov, ou wi to provi iotio about th tps o assssts copt i thos courss. Thr wi b two qustios, o ocusi o th courswor assssts i ths ous/ courss, a th othr ocusi o th o assssts (tsts a xas) i ths ous courss. You wi sip to iicat which o th tps/ots o asssst wr us (usi tic boxs). 1 2 3 4 5 6 7 8 Essa, writt assit or proct Courswor Assssts Short-qustio MCQ asssst asssst Tp/Fot o asssst Essa-tp qustios Fo Tsts a Exas Short qustios MCQs t - A i

For ach o th thir ar Pschoo ous/courss ou hav ist, ou wi b as to iicat which (i a) icu cott t to rsarch thos, pschotrics a rsarch aasis (icui statistics), aai usi tic boxs. Rsarch Mthos Cott o Thir Yar Mous/ Courss 1 2 3 4 5 6 7 8 Rsarch thos (ic. xprita si) Pschotrics Quaitativ Mthos (ic. quaitativ aasis) Statistics I ou hav copt a othr rsarch thos courss/ous i Pschoo i aitio to our thir ar Pschoo courss, ou wi b as to provi tais o ths courss, as w as th ov ar/s achiv (whr avaiab). As i th qustio about th rsarch cott o our thir ar courss, th cott o ths aitioa rsarch courss wi b iicat usi sip tic boxs. 1 2 3 Cours Co (as rct o uivrsit tscript) v ar Rsarch thos (ic. xprita si) Pschotrics Quaitativ Mthos (ic. quaitativ aasis) Statistics PLEASE NTE: I ou hav aso copt ithr rsarch courss or ous i thir ar Pschoo at Wits (i aitio to thos copt swhr), ou wi b as to provi tais as pr th qustios icu i Aix A o this t or. t - A i

Rsarch Expric Wits Hoours Pros i Pschoo 2016: i partta i What, i a, rsarch xpric o ou hav (pas choos as a as is aropriat)? c Participat i a rsarch proct c Rsarch assistat i a rsarch proct c Prpar a writt a rsarch proposa A othr rvat rsarch xpric: t c Wor or a rsarch istitutio or copa c Couct our ow rsarch proct 5 6 o ou vri that a o th iotio provi i this aicatio, icui a ars, is truthu a corrct? Ys No Hav ou copt a subitt a oi Uivrsit/ Facut aicatio (via SNC th Uivrsit's Ct Erot Ctr)? Ys No Hav ou upoa a o th rquir ocutatio or th oi Uivrsit/ Facut aicatio? A ocuts upoa So ocuts upoa No ocuts upoa t

o ou vri that a o th iotio provi i this aicatio, icui a ars, is truthu a corrct? Ys No i Pas coir that ou ursta ach o th oowi statts about risttio or a hoours r i Pschoo or isatioa Pschoo at Wits Uivrsit: A stut a ot ristr or a hoours r i th partt o Pschoo uss a th rquirts or thir bachors r a a aor i Pschoo/isatioa Pschoo hav b satisi. A stut a ot ristr or a hoours r i th partt o Pschoo whi cocurrt ristri or a othr r, quaiicatio or cours o stu. Courss i th Pschoo hoours rs at Wits Uivrsit ar o tauht o a a ti basis (that is, uri wori hours thr ar o vi or w casss). Hav ou copt a subitt a oi Uivrsit/ Facut aicatio (via SNC th Uivrsit's Ct Erot Ctr)? Ys No Hav ou upoa a o th rquir ocutatio or th oi Uivrsit/ Facut aicatio? t No ocuts upoa t So ocuts upoa A ocuts upoa Ys

Aix A: Wits Thir Yar Pschoo 55. Pas iicat th YEAR i which ou hav copt/wi copt a o th oowi ous i thir ar Pschoo at Wits. (I ou hav rpat a ous, pas iicat th ar i which ou copt th ou or th FIRST TIME, a provi tais o about a rpat ous i th rvat qustios that oow.) PSYC3001 Abo Pschoo III i PSYC3024 Abo Pschoo III (WitsPus) PSYC3013 Coitiv Nuropschoo III PSYC3028 Coitiv Nuropschoo III (WitsPus) PSYC3015 Hath Pschoo III PSYC3016 Couit Pschoo III PSYC3017 Pschothputic Itrvtios III PSYC3018 Chi & Aosct Pschoo III PSYC3019 Critica Socia Pschoo III PSYC3020 isatioa Bhaviour III PSYC3021 Epo Wbi III PSYC3030 Epo Wbi III (WitsPus) PSYC3022 Epot Ratios III PSYC3023 isatioa Ectivss III PSYC3031 isatioa Ectivss III (WitsPus) PSYC3034 Coitiv Stuis III t PSYC3014 Sct Topic i Coitiv Stuis III (Pr 2013)

56. Pas iicat th ov MARK ou obtai th FIRST TIME ou copt a o th oowi ous i thir ar Pschoo at Wits. (tais o avaiab ars or ous that hav b rpat wi b rqust i th qustios that oow) PSYC3001 Abo Pschoo III PSYC3024 Abo Pschoo III (WitsPus) PSYC3013 Coitiv Nuropschoo III PSYC3028 Coitiv Nuropschoo III (WitsPus) PSYC3015 Hath Pschoo III i PSYC3016 Couit Pschoo III PSYC3017 Pschothputic Itrvtios III PSYC3018 Chi & Aosct Pschoo III PSYC3019 Critica Socia Pschoo III PSYC3020 isatioa Bhaviour III PSYC3021 Epo Wbi III PSYC3022 Epot Ratios III PSYC3023 isatioa Ectivss III PSYC3031 isatioa Ectivss III (WitsPus) PSYC3030 Epo Wbi III (WitsPus) PSYC3034 Coitiv Stuis III PSYC3014 Sct Topic i Coitiv Stuis III (Pr 2013) 57. Hav ou REPEATE a ous o thir ar Pschoo at Wits that is, hav ou ristr or th sa or quivat (WitsPus) ou o thir ar Pschoo or a sco ti? No Ys t

Rpat Mous 58. Pas iicat th YEAR i which ou hav rpat/wi iish rpati a o th oowi ous i thir ar Pschoo at Wits: PSYC3001 Abo Pschoo III PSYC3024 Abo Pschoo III (WitsPus) PSYC3013 Coitiv Nuropschoo III PSYC3028 Coitiv Nuropschoo III (WitsPus) PSYC3015 Hath Pschoo III i PSYC3016 Couit Pschoo III PSYC3017 Pschothputic Itrvtios III PSYC3018 Chi & Aosct Pschoo III PSYC3019 Critica Socia Pschoo III PSYC3020 isatioa Bhaviour III PSYC3021 Epo Wbi III PSYC3022 Epot Ratios III PSYC3023 isatioa Ectivss III PSYC3031 isatioa Ectivss III (WitsPus) PSYC3034 Coitiv Stuis III PSYC3030 Epo Wbi III (WitsPus) PSYC3014 Sct Topic i Coitiv Stuis III (Pr 2013) PSYC3001 Abo Pschoo III 59. I ou hav rpat a ous o thir ar Pschoo at Wits, pas iicat th ov MARK ou obtai wh ou REPEATE th cours (i avaiab): PSYC3024 Abo Pschoo III (WitsPus) PSYC3013 Coitiv Nuropschoo III t PSYC3028 Coitiv Nuropschoo III (WitsPus) PSYC3015 Hath Pschoo III PSYC3016 Couit Pschoo III PSYC3017 Pschothputic Itrvtios III PSYC3018 Chi & Aosct Pschoo III PSYC3019 Critica Socia Pschoo III PSYC3020 isatioa Bhaviour III PSYC3021 Epo Wbi III PSYC3030 Epo Wbi III (WitsPus) PSYC3022 Epot Ratios III PSYC3023 isatioa Ectivss III PSYC3031 isatioa Ectivss III (WitsPus) PSYC3034 Coitiv Stuis III PSYC3014 Sct Topic i Coitiv Stuis III (Pr 2013)

Wits Hoours Pros i Pschoo 2016: i partta 59. I ou hav rpat a ous o thir ar Pschoo at Wits, pas iicat th ov MARK ou obtai wh ou rpat th cours (i avaiab): PSYC3001 Abo Pschoo III PSYC3024 Abo Pschoo III (WitsPus) PSYC3013 Coitiv Nuropschoo III PSYC3028 Coitiv Nuropschoo III (WitsPus) PSYC3015 Hath Pschoo III PSYC3016 Couit Pschoo III PSYC3017 Pschothputic Itrvtios III PSYC3018 Chi & Aosct Pschoo III PSYC3019 Critica Socia Pschoo III PSYC3020 isatioa Bhaviour III PSYC3021 Epo Wbi III PSYC3030 Epo Wbi III (WitsPus) PSYC3022 Epot Ratios III PSYC3023 isatioa Ectivss III PSYC3031 isatioa Ectivss III (WitsPus) Rsarch Mthos, Rsarch si, Pschotrics a Statistics tais o courss copt cotaii rsarch thos, rsarch si, pschotrics a statistics i Uruat aors i pschoo tpica icu copots, ous or courss i rsarch thos, pschotrics, a rsarch aasis (icui statistics). Whr i ou copt/ar ou copti our uruat cours(s) i pschooica rsarch thos? c Wits c Aothr istitutio t c Both

Wits Hoours Pros i Pschoo 2016: i partta 66. Pas provi a ov ars that ar avaiab or th thir ar courss a aitioa courss ou hav iicat (abov) as havi siiicat rsarch thos t cott: [Q62] [Q63] [Q64] [Q40] [Q41] [Q42] [Q43] [Q44] [Q45] [Q46] [Q 67. Hav ou copt a uruat Pschooica Rsarch si a Aasis courss at Wits? Ys Rsarch si & Aasis Courss Wits i No 68. Pas iicat which o th Wits uruat rsarch si a aasis (RA) courss ou hav copt/ar copti: c RA IIA c RA IIB PSYC2006 RA IIB PSYC2005 (or PSYC2012) RA IIA t 69. What ov ars i ou achiv or ths courss (i avaiab)?