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CHECKLIST GRADUATE ADMISSIONS PROCEDURE PSYCHOLOGY DEPARTMENT IOWA STATE UNIVERSITY 1. ISU Graduate Application - Online PLEASE submit the ISU Graduate Application, fee, financial statement, and official transcripts from all institutions you have attended (http://www.admissions.iastate.edu/apply/graduate.php). Department Supplemental Application Materials: Complete and upload all required documents to your online ISU Graduate Application account. We will have access to all your uploaded documents once you have completed and submitted your ISU Graduate Application and pay the application fee. Contact Sarah Kallsen at psychadm@iastate.edu or call 515/294-1742 with questions. 2. Department Supplemental Application and Personal Statement Complete the application below and upload to your online ISU Graduate Application account along with all required materials. 3. Official Transcripts. From all schools you ve attended in which you received grades and credits, whether or not for a degree. 4. THREE Letters of Recommendation While completing the online ISU Graduate Application, provide three letter writers' email addresses, where prompted. Your letter writers will receive an email from the ISU Graduate Admissions Office with instructions for submitting their Letter of Recommendation. The Department of will have access to these letters for departmental review. 5. GRE Scores The General exam is required for all applicants. The GRE subject exam in is recommended. In addition to having your GRE scores sent electronically by ETS, you must provide a copy of your GRE scores with percentiles (screen shot or copy) by uploading it to your ISU Graduate Application account. 6. TOEFL Scores TOEFL official scores are required for all international students when first language is not English. TOEFL is waived only if you have received a degree from a U.S. school. Make a copy of your TOEFL scores and upload to your ISU International Graduate Application. Domestic students do NOT complete this exam. APPLICATION DEADLINES: Counseling PROGRAM DECEMBER 1 COGNITIVE AND SOCIALPROGRAMS DECEMBER 15

SUPPLEMENTAL APPLICATION FORM IOWA STATE UNIVERSITY DEPARTMENT OF PSYCHOLOGY AMES, IOWA 50011-3180 Directions 1. Complete all required parts of this supplemental application, writing "NA" beside items that do not apply. 2. Please upload your completed Supplemental Application and required documents to your online ISU Graduate Application account by our December deadlines below. APPLICATION DEADLINES: Counseling PROGRAM DECEMBER 1 COGNITIVE AND SOCIALPROGRAMS DECEMBER 15 The Department of at Iowa State University requests this information for the purpose of making a complete evaluation of your qualifications for graduate study in psychology. No persons outside the university are routinely provided this information. Responses to items marked "optional" are not required; however, all other items must be completed. Name: (Last, First, Middle Initial) Email address: Permanent address: Current address: Current telephone: Choice of specialty area (clinical is not offered at ISU). You may indicate as many as two choices (1 = first choice, 2 = second choice). Students may apply directly to a Ph.D. program without a prior M.S. degree. Program 1 st Choice Cognitive Counseling Social Program 2 nd Choice Cognitive Counseling Social If accepted, which faculty would you most want to work with; please list their full names below: Optional Age Racial/Ethnic Information: African/American Asian-American Hispanic Sex (Please check) Native American White, not of Hispanic origin Other(specify

Summary of Educational History and Achievement 1. Please list all colleges and universities attended. UNDERGRADUATE SCHOOLS Years Degrees Name and Location of School Major Attended Received GRADUATE SCHOOLS 2. Please calculate the requested grade-point averages (GPAs) using the following scale: A=4.00, A-=3.67, B+=3.33, B=3.00, B-=2.67, C+=2.33, C=2.00, C-=1.67, D+=1.33, D=1.00, D-=0.67, F=0. cumulative undergraduate GPA cumulative undergraduate GPA for most recent 60 semester hours (90 quarter hours). GPA in undergraduate psychology courses graduate GPA 3. Please list memberships in honorary and professional societies. 4. Please list academic and professional awards received (e.g., prizes, scholarships, fellowships, and other indicators of academic excellence).

5. Please list publications in print or in press. Title of Journal or Other Title of Publication Publication Outlet Year Pages 6. Please list other research experiences. Dates of Area of Research Nature of Involvement and Duties Involvement 7. Please list teaching and applied experiences. Dates of Institution Nature of Experience and Duties Involvement

Summary of Courses 1. In each of the areas indicated below, please list courses that you have completed or anticipate completing prior to graduation. Leave the column for grades blank for courses that you have not completed. Semester credits equal.67 x quarter credits. Department & Semester Area Course Number Title of Course Credits Grade Biological Sciences Physical Sciences Mathematics, Statistics, & Computer Science English Composition & Technical Writing

Psychological Measurement & Research Methods Biological/ Physiological Cognitive Social & Personality Abnormal, Counseling, & Clinical

Other Courses Personal Statements Please provide the following information on a separate sheet and upload to your online ISU Graduate Application account. We do NOT have a 500-word limit for your Personal Statement; but the ISU Graduate Application does. If you cannot stay in the 500-word limit, you may choose to include a separate document to upload with your application documents. Do NOT duplicate by doing both statements. 1. Please describe your research interests and vocational goals within your specialty area. Be as specific as possible. 2. Please describe specific reasons for your desire to do graduate work at Iowa State University. Be as specific as possible. If you have a preference for work in a specific research program or with a specific faculty member, please state that preference. 3. Please describe qualifications or factors relevant to your ability to pursue graduate study at Iowa State University not addressed elsewhere in this application. November, 2015