Due May 4, 2012 in 406 Schermerhorn Hall
DATE _______________
NAME __________________________________________ UNI____________________
EXPECT TO GRADUATE IN (mo/yr): _______________ SCHOOL __________________
LOCAL ADDRESS ________________________________________________________
LOCAL TELEPHONE ______________________________________________________
PERMANENT ADDRESS ___________________________________________________
SUMMER ADDRESS/PHONE ________________________________________________
NUMBER OF CREDITS COMPLETED (as of this May)___________ G.P.A. ____________
MAJOR ______________________ 2ND MAJOR/CONC __________________________
DEPT. FACULTY ADVISOR who knows you:_____________________________________
(or other psych. dept. member)
FIELD(S) OF INTEREST WITHIN PSYCH/NEUROSCIENCE ________________________
(e.g., social, neuroscience, cognition, etc.)
LIST ALL PAST AND PRESENT MAJOR COURSES AND GRADES*:
| Psychology or Neuroscience |
Grade |
| Course |
Received |
| 1)_____________________________________ |
__________ |
| 2)_____________________________________ |
__________ |
| 3)_____________________________________ |
__________ |
| 4)_____________________________________ |
__________ |
| 5)_____________________________________ |
__________ |
*Please attach a copy of your most recent Columbia transcript. Transfer
students, please include a transcript from your previous college/university.
ADDITIONAL MATERIAL:
On a separate
page, please include the following:
- A description of any research experience you have had
- A brief statement on why you would like to be admitted
to the Honors Program
- A description of your plans for after graduation
This form may be printed directly from your web browser. Please be sure
to attach a copy of your most recent transcript(s) to this application.
When completed, submit your application to the Department of Psychology Office, Room 406 Schermerhorn Hall.
Applications for Fall 2012 are due no later than 4:30 PM, Friday, May 4, 2012. You will be notified of your acceptance in July, after we have reviewed
grades for the Spring term.
|