Psyc 400 Application Form Name Student Number Mailing Address printable pdf download

PSYC 400 Application Form

Name: ______________________________________ Student Number: _________________

Mailing address: ______________________________________________________________

(street name, number, apt. or PO Box)

_____________________________________________________________________________

(city)

(province)

(postal code)

Phone number: (_____)________________________

Email address: _______________________________

Have you been accepted into the Honours Program by the Arts Students’ Services office (or the

corresponding office at a federated college) and the Department Head? ______________________

*If you are not yet in the Honours Program at the time of application you may be conditionally accepted into PSYC400, but

you will still need to be accepted into the Honours Program by the 31

of August prior to commencing PSYC 400AA. Failure

to do so will void your acceptance into PSYC 400 and you will need to re-apply in a subsequent year. Please refer to section

9.3.3.1 of the Undergraduate Calendar for information on admission requirements for Honours programs in Arts.

When do you plan to start PSYC 400? __________________________________ (term/year)

Current Grade Point Average:

Psychology:__________%

Overall:__________%

Provide five key terms that best describe your area of interest: ________________________

______________________________________________________________________________

In order of preference, list up to 5 faculty members that you would like as your Honours thesis

supervisor. A list of available supervisors for the upcoming academic year is posted in the

Honours Program section on the Department of Psychology website. This list briefly describes

each supervisor’s research interests; it is advisable to discuss your research interests with

potential supervisors in advance to ensure a good fit.

__________________________________________________________________

Signature: ___________________________________________

Date: _________________

If you have any questions about the PSYC 400 Application and Selection Process, please contact Dr. Chris Oriet

(Chris.Oriet@uregina.ca) or Dr. Laurie Sykes Tottenham (Laurie.SykesTottenham@uregina.ca).

Psyc 400 Application Form Name Student Number Mailing Address