The University of Memphis
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|College of Education, Health, & Human Sciences |
|Department of Counseling, Educational Psychology, and Research |
|APPLICATION FORM FOR DOCTORAL PROGRAM |
|IN EDUCATIONAL PSYCHOLOGY OR EDUCATIONAL RESEARCH |
|Enter full legal name. Do not use initials. This name is to be used on all correspondence. |
|01. Which area of concentration you intend to apply? |
|( Ph.D. in Educational Psychology ( Ph.D. in Educational Research |
|02. Last name First Middle |03. Other names used in records |
|04. Visit ) to obtain a U number by completing your |05. Are you applying for financial aid? |
|Graduate School application and enter your U ID number here: U |(Yes ( No |
|06. Citizenship |07. Foreign Applicant Visa Status |
|( U.S. |( Student Visa |
|( Permanent U.S. Resident |( Immigrant Visa |
|( Other country (Specify) |( Other country (Specify) |
|08 a. US and permanent resident applicants: Intended to enroll in ( Fall Year 20___ ( Spring Year 20___ |
|b. International applicants are admitted only in Fall each year: ( Fall Year 20___ |
|09. Current or Local Mailing Address |
|Street Number: City: State/Province: Zip: |
|Telephone: E-mail address: |
|10. Permanent Mailing Address |
|Street Number: City: State/Province: Zip: |
|Telephone: E-mail address: |
|11. Starting with the most recent, list all colleges and universities you have attended, including the one in which you are currently enrolled. List all |
|regardless of the length of time enrolled or number of credits earned. Send transcripts from all institutions listed to Graduate Admissions, 200 Wilder Tower, |
|University of Memphis, Memphis, TN 38152. |
|Institution Name |Location (City, State) |From Mo/Yr |To |Major |Degree or Diploma |Date Received or |
|(Do not use initials) | | |Mo/Yr | |Received or Expected |Expected Mo/Yr |
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|12. Undergraduate Major GPA (4 point scale): |
|13. Graduate Major GPA (4 point scale): |
|14. Test |a. GRE verbal |b. GRE quantitative |c. GRE analytical writing |d. TOEFL (iBT) |e. TOEFL (paper) |
|Date | | | | | |
|Score | | | | | |
|Note : The Program Admissions Committee will evaluate the applicant’s GRE score based on multiple criteria. |
|15. Academic Honors and Awards |
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|16. Relevant Occupational Experience (Professional, Vocational, Military, including Assistantships). |
|Position Title and Description |Location |Date |
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|17. References. List, at least, three university professors who have agreed to submit references and who can evaluate your academic competence, performance, |
|research interest and activities. |
|Name and Title |Mailing Address |Telephone/E-mail |
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|18. I certify that the above statements and all other information and transcripts submitted by me in connection with this application for admission are true and |
|correct. I understand that falsification and deliberate omission of information are grounds for rejection of the application or dismissal from the school. |
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|_____________________________________________________________________________ |
|Applicant’s Signature Date |
|Evidence Of Writing Ability For Admission To Doctoral Programs |
|For admission to the doctoral program, applicants must provide evidence of writing ability, which includes two parts: |
|A statement of purpose (800-1000 words) that describes their (1) research experiences, (2) current research interests and activities, and (3) reasons for |
|entering this research program, including long- and short-term goals and how the program can help them achieve those goals. |
|II. One piece of written work that can be one of the following: |
|1. Master’s thesis |
|2. Published article or research paper presented at a conference in which the applicant is the 1st author. |
|3. Paper written for completing an academic course on which the applicant is the sole author. |
|Inquiries about Doctoral Program in Educational Psychology and Research May Be Directed to: |
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|Dr. Christian Mueller |Dr. Yonghong Jade Xu |
|Coordinator, Educational Psychology |Coordinator, Educational Research |
|Ball Hall, Room 100 |Ball Hall, Room 100 |
|The University of Memphis |The University of Memphis |
|Memphis, Tennessee 38152 |Memphis, Tennessee 38152 |
|(901) 678-4392 |(901) 678-5026 |
|cemuellr@memphis.edu |yxu@memphis.edu |
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|Department Of Counseling, Educational Psychology And Research |
|REFERENCE FOR GRADUATE STUDY IN EDUCATIONAL PSYCHOLOGY & RESEARCH |
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|Three (3) references are required although you may copy as many of this form as you need. These three references must come from university professors who can |
|directly and specifically comment on your research experiences, interests and potentials. |
|Program to which you are applying: (Check one) |For admission to |
|( Ph.D. in Educational Psychology |Fall 20____ Spring 20____ |
|( Ph.D. in Educational Research | |
|Part I (To be completed by Applicant) |
|Applicant’s Name: |U Number Assigned by UofM: |
|Recommender’s Name: Title: |
|APPLICANT: |
|Please indicate your preference for whether this report will be confidential or not by checking one of the following choices: |
|( I waive my rights to see this recommendation letter from this recommender. |
|( I do not waive my rights to see this form and the recommendation letter from this recommender. |
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|____________________________________________________________________________ |
|Applicant’s Signature: Date: |
|Part II (To be completed by Recommender) |
|RECOMMENDER: |
|The applicant has given your name as a reference in support of his/her application for admission to the graduate program of Educational Psychology and Research |
|at the University of Memphis. The admission committee would appreciate your candid evaluation in writing of the applicant’s research work and research potential,|
|academic and professional skills, including writings skills. Your comments on the applicant’s research experiences and inclinations will be essential for the |
|consideration of the applicant. |
|Please note that if the student did not waive his/her rights to see your letter of recommendation, your letter and any supplementary notes can be shown to the |
|student any time that he/she requests it. |
|Please sign across the seal line of the envelope and send your letter and this form DIRECTLY to: |
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|Educational Psychology & Educational Research |
|Admissions Committee |
|Ball Hall, Room 100 |
|The University of Memphis |
|Memphis, TN 38152, USA |
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