APPLICATION FOR ADMISSION TO
PhD Program in Social and Behavioral Sciences (SBS), School of Public Health
THE UNIVERSITY OF MEMPHIS
(In addition to the PhD program, applicants must apply to the U of M Graduate School).
BIOGRAPHICAL AND ACADEMIC INFORMATION
Last Name First Name M.I.
Street Address Apartment #
City State Zip
Home Phone Work Phone
Cell Phone Email Address
Date of Application
Applying for (Check One) Part-Time Full-Time
Semester and Year Applying For (Check One) Spring 20___ Fall 20___
Applying for Assistantship (Check One) Yes No
Please list all graduate and undergraduate programs attended.
Degrees Graduated Cumulative
Institution Attended From To Major/Minor
Earned (Yes/No) GPA
Company Name From To Position Held
Statement of Purpose
Applicants must also submit a personal statement of approximately 750 to 1000 words indicating his/her present interests and career
goals, including how the PhD in Social and Behavioral Sciences will prepare the candidate to achieve these goals.
Letters of recommendation from three individuals (at least two letters from former professors or instructors) familiar with the
applicant’s academic background or experience in public health related work, specifying in detail the applicant’s capabilities for
graduate study and for future performance as a public health scholar, are required.
Please list 3 professional references
Full Name Place of Work Email address Phone Number
GRE Scores Verbal Quantitative Writing
Is English your primary language? YES NO
If Not, TOEFL Score
Other Test Scores,
LSAT, DAT, etc.)
I would like to be considered for Graduate Assistantship (Note: only full-time students are eligible for GA awards.
Awards are limited and are determined on a competitive basis.)
Application deadline is March 1st.
Materials sent to the SBS Division:
Application to the School of Public Health (attached);
Statement of Purpose (750 – 1,000 words);
Names and contact information of three references (at least two from former or current faculty members). Please use
the Reference Letter Form (attached);
Copies of transcripts from all institutions of higher education attended (Official transcripts should be submitted to the
UofM Graduate School); and
Copy of GRE scores (Official copy should be submitted to the UofM Graduate School)
Materials sent to the UofM Graduate School:
Application to the University of Memphis Graduate School;
$35 application fee;
Official transcripts from all institutions of higher education attended; and
Official GRE scores.
DISCLAIMER AND SIGNATURE
I certify that my answers are true and complete to the best of my knowledge.
If this application leads to admission, I understand that false or misleading information in my application may result in cancellation of
Please return this form along with the recommendation letter via postal mail to:
Academic Service Coordinator
Division of Social and Behavioral Sciences
School of Public Health
The University of Memphis
114 Robison Hall
Memphis, TN 38152
Email: email@example.com; Phone: (901) 678-1710; Fax: (901) 678-0172