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									                         Graduate Program in Counseling
                                             At Colorado State University

The Graduate Program in Counseling Psychology at
Colorado State University has full accreditation from the         3. Assessment and Clinical Intervention - Training
American Psychological Association. (Committee on             begins during the first year of the program and continues
Accreditation, American Psychological Association, 750        throughout, culminating in a year's internship. Required
First Street, NE, Washington DC 20002-4242, (202) 336-        course work in personality theory, developmental theory,
5979) The application and supporting documents for the        diversity issues, testing, psychopathology, and
counseling program must be received by December 1st           counseling/psychotherapy theory provide the foundation
of any given year. Instructions and special forms are         for a conceptual understanding of problems, life
available         on       our         website          at    circumstances, and intervention strategies. Additionally,        students are expected to develop an area of
                                                              specialization (e.g., a student might choose a child
               Program Objectives                             specialty and include courses in child assessment, child
                                                              interventions, and school consultation; a student might
The Graduate Program in Counseling Psychology at              select an adult emphasis and prepare for a career in a
Colorado State University is based on a scientist             university counseling center, or a student might seek
practitioner model of training with a primary emphasis on     experience in geropsychology or health psychology.
the development of science based practitioner
knowledge and skills. As such, the goal of the program        Skill development through practicum placements begins
is to produce students who are capable of advancing           with interviewing/prepracticum courses in the first year
psychology as a science and who are proficient in the         and continues with placements in the University
use of a variety of counseling and clinical techniques. In    Counseling Center the second year and in the
meeting this goal, students must demonstrate excellence       Psychological Services Center the third year. In the
in three basic areas:                                         second year, practicum students work with clients with
                                                              educational, vocational, and/or developmental problems.
   1. Psychological Theory - Fundamental to being a           Clients in the third-year practicum are typical of persons
counseling psychologist is a broad knowledge of the           seen in a community mental health center. Students
theoretical basis of psychology. Breadth of knowledge in      begin treating adults, children, and families with various
general psychology is developed largely through the           psychological problems during their third-year practicum.
core curriculum, which includes topics such as human          Advanced practica are selected based on each student's
learning and memory, animal learning, personality,            interests and professional goals. Advanced practica in
social psychology, measurement, history of psychology,        community settings are encouraged. After completion of
physiological psychology, lifespan developmental              academic requirements and the intensive practicum
psychology, neuropsychology, and statistics. The core         training, doctoral students are required to complete an
curriculum provides a conceptual foundation for               APA accredited one-year internship which is consistent
research, scholarship, and the development of skills in       with the student's professional goals.
assessment and intervention.
                                                              The program is marked by an emphasis on human
    2. Research - Students are expected to become             development as an underlying process, with an
intelligent consumers of, and contributors to science. To     awareness of, and a respect for the social contexts of
meet this end, students take courses in both basic and        individual difficulties in functioning and coping. Students
advanced statistical and methodological concepts.             are expected to be educated about, and responsive to
Research involvement is required at both the master's         the issues and perspectives of underserved groups,
and doctoral levels. Students are encouraged to join          including     people      of    color,   the   economically
faculty in ongoing research endeavors.                        disadvantaged, sexual orientation and cultural minorities,
                                                              older adults, and persons with disabilities.          While
seminars dealing with specific issues are offered, the       requirements. Additionally, all program faculty meet and
program strives to include content pertaining to under       discuss the progress of first-year students at the end of
served populations in every course and practicum.            each of the first two semesters. Yearly discussions are
Advanced practica which include supervised practice          held on advanced students. The purposes of these
with these groups are encouraged. Knowledge and              discussions are for positive/negative feedback and for
applied training in diversity issues is a necessity in our   consideration of developmental/remedial planning as
diverse and global society.                                  needed.

  Nature of the Counseling Psychology                        The courses listed on the following pages are required
                                                             for the doctoral program. The nature of the Counseling
                Program                                      Program is being constantly evaluated by faculty and
                                                             student representatives. As a result, changes may be
The program offers only a Doctor of Philosophy (Ph.D.)       made in the courses and requirements to improve the
degree. The master's degree is included as part of the       program. Students may, therefore, experience some
doctoral program. Students planning on becoming              changes while in the program, but care is taken so that
counseling psychologists should be committed to the          these changes do not substantially delay completion of
completion of the Ph.D. The Counseling Psychology            the degree requirements.
Program is designed as a five-year program of full-time
fall and spring semester enrollment, with one year being     Program Costs 2012/13 Academic Year:
the required internship. Part-time enrollment is not         Full time in-state tuition is $3996.00 per semester
encouraged. Students entering with master's degrees          ($440.00 per credit hour)
typically take three years plus internship to complete       Full time out of state tuition is $9796.05 per semester
doctoral requirements.                                       ($1088.45 per credit hour)
Comprehensive examinations consist of developmental          Additional expenses include:
tasks and evaluation of the resulting competencies.          1. General fees per semester - $622.34
Exams generally cover ethics, teaching, clinical             2. University facility fee - $180 - $240
intervention skills, and the specialty area. They may        3. University tech fee - $20
range from theoretical papers, research articles and
presentations, counseling, supervision, and teaching         The Counseling Program has been successful in
projects, to defending professional skills. Although         eliminating most if not all of tuition and fees through
knowledge of a foreign language may be appropriate as        research and teaching assistantships. Out of state
a comprehensive task for a particular student, there is no   students most often are successful in gaining in-state
formal language requirement.                                 tuition after their first year.
A one-year internship is required. A.P.A.-approved           Student Demographics (2012/13)
internships are strongly encouraged, and the vast            There are a total of 31 active graduate students enrolled
majority of students complete such internships. Prior to     in the Counseling Program. The graduate students are
beginning the internship, the student must successfully      comprised of 22 females and 9 males.
pass an internship readiness clinical competency
examination. Its purpose is to determine the extent to       Applications and Acceptance
which the student's assessment and intervention skills       For the 2012 entering class there were 281 reviewed
are sufficient for internship. Feedback on clinical morels   applications. Of these, 12 offers were made and 8
is given formally mid-semester and at semester end           students accepted our offer of admission.
during each practicum course.
                                                             Student Disclosure of Personal Information
A dissertation based on an original investigation of a       The Program does not normally require graduate
problem in psychology must be completed and a final          students to disclose personal information regarding
oral examination passed.                                     sexual history of abuse and neglect, past or present
                                                             psychological treatment, and relationships with parents,
The program is planned to enable students to progress        peers, spouses or significant others. The only exception
step-by-step, simultaneously developing a knowledge          is when any of this information is judged to be necessary
base and the professional skills needed to apply that        to evaluate or obtain assistance for students whose
knowledge to human problems. Evaluation of progress          personal problems are preventing them from performing
takes several forms. First, there is the usual instructor    their training or professionally related activities in a
evaluation in courses, and students must maintain a B        competent manner or posing a threat to the students or
average (3.00 on a 4.00 scale) in required courses.          others.
Second, faculty committees review and evaluate
competencies on required tasks such as practica, the         Attrition
master's    thesis,   dissertation,    internship,   and     During the past seven years approximately 5.4 percent
comprehensive examinations. There are also reasonable        of students who matriculated in the Counseling Program
maximum times for the completion of all Ph.D.                left the program for various reasons.
                                                            Psychological Association's convention; was on Tri-
Program Statistics                                          Ethnic Center's grants.
Mean and median number of years to program
completion for students who came in with Bachelors and      The Diversity of our Faculty includes:
Masters during the last seven years (for all graduates)
                                                            o Dr. Silvia Sara Canetto, an international, multi-lingual
1. Bachelors Mean = 5.65                                    faculty, with a long-standing record of international
             Median = 5                                     scholarly collaborations in Europe, Africa, the Middle
                                                            East, and South America. A Fellow of the Society for
2. Masters   Mean = 4                                       Counseling Psychology, she has been the recipient of
             Median = 4                                     several education and mentoring awards, including
                                                            Colorado State University Cermak Excellence in
Percentage of incoming students with undergraduate          Advising Award and APA Strickland Henderson-Daniel
degrees completing the program in:                          Distinguished Mentoring Award.
1. fewer than five years = 0 percent                        Dr. Ernest Chavez, a Latino, who was Chairperson of
2. five years = 64 percent                                  the Department and co-director of the Tri-Ethnic Center.
3. six years = 15 percent                                   He has also been the recipient of several mentoring
4. seven years = 10 percent                                 awards, including, most recently, Colorado State
5. more than seven years =7 percent                         University Cermak Excellence in Advising Award.
                                                            o Dr. Richard Suinn, an Asian American emeritus
Percentage of incoming students with masters degrees        faculty, who was the 1999 President of the American
completing the program in                                   Psychological Association, and past chair of the APA
1. fewer than five years = 100 percent                      Commission on Ethnic Minority Recruitment, Retention
2. five years = 0 percent                                   and Training.
3. six years = 0 percent
4. seven years = 0 percent                                  The Climate, Evidence of a climate supportive of
5. more than seven years = 0 percent                        diversity includes the following:

Internships                                                 o As a way to affirm the importance of diversity
During the past eight years 61 students applied for         perspectives in our training, content about gender,
internships. 59 or 97.6% were successful in obtaining       ethnicity, culture, social class, sexual orientation,
APA approved internships. 1 student obtained an             nationality, and ability is consistently addressed in the
AAPIC, non APA-approved position and 1 student is not       first-semester of the first year, required Lifespan
yet placed.                                                 Developmental Psychology course.
                                                            o A diversity in counseling course is a core requirement
   Diversity in the Counseling Program                      for all students in the program.
                                                            o Current faculty discussions have centered on
The Counseling Program welcomes diversity among its         maintaining a positive environment for the diversity
graduate students and faculty. Our graduate students        students in the program, broadening the coverage of
and faculty represent a diversity of personal               diversity in coursework and practicum, and improving the
characteristics and backgrounds, with regard, for           diversity of students we bring to the program. We were
example, to ethnicity, culture, geographic, provenience,    selected for the APA multicultural tour in 2004.
first-language, nationality, age, sexual orientation,
generation in college, religious affiliation, and ability
status. Our program also values a diversity of                    "We Welcome Your Application!"
perspectives and contributions from its students and
                                                            The sequence of courses has been designed to facilitate
             Our History of Success                         both the scientist and the practitioner roles throughout
                                                            the program. The courses have been sequenced to
Ethnic Minority Students, In the past ten years we          meet prerequisites for advanced courses including
have admitted to the program over 20 underrepresented       practica and the internship. Students will be able to
ethnic minorities students. As an example of the success    select research topics, advanced practica, seminars, and
of ethnic minority students in our program here are two     internships which are consistent with their professional
cases                                                       goals and personal interests.

o A Latina student was the Recipient of a Federal
Minority Research Grant.
o An Asian/American student had two publications
during graduate school; presented at the American
Students who wish to waive PSY652 and                       Things students should know before, during, and after
                                                            the tests
PSY653 should follow the following
steps.                                                          1. Students can only take the waiver tests once at
                                                                   the beginning of Fall and Spring semesters,
Contact the PSY 652 instructor prior to the Fall semester          respectively. Pre-requisite for taking PSY 653
to arrange to take PSY 652 waiver test. Students who               waiver test is to pass PSY 652 waiver test.
score at least 80% on the exam are permitted to waive           2. Students will receive the result and will not
the course. Students scoring between 70% and 79%                   receive their answers or be allowed to keep the
are strongly encouraged to take the class, but they may            questions. Their results will also be passed to
waive the course with the permission of the instructor             their advisors for reference.
and the student’s advisor.                                      3. Students can bring whatever books and notes
                                                                   they wish, but no programmable calculators or
Students who pass the PSY 652 waiver exam may elect                handheld computers, to their testing sessions.
to also take the PSY 653 waiver exam. Interested
student should contact the PSY 653 instructor prior to
the Spring semester to arrange to take the waiver exam.
The same procedures apply for both exams.
                             COUNSELING PSYCHOLOGY Doctoral PROGRAM

                                                REQUIRED COURSE OF STUDY
COURSE                                                                         COURSE
NUMBER                             COURSE                             CR       NUMBER                           COURSE                              CR
                                  FALL I                                                                     SPRING I
PSY 596C       Orientation (Group Study)                                1      PSY 596C       Orientation (Group Study)                              1

PSY 600H       Advanced Psychology – Lifespan Developmental             3      PSY 611        Clinical Skills: Theory and Practice II                3

PSY 610        Clinical Skills: Theory and Practice I                   3      PSY 653        Methods of Research in Psychology II (Statistics)      4

PSY 652        Methods of Research in Psych. I (Statistics)             4      PSY 655        Research Issues and Models - Counseling                3

PSY 727        Theories of Vocational Psychology                        2      PSY 720        Psychopathology                                        3
                                 FALL II                                                                     SPRING II
PSY 670        Psychological Measurement- Personality                   3      PSY 672        Psychological Assessment: Intelligence                 3

PSY 686AV      Practicum--Counseling and Diag. I (UCC)                  3      PSY 686AV      Practicum--Counseling and Diag. I (UCC)                3
PSY 775 or     Diversity Issues in Counseling or
                                                                        3      PSY 600A-H     Core Requirements                                      3
PSY 675        Ethics and Professional Psychology Practice
PSY 600A-H     Core Requirements (See categories below)                 3      PSY 699AV      Thesis-Counseling                                      3

PSY 699AV      Thesis-Counseling                                        3
                                 FALL III                                                                    SPRING III
PSY 675 or     Ethics and Professional Psychology Practice or
                                                                        3      PSY786 AV      Adv. Practicum--Counseling & Diag. II (PSC)            3
PSY 775        Diversity Issues in Counseling
PSY 722        Empirically Supported Treatments                         3      PSY 600A-H     Core Requirements                                      3
                                                                               PSY 699AV or   Thesis--Counseling
PSY 786AV      Adv. Practicum--Counseling & Diag. II (PSC)              3                                                                           3-6
                                                                               PSY 799AV      Dissertation--Counseling
PSY 699AV or   Thesis--Counseling
                                                                               PSY 786J       Advanced Practicum-Vocational Assessment               3
PSY 799AV      Dissertation--Counseling                                3-6
                                 FALL IV                                                                    SPRING IV
PSY 786EV      Adv. Practicum -- PSC and/or External                    3      PSY 786EV      Adv. Practicum--PSC and/or External                    3
                                                                                              Theories and Application of
PSY 600A-H     Core Requirements (optional)                                    PSY 792A                                                              3
PSY 799AV      Dissertation--Counseling                                3-6     PSY 596        ProSem                                                 1

                                                                               PSY 799AV      Dissertation--Counseling                              3-6
                                 FALL V                                                                      SPRING V
PSY 787V       Internship                                               1      PSY 787V       Internship                                             1

PSY 799AV      Dissertation--Counseling                                 3      PSY 799AV      Dissertation--Counseling                               3
                                                       ADDITIONAL REQUIREMENTS
                                          (These courses are required but may be taken at any time)
NUMBER                                         COURSE                                                           COMMENTS
Variable       Elective Seminars (Offered on a Rotational Basis)

PSY 729        Examples: Group                                                                6 credits are required for Ph.D. (Any course in the
                         Projectives                                                          University is appropriate if approved by the
                                                                                              student's doctoral committee.)

PSY 600A-H     Core Requirements                                                              A total of 5 core courses are required for Ph.D. --
                                                                                              one from each of the following groupings:
               Timing of core requirements is optional—however, a total of 3 core course
               are required for the Master’s degree.                                          (Group A: = PSY 600B, PSY 600C, PSY 600D)
                                                                                              (Group B: = PSY 600E, PSY 600F)
                                                                                              (Group C: = PSY 600H )
                                                                                              (Group D: = PSY 600G)
                                                                                              (Group E: = PSY 600A)
               Comprehensive Projects = Ethics, Teaching, Internship Readiness, and
Updated 2011/12
        Counseling Program Faculty
                                                             Lee A. Rosén, Professor, Ph.D., Director of the
Larry J. Bloom, Professor, Ph.D., University of Kansas,      Psychological Services Center, State University of New
1975. Area of specialization: Clinical psychology,           York at Stony Brook, 1984.
behavioral medicine, forensic psychology, interpersonal      Area of specialization: Child psychopathology and
relationships.                                               child psychotherapy, disruptive behavior disorders,
Phone: (970) 491-5214                                        attention deficit hyperactivity disorder.
E-mail:                            Phone: (970) 491-5925
Silvia Sara Canetto, Professor, D.Psy, University of
Padua, Italy, 1977; Ph.D., Northwestern University           Michael F. Steger, Associate Professor, Ph.D., and
Medical School, 1987.                                        Counseling Program Coordinator/Director of Training,
Area of specialization: Cultural norms and scripts of        University of Minnesota, 2005.
gender (by age, sexual orientation, social class, and        Area of specialization: Understanding well-being and
disability) and suicidal behaviors/hastened death.           meaning in life, psychological predictors and physical
Women’s and men’s interest, persistence and success in       health and health-risk behaviors, facilitators and benefits
science, math and engineering. Adult and older adult         of engaging in meaningful work, and social cognitive
development. Teaching and impact of gender courses.          processes in dating relationships.
Cultural relativism and human rights.                        Phone: (970) 491-7324
Phone: (970) 491-5415                                        E-mail:
                                                             Tammi Vacha-Haase, Professor, Ph.D., Texas A&M
Ernest L. Chavez, Professor, Ph.D., Washington State         University, 1995.
University, 1976.                                            Area of specialization: Geropsychology.
Area of specialization: Assessment ethnic/minority           Phone: (970) 491-5729
issues, substance use, adolescent issues, educational        E-mail:
Phone: (970) 491-6364
E-mail:                          10/12

Jerry L. Deffenbacher, Professor, Ph.D., University of
Oregon, 1975.
Area of specialization: Cognitive behavior theory, anxiety
and anger research and reduction.
Phone: (970) 491-6871

Bryan J. Dik, Associate Professor, Ph.D., University of
Minnesota, 2005.
Area of Specialization: Vocational psychology, with
emphasis on a sense of calling in the work role:
meaning, purpose, religion and spirituality in career
development; vocational interest measurement, and
computer-assisted career development interventions.
Phone: (970) 491-3235

Kathryn Rickard, Associate Professor, Ph.D., University
of Georgia, 1983.
Area of specialization: Clinical psychology, Exercise and
sport psychology, women's health psychology, and
parent-child relations.
Phone: (970) 491-5121
Apply to CSU
Psychology Major at Colorado State University
Please visit this site learn more about CSU and to apply to become
a student at Colorado State University.

Psychology Graduate Study at Colorado State University
The following information and instructions have been written to assist the student in completing the
application materials for our Graduate Programs.
Applied Social, Cognitive, Cognitive Neuroscience, Counseling and I/O psychology programs offer
M.S. and Ph.D. degrees, but only accept those applicants who definitely wish to pursue the Ph.D.
The Masters in Applied Industrial/Organizational Psychology (MAIOP) program is entirely online
and only offers an M.S. degree.
All programs only admit students in the Fall.
The application deadlines for each specialization are:
December 1st - Counseling Psychology, Industrial Organizational Psychology
January 15th - Applied Social Psychology, Cognitive Psychology, and Cognitive
Neuroscience (Formerly Perceptual and Brain Sciences)
April 1st - Master of Applied Industrial/Organizational Psychology (MAIOP)

New!!! - Beginning in May 2012 for graduate school applicants
for the 2013 term
We are changing over to an electronic submission system where applicants will be able to upload
supporting documentation, automatically send requests for electronic letters of recommendation, and
complete other electronic forms for their application. This change is not accessible to the applicants
for the 2012 term. The application process will be as follows:
The GS Form F1 (for Foreign Students) and GS Form 1 (for U.S. Students) are to be
completed online. This is the University graduate school application. This application must be
completed first.
The application can be completed online by clicking here.
You must have completed the above online application process, and have given us 48 hours at least to
pull the information before you can access the website allowing you to digitally upload and request
letters of recommendation.

Supporting Documentation
Institutions Attended and Transcripts: One official transcript is required from all colleges or
universities attended, including Colorado State University. Please indicate the average GPA for the
last 60 semester or 90 quarter credit hours. Do not count pass/fail courses. Where possible, have the
institutions furnish official transcripts in sealed envelopes. IMPORTANT NOTE: If the last name on
the transcript is different than the current last name, e.g., due to marriage, please notify the
department so the records can be matched to the file.
ALL transcripts are to be mailed to:
Graduate Admissions
Department of Psychology
1876 Campus Delivery
Colorado State University
Fort Collins, CO 80523-1876
The remaining documents can be uploaded.

References: Ask the three persons to write letters of recommendation concerning your abilities and
potential for graduate study. You will need to know the current email addresses of the people you are
asking to write letters of recommendation to process them electronically. All applicants should have
letters written on letterhead by professors or other professionals with whom you have worked recently
or who know you well. All letters should clearly refer to BOTH your FIRST and LAST names. We do
not have a form for reference letters.
GRE: All applicants to the graduate degree programs at Colorado State University must submit
official scores from the general portion of the Graduate Record Examination (GRE). GRE scores are
required for all programs. You will be able to upload your GRE scores.
Psychology Subject Test: Psychology subject test scores are not required for all programs. The
subject test score is required by the Industrial/Organizational Psychology program only for applicants
who did not major in psychology as an undergraduate or in graduate school.
As soon as you receive your score from the ETS, you are required to upload a PHOTOCOPY to the
Psychology Department. Be sure the photocopy shows your name and address and scores from all
previous test dates. The highest possible scores for each test are used, even if taken on different test
Financial Assistance: If you wish to be considered for a fellowship, traineeship, research
assistantship, or teaching assistantship, please complete the GS Form 4B and return it to the
Psychology Department. If you wish to be considered for a residence hall assistantship, a separate
application is necessary. You will be able to complete the GS Form 4B online through the application

Specific Material for each Program is as follows:
Applied Social Applicants: Submit: (1) A resume or vita indicating your education, training and
work experience; (2) a statement of your research interests which highlight areas of research that you
would like to pursue during your graduate training, specific faculty members with whom you would
like to work, and your previous or current research experience. (3) A sample of your scientific writing
ability such as a senior honors thesis, term paper from a psychology course, laboratory report from an
experimental course, or some similar material.

Cognitive Applicants: Submit: (1) A vita or resume which lists your educational background,
relevant work experience and training, research experience, and any publications or presentations for
which you appear as an author; (2) A statement of interest that describes how you became interested
in Cognitive psychology, your training goals in our program, and why you are pursuing a career in
Cognitive psychology. Because we follow a mentorship model, you are encouraged to be as explicit as
possible in indicating your research interests and the faculty members or members with whom you
wish to be affiliated; (3) Optionally, a sample of your scientific writing, such as a senior honor’s thesis,
a term paper from a psychology course, a laboratory report from an experimental course, or some
similar material.

Cognitive Neuroscience Applicants (formerly Perceptual and Brain Science): Submit: (1)
a vita or resume which lists your educational background, relevant work experience of training,
research experience, and any publications or presentations for which you appear as an author and (2)
a statement of interest which describes how you became interested in Cognitive Neuroscience. You
are also encouraged to be as specific as possible in describing your research interest and to indicate
the faculty member or members with whom you wish to affiliate. ; (3) OPTIONAL - a sample of your
scientific writing ability such as a senior honor’s thesis, term paper from a psychology course,
laboratory report from an experimental course, or some similar material.

Counseling Applicants: Submit: (1) a resume or vita indicating your education, training, and work
experience; (2) a personal statement, not longer than two or three typewritten pages. Write a
biographical sketch highlighting your interest in psychology and your previous or current involvement
in research, or applied psychology work. The Selection Committee is concerned with how your
interest in Counseling psychology developed, what you want from a graduate program, and an
assessment of your personal strengths and weaknesses; and (3) the Counseling Academic Information
Form. For your ease of use, this form is available on our web site in Word format so that you may save
the file to your computer to review, and complete so that you can copy and paste into the electronic
The Academic Information Form - In Microsoft Word

Industrial/Organizational Applicants: Submit: (1) a resume or vita indicating your education,
training, and work experience; (2) a personal statement form. For your ease of use, this form is
available on our web site in Word format so that you may save the file to your computer to review, and
complete so that you can copy and paste into the electronic form. ; (3) a sample of your scientific
writing ability such as a senior honor’s thesis, term paper from a psychology course, laboratory report
from an experimental course, or some similar material.
The I/O Personal Statement Form - In Microsoft Word

Master of Applied Industrial/Organizational Psychology (MAIOP) - Submit: (1) a resume or
vita indicating your education, training, and work experience; (2) a statement of purpose - The
statement of purpose should describe: How you became interested in Industrial/Organizational
Psychology, What you want to gain from our graduate program, Why you are interested in pursuing a
career in Industrial/Organizational Psychology; (3) a sample of your scientific writing ability such as a
senior honor’s thesis, term paper from a psychology course, laboratory report from an experimental
course, or some similar material.
Our graduate application coordinator will be happy to answer any questions you may have.

Linda Thornton can be contacted at:

                                                                                           Rev. 07/2012
                                    COUNSELING PSYCHOLOGY
                                  ACADEMIC INFORMATION FORM

COUNSELING APPLICANTS – Please type. To submit this document either email it to, or complete and print the document and mail it to:

                                      GRADUATE ADMISSIONS COORDINATOR
                                         DEPARTMENT OF PSYCHOLOGY
                                         COLORADO STATE UNIVERSITY
                                          FORT COLLINS, CO 80523-1876

NAME OF APPLICANT:                                                              DATE:

Best Telephone Number to Reach You:
                                                                                          Degree Awarded/
Institutions Attended                               Dates          Major                  Expected        GPA

        Cumulative Grade Point Average, using all college grades up to bachelor’s degree, on a 4.0=A scale

Graduate Record Exam (GRE) Note: General GRE is required, subject is optional
                                Verbal             Quantitative               Analytic                   Psychology
                                      score   percentile   score   percentile     score    percentile   score   percentile
Date of Exam
Date of Exam
Date of Exam
Date of Exam

PSYCHOLOGY COURSES TAKEN (List All Courses. Use extra sheets if necessary)
Course                                                                                                  Date

Course                                                                                                  Date
LETTERS OF RECOMMENDATION (3 required. Letters must be sent directly to the department.)



RELEVANT COUNSELING/COMMUNITY EXPERIENCE (Identify organization & your role)

EXPERIENCE WITH UNDERSERVED POPULATIONS (Identify population served and your role)


HONOR’S OR SENIOR THESIS (Provide title, topic, activities required to complete, and level of

RESEARCH EXPERIENCE (Describe your experience conducting research, particularly supervised
research experience)

PUBLICATIONS AND PRESENTATIONS (List any publications or presentations on which you appear
as author or co-author)

OTHER EXTRAORDINARY EXPERIENCE (List other exceptional experience you have, e.g., starting
a successful business or scholarship, political service, Peace Corps, significant military promotions, etc.)
The Counseling Psychology Program Faculty members conduct research in several specialized research areas.
Please review the current research interests of the counseling psychology faculty, which can be found on the
website. Once you have done so, please describe the research you would like to conduct and how it fits with
research being conducted by specific faculty members in our counseling psychology program. In addition to
identifying your research interests, please briefly explain why you are interested in that area. Feel free to
identify more than one research area and more than one faculty member if you have more than one area of
interest. Note: The counseling psychology program does not assign mentors. Students have until the end of their
first year to formalize a mentoring relationship with faculty. However, it is useful for us to know as much as
possible about your interests.


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