DOC

recommendations

By William Daniels,2014-09-13 21:17
9 views 0
recommendations

    APPLICATION FOR

    CAREER OPPORTUNITIES IN RESEARCH (COR) PROGRAM

    MINORITY HONORS UNDERGRADUATE MENTAL HEALTH RESEARCH TRAINING

    SAN FRANCISCO STATE UNIVERSITY

    Application to the COR PROGRAM consists of the following components:

    a) Application form: Please complete and sign the enclosed application form. Where

    space is limited, use additional sheets if needed.

b) Statement of Purpose (3 copies): Please limit to 1000 words and include:

    ; your personal and family background

    ; your academic background

    ; your experiences ( work related or volunteer) in psychology or in the mental health

    field

    ; your professional goals

    ; what are your expectations and what do you hope to gain or accomplish from the

    program.

    c) Transcript: Have the registrar send a copy of your transcript to this office, EP (PSY) 236

    or you can pick up an official transcript from the registrar and enclose it with your

    application. Please do not open the envelope.

d) Two letters of recommendations: Two people who are qualified to evaluate your

    scientific and academic background should complete the forms and mail them to us

    directly. Please contact us immediately, if you have a difficulty, providing these

    recommendations.

Please send or deliver all application materials to:

    Jaih McReynolds

    COR Program Specialist

    San Francisco State University

    Career Opportunities in Research

    Psychology Department

    1600 Holloway Ave

    San Francisco, CA 94132

    (415) 405-3562 phone

     (415) 405-0760 fax

     1

    APPLICATION FOR

    CARRER OPPORTUNITIES IN RESERACH PROGRAM

    SAN FRANCISCO STATE UNIVERSITY Please print or type

    Name

     First Middle Last

     - - SSN Male Female Ethnicity: Citizenship Status:

    (Please check all that apply) (Please check one)

    African American US Citizen ? ?

    Mexican American Green Card/Permanent Resident ? ?

    Other Latino/Hispanic ?

    Residency Status in Ca: Filipino ?

    Pacific Islander California Resident ? ?

    American Indian/Alaskan Native Non-Resident ? ?

    Asian American ?

    Immigrant Status: Other Ethnicity ?

     Specify: Born Abroad ?

     Parents Born Abroad ?

    Parents Born in US ?

     Local Mailing Address:

     Telephone: ( )

     Permanent Home Address:

     Telephone: ( )

     Month Date Year

    Birthdate: E-mail address: - -

     List all the languages in which you are fluent:

     YES NO English As a Second Language: ? ?

    Father/Guardian Name: Occupation:

    Mother/Guardian Name: Occupation:

     Number of Brothers: Number of Sisters:

Major: Minor:

     Freshman Sophomore Junior Senior Undergraduate Standing:

     This office must be notified of any changes of address or telephone number!

     2

    Father's highest level of education: Mother's highest level of education:

     Graduate of High School Graduate of High School

     Technical/Vocational School Technical/Vocational School

     Some College Some College

     Associated Degree Associated Degree

     Bachelor's Degree Bachelor's Degree

     Master's Degree Master's Degree

     Doctorate Degree Doctorate Degree

     Other Professional Degree (i.e. MD, Other Professional Degree (i.e. MD,

    JD, DDS, etc.) JD, DDS, etc.)

     Other Other

     Siblings in College: Brothers Sisters

     Siblings Graduated from College: Brothers Sisters

Financial Aid:

    Do you have a current financial statement on file with the SFSU Financial Aid Office?

     Yes No

     Do you have a current financial statement on file with the SFSU Equal Opportunity Program (EOP) Office?

     Yes No

     Are you paying for your own college education? Yes No

     If yes , please check in part or entirely? In Part Entirely

     Do you currently receive any grants, loans, scholarships, or work-study support?

     Yes No If yes, please state which:

     Please list any work or volunteer related experience:

     Employer Description of the Position Contact Person From To

     Educational Training:

     Name of the Address of the Major Minor Degree Date Awarded

     Institution Institution Expected

     3

    Academic Honors, Scholarships, Fellowships and Assistantships:

     Awards Institution & Location Inclusive Dates

     Membership in Scientific or Student Organizations:

     Name of the Organization Description of the Organization

     Extracurricular Activities and Interest:

    Please list any research experience, presentations and/or publications:

     Please list all psychology courses and courses related to behavioral, and social Sciences (e.g. sociology, social work anthropology, etc.) and physical sciences (e.g. biology, chemistry, physics) that you have taken or are currently taking. Courses should be grouped according to scientific area.

    Course Name/Number Description Institution Date Grade Example: PSY 200 General Psychology SFSU Spring 02 A-

     4

     Number of Units Completed: Number of Units in Progress:

     . GPA Major: * Major:

     . GPA Overall: * The following grade points are assigned per unit of course work: A=4.0, A-=3.7, B+=3.3, B=3.0, B-=2.7, C+=2.3, C=2.0, C-=1.7, D+= 1.3, D=1.0, D-=0.7, F=0.0. In order to calculate your major GPA; multiply the grade with the units you

    have competed for each class. After you total all the classes, divide that number into the total number of units. This number will be your major GPA. For example if you received a B in PSY 200 and a B- in PSY 371 each class for 3 units), you multiply 3x3=9 for PSY 200 and 2.7x3 =8.1 for PSY 371.

    Then Total 9+8.1=17.1 (total GPA) then divide 6 (total # of units) =

    2.85 is your Major GPA.

    How did you learn about our programs? (Please check all that apply)

     Instructor

     Friend

     Flyer

     Class Presentation

     Other (please specify)

     Please answer the following questions: (please circle the appropriate response)

     Strongly Disagree Neutral Agree Strongly Disagree Agree SFSU was my first choice in a university 1 2 3 4 5 I am sure I made the right choice in attending SFSU 1 2 3 4 5 I am confident that my chosen major is right for me 1 2 3 4 5 I am going to college because I want to go to 1 2 3 4 5 graduate school and become a scientist

    I enjoy engaging in research activities 1 2 3 4 5 I expect to pursue a career in science (teaching, 1 2 3 4 5 research)

    I am satisfied with my educational training at SFSU 1 2 3 4 5 I feel I have sufficient knowledge about topics 1 2 3 4 5 taught me in my chosen major

    I feel confident in my ability to conduct research 1 2 3 4 5

     The highest degree I expect to obtain is: (please check)

     Bachelor's Master's Ph.D. M.D. Other Prof. Degree

     5

    Please list two persons whom you have asked to complete the letter of

     recommendation forms. At least one must be a researcher or a teacher.

    Name Address Phone Number Association

It is your responsibility to ensure that these letters reach the office below by the

    application deadline.

    Jaih McReynolds

    COR Program Specialist

    San Francisco State University

    Career Opportunities in Research Program

    Psychology Department

    1600 Holloway Ave.,

    San Francisco, CA. 94132

Certification:

    I hereby certify to the best of my knowledge that all the information submitted is complete

    and correct.

     Applicant's Signature Date

     6

    COR Program

    San Francisco State University

     Letter of Recommendation

    Applicant

     Name SSN - - Telephone: ( )

    I agree that officials of the San Francisco State University shall hold the recommendation I am

    Yes No requesting in confidence, and I hereby waive any right I may have to examine it.

Applicant's Signature Date

     Recommender Part 1 Evaluation

     I have known the applicant for a period of year(s) and/or month(s).

     I have known the applicant as an undergraduate a research assistant Other (specify)

    Please rate applicant in comparison with students in the same field with similar experience. Exceptional

     Top 5% Overall academic performance Intellectual potential for a Outstanding career in research Top 10% Independence and initiative Ability to analyze a problem and formulate a solution Good Ability to follow through, complete projects, Top 20% and meet deadlines

    Ability to work with others Average Motivation for graduate Middle study 25% Self-confidence and maturity

    Below Communication skills: oral Average Communication skills: written Lowest Indicate the strength of your overall endorsement of the applicant by checking the appropriate box. 40%

    Highly recommend Recommend Recommend with some reservations Do not recommend ? ? ? ? Inadequate

    Opportunity Recommender Part 2 Statement to Observe

     On a separate sheet, please provide a statement addressing the quality of the applicant's academic and research performance. We are particularly interested commitment to a career in scientific research, and potential for future success in research. All information will be considered confidential. (Please note that the chart evaluation alone is insufficient.)

     Signature Name Date

     Title Telephone ( ) E-mail

    Please return form to SFSU, COR Program, Attn: John Sims 1600 Holloway Ave., Psychology

    Department, San Francisco, CA 94132 Telephone: (415) 405-3562 Fax: (415) 405-0760 7

    COR Program

    San Francisco State University

     Letter of Recommendation

    Applicant

     Name SSN - - Telephone: ( )

    I agree that officials of the San Francisco State University shall hold the recommendation I am

    Yes No requesting in confidence, and I hereby waive any right I may have to examine it.

Applicant's Signature Date

     Recommender Part 1 Evaluation

     I have known the applicant for a period of year(s) and/or month(s).

     I have known the applicant as an undergraduate a research assistant other (specify)

    Please rate applicant in comparison with students in the same field with similar experience. Exceptional

     Top 5% Overall academic performance Intellectual potential for a Outstanding career in research Top 10% Independence and initiative Ability to analyze a problem and formulate a solution Good Ability to follow through, complete projects, Top 20% and meet deadlines

    Ability to work with others Average Motivation for graduate Middle study 25% Self-confidence and maturity

    Below Communication skills: oral Average Communication skills: written Lowest Indicate the strength of your overall endorsement of the applicant by checking the appropriate box. 40%

    Highly recommend Recommend Recommend with some reservations Do not recommend ?? ? ? ? Inadequate

    Opportunity Recommender Part 2 Statement to Observe

     On a separate sheet, please provide a statement addressing the quality of the applicant's academic and research performance. We are particularly interested commitment to a career in scientific research, and potential for future success in research. All information will be considered confidential. (Please note that the chart evaluation alone is insufficient.)

     Signature Name Date

     Title Telephone ( ) E-mail

    Please return form to SFSU, COR Program, Attn: Jaih McReynolds 1600 Holloway Ave., Psychology

    Department, San Francisco, CA 94132 Telephone: (415) 405-3562 Fax: (415) 405-0760 8

Report this document

For any questions or suggestions please email
cust-service@docsford.com