APPLICATION CHECK LIST
MASTER OF ARTS AND MASTER OF SCIENCE P
ROG
RA
MS
DEPARTMENT OF PSYCHOLOGY
California State University, Fullerton
SEND TO ADMISSIONS AND RECORDS:
University Application available at https://www2.calstate.edu/apply
One (1) Official Transcripts from any educational institution you have attended since high school
If you attended CSUF for your undergraduate degree, the University will have copies of all transcripts.
SEND TO DEPARTMENT OF PSYCHOLOGY (Attn: Psychology Graduate Office) by JANUARY 15:
Department Application
Statement of Purpose
One Set of Official Transcripts from each educational institution you have attended since high school
GRE Scores (M.A.: general only; M.S.: general and advanced Psychology subject test)
Three (3) Letters of Recommendation
M.S. Program Verification of Clinical Experience (if not included as one of your letters of recommendation)
Application: You will be submitting two applications: A University Application and a Department of
Psychology Application. The Department will email you when your Department application is received and
processed. If you submit a Department application and don’t receive notification, please contact Linda Pabón,
lpabon@fullerton.edu
Information regarding the University application, deadlines and financial aid is available
at 657-278-2300 or http://www.fullerton.edu.
Statement of Purpose: M.A. Program: Discuss such topics as: (1) your present area(s) of interest in
psychology, (2) your research experience, (3) the strengths and weaknesses in your preparation for graduate
study, and (4) your career objectives as you now see them.
Statement of Purpose: M.S. Program: Discuss such topics as (1) why you would like to be admitted to the
program; (2) past research and clinical experience; (3) career objectives; (4) personal qualities and strengths and
weaknesses in your preparation for graduate study in an applied clinical program; (5) why you want to
become a clinician; and (6) whether you have any special skills for working with specific populations.
Transcripts: The Department of Psychology requires one (1) set of transcripts from every educational institution
you have attended after high school. An additional set of transcripts from every institution you have attended
since high school should be submitted with your University application. If your undergraduate degree is from
CSUF, you will not need to submit transcripts to the University.
GRE Exam: The GRE test is required. The M.S. program requires both the general and advanced/subject
tests. The M.A. program requires only the general test. Please ask that official scores be sent to the Department
of Psychology. The General exam is administered on the computer and scores are received immediately. The
advanced Psychology subject test is offered only three times per year; plan ahead to be sure your scores will
be available in time for the deadline. If you are unable to complete the advanced/subject psychology exam prior
t
o the January 15 deadline, please contact Linda Pabón at lpabon@fullerton.edu
Letters of Recommendation: Three letters of recommendation are required for both the MA Program and the
MS Program. For the M.S. program, if your clinical site supervisor is not a recommender, please have your
supervisor submit the Verification of Clinical Experience (if licensed, supervisor should include license
number).
Department Application Deadline January 15: Materials submitted to the Admissions Office are not
forwarded to the department. It is impossible for the Department to obtain materials from other University offices.
It is the applicant’s responsibility to assure all necessary application materials reach the Department of
Psychology Graduate Office by the January 15 deadline. * Completed M.S. applications submitted by
Jan. 15 are assured for full consideration.
For Office Use
Only
MASTER OF SCIENCE PROGRAM
PSYC GPA
DEPARTMENT OF PSYCHOLOGY
California State University, Fullerton
Last 60 Unit
Please Type or Print Date
Name Phone
Address Email
City State Zip Code
Ethnicity
Other names under which records may be recorded
Languages spoken and fluency
EDUCATIONAL INSTITUTIONS: List the name and location of every educational institution you have attended
subsequent to high school. List most recently attended first. Please submit official transcripts from all institutions
you have attended (in the original sealed envelope) with your application. Any action based on your responses
to this questionnaire is subject to revision upon verification by official transcripts.
Institution
Major
Dates
Attended
Degree
(if any)
Month & Year
received or
will receive
G.P.A.
Cumulative GPA GPA in last 60 units GPA in Psychology
RECOMMENDATIONS: List the names and positions of three individuals familiar with your work in psychology
whom you have asked to submit letters of recommendation. At least one letter should be from a psychology
professor. One letter may be from your clinical supervisor (paid or volunteer) with a description of duties you
performed and your supervisor’s license number. Please include letters of recommendation (in original
sealed envelopes) with your application.
Name
Institution/Agency
GRADUATE RECORD EXAMINATION: Please have your scores on the Aptitude and Advanced Psychology
sections of the GRE reported directly to the Department of Psychology Graduate Office. Please note your scores
below.
Verbal Quantitative Analytical Advanced Subject
If you are unable to complete the Advanced Psychology exam prior January 15, please contact Linda Pabón at lpabon@fullerton.edu
COURSE REQUIREMENTS FOR MS ADMISSION
Education: Please list below All Psychology courses completed or now in progress.
If you are deficient, please indicate when you plan to meet requirements.
Page 2
Lower Division
Course Title
Course No.
University
Professor
Grade/Units
Intro Psychology
Research
Methods
Elementary
Statistics
Upper Division
Course Title
Course No.
University
Professor
Grade/Units
Abnormal
Psychology
Physiological/
Biopsychology
The following classes are required for classified standing and require a grade of “B” or better.
Psychological
Testing
Advanced
Statistics *
*A placement exam will be required for students who did not complete advanced statistics at CSUF
List below ALL other Psychology course work you have taken or are taking
Course Title
Course No.
University
Professor
Grade/Units
Page 3
ExPERIENCE IN A CLINICAL SETTING IS REquIRED FOR ADMISSION TO THE MS PROGRAM
Briefly describe any applied volunteer or paid positions you have held that provide clinical experience. Specifically
describe your duties (e.g., co-facilitator), including internships, type of supervision, and give the License Number of
supervisor. Your supervisor should confirm your duties and dates of service on the Recommendation form or, if
he/she is not one of your recommenders, on the Clinical Experience Verification form. If they do not have a
California license, please provide supervisors’ position title. If your supervisor is no longer available, the
current administrator may verify your experience and your supervisor’s status. However, you will need to include an
additional reference. Clinical experience is a requirement for admittance to the Master of Science Program.
Position Title:
Agency:
Dates of Service:
Description of Duties:
Supervisor, Title and License No:
Position Title:
Agency:
Dates of Service:
Description of Duties:
Supervisor, Title and License No:
The M.S. Program is a full-time program with core classes offered during the day. It is not possible for
students to attend on a part-time or evenings-only basis. Will you be able to attend the MS Program
full time?
Page 4
RESEARCH ExPERIENCE IS REquIRED FOR ADMISSION TO THE MASTER OF SCIENCE PROGRAM
Please describe any paid or volunteer RESEARCH positions you have held.
Title of Project:
Research Supervisor and Title:
Dates of Service:
Did project result in your authorship on a conference presentation or publication?
If yes, please give the full APA-style citation for the conference paper or journal article.
Description of duties (i.e., data collection, interviewing, scoring, writing presentation, conceptualization and planning):
Title of Project:
Research Supervisor and Title:
Dates of Service:
Did project result in your authorship on a conference presentation or publication?
If yes, please give the full APA-style citation for the conference paper or journal article.
Description of duties (i.e., data collection, interviewing, scoring, writing presentation, conceptualization and planning)
Please attach a statement of purpose. Discuss such topics as (1) why you would like to be admitted to the
program; (2) past research and clinical experience; (3) career objectives; (4) personal qualities and strengths and
weaknesses in your preparation for graduate study in an applied clinical program; (5) why you want to become a
clinician; and (6) whether you have any special skills for working with specific populations.
Your application to the Department of Psychology M.S. Graduate Program cannot be considered by the Graduate
Studies Committee unless the departmental application, your statement of purpose, all transcripts, three letters of
recommendation (including one letter verifying your clinical experience or a Verification of Clinical Experience form)
have been received by JANUARY 15. Completed applications submitted by Jan. 15 are assured for full consideration.
Please mail all application materials directly to:
California State University, Fullerton
Department of Psychology
Psychology Graduate Office
P.O. Box 6846
Fullerton, CA 92834-6846
You must also submit a separate University application and one additional set of transcripts to the Office of Admissions and Records.
MASTER OF SCIENCE
RECOMMENDATION FORM
Psychology Department, CSUF
TO BE COMPLETED BY APPLICANT PRIOR TO FORWARDING TO RECOMMENDER
(Print) LAST Name of Applicant FRIST MIDDLE
I agree that the recommendation I am requesting shall be held in confidence by officials of the
Department of Psychology and I hereby waive any rights I may have to examine it.
Yes No
Applicant Signature Date
TO BE COMPLETED BY RECOMMENDER
Recommendation regarding who is applying for admission
to the Master of Science Program in the Department of Psychology at California State University,
Fullerton. Please attach this form so that we may retain the student’s waiver decision.
Please mail this form along with your recommendation letter to the address below or you may return
both documents to the applicant in a sealed envelope to be submitted with the Department application.
Application Deadline is January 15 *
California State University, Fullerton
Psychology Department, H-830M
P.O. Box 6846
Fullerton, CA 92834
Please Complete and Sign Questionnaire on the next page
C AL I F O R N I A S T A T E U NI V E R S I T Y, F U
LLER
T O N P.O. Box 6846, Fullerton, CA 92834-6846
The California State University: Bakersfield / Chico / Dominguez Hills / Fresno / Fullerton / Hayward / Humboldt / Long Beach / Los Angeles / Maritime Academy
Monterey Bay / Northridge / Pomona / Sacramento / San Bernardino / San Diego / San Francisco / San Jose / San Luis Obispo / San Marcos / Sonoma / Stanislaus
Recommendation Form pg. 2
For how long and in what capacity have you known the applicant?
For each of the following attributes, please compare the applicant with other college seniors
you have known.
No Basis
For
Judgment
Lower
50%
Upper
50%
Upper
25%
Upper
10%
Upper
5%
Good
As the
Best
Intellectual Ability
General Knowledge
Mastery of course Content
Independence
Originality
Research Promise
Oral Expression
Writing Ability
Ability to work with Others
Carefulness in work
Dependability
Potential for Career Success
Potential to Work With Clients
Ability to work with Clients
Maturity
Ethical Sensitivity
For this person's application to the M.S. program I would:
Very Strongly Recommend
Strongly Recommend
Recommend
Recommend with Reservation
Not Recommended for M.S. Program
If this person were to apply for a Ph.D. program I would:
Very Strongly Recommend
Strongly Recommend
Recommend
Recommend with Reservation
Not Recommend
Name Position
Address
Street Address City State Zip Code
Signature Date
DEPARTMENT OF PSYCHOLOGY
CLINICAL EXPERIENCE VERIFICATION
To Be Completed by Applicant’s Supervisor
A letter on agency stationary may be substituted for the Clinical Verification
Form
Please Return Form to Applicant in a Sealed
Envelope
Name of Agency:
Address:
Name of Applicant:
City State Zip Code
Position/Title:
Dates of Service:
Description of Duties:
Please assess the applicant’s performance.
Please assess the applicant's ability to work with clients, peers and supervisors
Do you know of any reason why this person should not work clinically with individuals who have sensitive personal problems?
C AL I F O R N I A S T A T E U NI V E R S I T Y, F U
LLER
T O N P.O. Box 6846, Fullerton, CA 92834-6846
The California State University: Bakersfield / Chico / Dominguez Hills / Fresno / Fullerton / Hayward / Humboldt / Long Beach / Los Angeles / Maritime Academy
Monterey Bay / Northridge / Pomona / Sacramento / San Bernardino / San Diego / San Francisco / San Jose / San Luis Obispo / San Marcos / Sonoma / Stanislaus