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Loyola University New Orleans Psychology A499 Indicate the semester and the year that you are interested in taking Psychology A499. Fall __________ Spring __________ Summer __________ Social Security number: __ __ __ - __ __ - __ __ __ __ Current telephone number: (home) _____________________ (other) ___________________ E-mail address: _______________________________________________________________________________ Local address: ________________________________________________________________________________ Permanent address: ____________________________________________________ Permanent phone number: ______________________________________________ Current Academic Classification:
_________________________________________ Cumulative GPA: ____________________ Psychology GPA: __________________ Please list below psychology courses completed (if not at Loyola University,
indicate where): ___________________________ __________________________ ________________________ ___________________________ _________________________ _________________________ Why do you want to enroll in Psychology A499? ____________________________________________________________________________________________ ____________________________________________________________________________________________ ____________________________________________________________________________________________ What are your short- and long-term educational goals? ____________________________________________________________________________________________ ____________________________________________________________________________________________ What computer skills do you have? _____________________________________________
_____________________________________________ Do you know how to use PsycLIT or PsycInfo? Yes ( ) No ( ) Do you have any work experience? If so, please provide dates and type of employment. ____________________________________________________________________________________________ ____________________________________________________________________________________________ ____________________________________________________________________________________________ For scheduling purposes, please indicate those times that you WILL be available during the semester(s) that you are interested in enrolling in Psychology A499. Also indicate those times that you will attend classes.
Use the space below to provide any additional information you deem relevant to your application. ____________________________________________________________________________________________ ____________________________________________________________________________________________ ____________________________________________________________________________________________ ____________________________________________________________________________________________ |
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