Specialist in School Psychology Application - College of Education & Behavioral Sciences

Application for Specialist in School Psychology Program

NASP Approved Since 1988

"*" indicates required fields

Name*

First Last

Email*

Phone*

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

GRE Score: Verbal*

GRE Score: Quantitative*

GRE Score: Advanced (optional)

Undergraduate GPA: Overall*

Undergraduate GPA: Last 60 Hours*

Graduate GPA:*

Please answer the following questions. Please keep in mind that the answers to the following questions as well as this sample of your writing are considered as part of your application.

1) Why are you applying to this program?*

2) Describe your personal and professional experience or training that would be assets to this program and to the profession of school psychology.*

3) What personal and professional qualities do you possess that you feel would need to be strengthened to function effectively as a school psychologist?*

4) How do you conceptualize the role of the school psychologist?*

5) What are your eventual career goals?*

6) How will this Specialist in School Psychology Program support your eventual career goals?

What is your preferred start date?*

Fall

Spring

Summer

Year:*

There are a limited number of graduate assistantships available. Do you plan to apply for an assistantship?*

YES

Reference #1

ATTENTION: Evaluation emails will be sent directly to the reference's email address you provide below. Please confirm the email address is correct. If you wish to contact your references to let them know they will be receiving an evaluation request from you, please do so before submitting this application.

Reference #1 - Name*

First Last

Reference #1 - Phone*

Reference #1 - Email*

Your Relationship With this Person*

How long you have known this person?*

Reference #2

Reference #2 - Name*

First Last

Reference #2 - Phone*

Reference #2 - Email*

Your Relationship With this Person*

How long you have known this person?*

Reference #3

Reference #3 - Name*

First Last

Reference #3 - Phone*

Reference #3 - Email*

Your Relationship With this Person*

How long you have known this person?*

Signature*

By signing your name above using your mouse, pad, or finger, you are signing this Agreement electronically. You agree your electronic signature is the legal equivalent of your manual/handwritten signature on this Agreement. By signing above using any device, means or action, you consent to the legally binding terms and conditions of this Agreement.

Date*

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Nicholls State University

Application for Specialist in School Psychology Program

Reference #1

Reference #2

Reference #3

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