Fall 2022 PSY 608 Application

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Please fill out the following application if you are interested in enrolling in PSY 608 - Special Investigations: Youth Mentoring Opportunity. After your application is complete it will be reviewed and then you will be contacted for an interview.

Name:

Age:

Date:

YYYY

Address:

Phone number:

Email:

Student ID #:

Expected date of graduation:

# of credits enrolled in this semester:

Classification

Freshman

Sophomore

Junior

Senior

Clear selection

Major:

Minor:

GPA:

Sex:

Female

Male

Prefer not to say

Other:

Clear selection

Ethnicity:

White

Black

Hispanic

Asian

Multi-Ethnic

Other:

Clear selection

Are you multilingual?

Yes

Clear selection

If so, in which language?

Are you a first generation college student?

Yes

Clear selection

Clear form

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