College of Education Counseling Psychology Doctoral Program of Studies

Name: ______

U Number/E-mail: ______

Mailing Address:______

______

City State Zip Phone: cell or landline

Degree Information

______

Prior Degree(s) Major Minor Institution Date

______

______

______

______

Degree Desired Major Concentration

PhD / Counseling Psychology

Admissions Information

GRE Scores: Verbal ______Quantitative ______Total (V. & Q.) ______

Date Admitted to Dept. ______Graduate GPA ______

Residency Information

Residency Plan Course Enrollment Option A

List each semester to be included ______

Program Target Dates

Proposed Dates of Completion for:

Course Work / Comprehensive
Exam / Dissertation / 1-Year Predoctoral
Internship
Semester or Month
Year

Signatures ______

Dept Chair Date

______

CSPY Director of Training Date

Committee Chairperson ______

Date

Committee Members ______

______

______

Dir. Of Graduate Studies ______


1. and 2. Professional Counseling Psychology and Counseling Core/Dissertation

Dept. /

Course #

/

Course Title

/

Grade

/

Hrs

/
Institution
/
Date
CPSY / 8101 / Foundations of Counseling Psych. / The UoM
CPSY / 8201 / Professional Issues / The UoM
CPSY / 8102 / Seminar in Grp. Coun/Therapy / The UoM
COUN / 8750/ other / Multicultural Coun/Diversity* / The UoM
CPSY / 8202 / Vocational Psychology / The UoM
COUN / 8721 / Theories of M & F Ther.
COUN / 8841 / Adv. Coun. Theories / The UoM
CPSY / 8200 / Pract. in CPSY / The UoM
CPSY / 8200 / Pract. in CPSY / The UoM
CPSY / 8577 / Supervision in CPSY / The UoM
CPSY / 8800 / CPSY internship (9 hours) / The UoM
CPSY / 9000 / Dissertation (12 hours needed) / The UoM

Semester Hours in Professional Counseling Psychology and Counseling Core

Completed ______To Be Completed ______

Dept. /

Course #

/

Course Title

/

Grade

/

Hrs

/
Institution
/
Date

PLEASE NOTE. For students entering with Master's degrees: The following courses are prerequisites in the Counseling Psychology Program and must be completed prior to entering the program or should be completed as soon possible after entrance into the program: COUN 7531 - Group Processes, COUN 7541 - Theories of Counseling, COUN 7551 - Assessment Techniques, COUN 7561 - Career Counseling, EDPR 7/8521/or equivalent - Introduction to Educational Research, and a practicum. These courses do not count toward the 99 hours in the doctoral program. *Must complete 8750 or 1 diversity course from list in the Handbook.

3. Professional Psychology Core

Dept. /

Course #

/

Course Title

/

Grade

/

Hrs

/
Institution
/
Date
CPSY / 8575 / Asessment I - Personality
CPSY / 8576 / Assessment II - Cognitive
PSYC / 8000 / History/Systems Psychology
PSYC / 8407 / Cognition & Emotion
PSYC / 8217 / Social Psychology
PSYC / 8701 / Behavioral Neuroscience
Lifespan Development

Semester Hours in Professional Professional Psychology Core

Completed ______To Be Completed ______

4. Research/Statistics Core

Dept. /

Course #

/

Course Title

/

Grade

/

Hrs

/
Institution
/
Date
EDPR / 8541/ other / Stat I
EDPR / 8542/other / Stat II
EDPR / 8549/ other / Multivariate
CPSY / 8203 / Sem. in CPSY Research / The UoM

Semester Hours in Research/Statistics

Completed ______To Be Completed __12__

5. Electives (add lines as needed)

Dept. /

Course #

/

Course Title

/

Grade

/

Hrs

/
Institution
/
Date

Semester Hours in Electives

Completed ______To Be Completed ______

Completed / To be Completed / Total
1. Hours in Counseling Psychology and Counseling Core / 39
2. Hours in Dissertation / 0 / 12 / 12
3. Hours in Professional Psychology Core / 21
4. Hours in Research/Statistics / 12
5. Hours in Electives / 0
HOURS IN PROGRAM / 99

Revised 8/15