Cornell University Division of Nutritional Sciences

Didactic Program in Dietetics (DPD) Application

Please fill out this application completely and submit your complete application as a single pdf fileby October 1. Follow instructions on the DPD website for details on how to submit your application.

  1. Contact Information:

Name: Last / First / Middle
Net ID / Campus Address / Phone
CU ID / Academic Advisor
Expected Graduation Date
(please check): / January / May / Year:
Have you applied to the CU DPD in the past? / January / May / If Yes, please note year:
  1. Coursework: Please attach an electronic pdf of your transcript(s), including those for courses taken at other institutions. List all institutions of higher education attended, beginning with Cornell.

Institution / City & State / Date(s) of Attendance / Field of Study / Number Credits completed (as shown on transcript) / Cumulative GPA (as shown on transcript)
Cornell Univ. / Ithaca, NY / A / B
C / D
Overall cumulative GPA, weighted from all institutions*
*calculation = [(AxB) + (CxD)]/(A+C)

Progress on DPD coursework: Please note semester/year taken and grade earned.

Must have completed by the time of DPD Application:

Course / Semester & Year Taken / Grade Earned / Course / Semester & Year Taken / Grade Earned
NS 1150 / 1 semester Organic Chemistry:
NS 1220 / CHEM ______
NS2450
NS 2470

Recommended to have completed at the time of DPD Application:

Course / Semester & Year Taken / Grade Earned / Course / Semester & Year Taken / Grade Earned
NS 3410 / NS 3420

3.Demographic Information: The following information is only usedfor reporting to the Academy of Nutrition and Dietetics.

Gender: / Are you of Hispanic/Latino (including Spain) origin? / Regardless of your answer to the left, please indicate how you identify yourself:
Female / Yes / American Indian or Alaska Native (including all Original Peoples of the Americas
Male / No / Asian (including Indian subcontinent and Philippines)
Decline to provide / Decline to provide / White (including Middle Eastern)
Date of Birth: / Black or African American (including Africa and Caribbean)
____/____/____ / Native Hawaiian or Other Pacific Islander (Original Peoples)
Mother’s Maiden Name: / Decline to provide
  1. Are you a member of:

Organization / Yes / No / How Long? / Organization / Yes / No / How Long?
CUDA / HealthNutS
Southern Tier
Dietetics Association / Academy of Nutrition & Dietetics
  1. Supplemental Items:
  2. Transcripts as noted in #2.
  3. Resume: Please attach your resume. Be sure to include all work and volunteer experiences from the last 4 years. Include a brief description and the amount of time spent in each activity.
  4. Essay: Completing the DPD should be an option pursued as part of a thoughtful plan by students serious in pursuing dietetics careers. Entrance into supervised practice is highly competitive. Please include a one-two page(s) typed in 12 pt fontand double-spaced response to the following questions:
  5. Why do you want to be a dietitian?
  6. What do you value about the dietetics profession?
  7. What experiences have shaped your interest in the field of dietetics and how do you expect to contribute to the field in the future?
  8. What professional traits do you possess that will assist you in supervised practice?

I certify that the information in this application is true and complete to the best of my knowledge.

Signature ______Date ______

Updated: September 2, 2016