PSYCHOLOGY AND NEUROSCIENCE TRACK APPLICATION
(only for those in entering Class of 2010 who have already taken both
Science B-29 and Psy 1 in Spring 2007 or earlier)THE DEPARTMENT WILL ONLY CONSIDER FULLY COMPLETED APPLICATIONS
Read Instructions carefully.APPLICANT: _____________________________ EMAIL:______________________________
YEAR OF GRADUATION : ______________________
STATEMENT OF PURPOSE: Attach a one-to-two-page statement that explains your interests in
psychology and in mind/brain/behavior, and the intellectual coherence of your specific selection of courses.
PLAN OF STUDY: Attach an additional statement and if relevant a syllabus if any of your choices
depart from the standard requirements (e.g., fulfilling a requirement late, non-departmental course).
Course Semester/Year GradePsychology 1, Introduction to Psychology _____________ _____ Science B-29 Evolution of Human Nature _____________ _____ Psychology 971, Sophomore Tutorial _____________ _____ Psychology 992, Senior Tutorial _____________ _____ Basic Methods (check one): ____Psy 1900 or ____ Stat 101
_____________ _____ Laboratory Methods: _____________________________ _____________ _____ Psychology 1901, Methods of Behavioral Research _____________ _____ Tier 2 Req. 1: MCB 80, Neurobiology of Behavior _____________ _____ Tier 2 req. 2: ___________________________________ _____________ _____ ___________________________________ (MBB Seminar) _____________ _____ ___________________________________ (Track Elective) _____________ _____ ___________________________________ (Track Elective) _____________ _____ ___________________________________ (Track Elective) _____________ _____ CONCENTRATION ADVISER APPROVAL:
Signature __________________________________________ Date ____________
FACULTY APPROVAL: You must receive the approval of a departmental faculty member.
This signature attests that the proposed program of study is both feasible and intellectually coherent:Signature __________________________________________ Date ____________
SUBMISSION: Submit two copies of your complete application (including any attachment) to the
Psychology Undergraduate Office (William James 218). You should also keep a copy for your
records. We will e-mail you with a decision once we have reviewed your application.