| Name: |
_____________________________ |
Expected Graduation: |
_____________________________ |
| |
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| Social Security Number: |
_____________________________ |
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| Local Mailing Address: |
__________________________________________________________ |
| Permanent Mailing Address: |
__________________________________________________________ |
| Number of UVA credit hours completed (including AP): |
_____________________________ |
Present UVA Cumulative GPA: |
_____________________________ |
| Number of transfer credits: |
_____________________________ |
Transfer GPA: |
_____________________________ |
| Number of UVA psychology credits: |
_____________________________ |
UVA Psychology GPA: |
_____________________________ |
| Semester PSYC 305 taken: |
_____________________________ |
PSYC 305 grade: |
_____________________________ |
| Semester PSYC 306 taken: |
_____________________________ |
PSYC 306 grade: |
_____________________________ |
Answer the following questions on a separate sheet of paper. One or two sentences should be sufficient for most
questions. There are no right or wrong answers. Please type.
Please return this application to the Undergraduate Coordinator, 140C Gilmer Hall.