APPLICATION FOR HONORS IN PSYCHOLOGY

Please complete this form electronically and send to along with a copy of your transcript. Please be sure your transcript includes your in-progress courses for the current term. You do not need to purchase an official transcript, an unofficial one is acceptable. Honors students are expected to demonstrate excellent progress throughout their undergraduate education. Students may be dropped from the program following unsatisfactory progress. Applications are reviewed as they are accepted.

Date ______

Name ______I.D. # ______

Student Classification (BA/BS, Year ex. BS 2) ______Expected Graduation Date (MM/YY): ______

Do you intend to complete the L&S Honors in the Liberal Arts Program? (Yes/No) ______

E-Mail

Are you completing a second major or certificate? Y ______N ______

Additional Major / Certificate is ______

Please list the courses you have taken ineach category:
Psychology courses completed and in-progress (Include course numbers and abbreviated titles)
Course (Number and Title) / Grade / Course(Number and Title) / Grade
Other (non-Psychology) courses completed that are most relevant to the major
Course(Dept., Number and Title) / Grade / Course(Dept., Number and Title) / Grade

Your transcript will be reviewed for evidence of excellence and breadth consistent with Honors scholarship.

Cumulative GPA at UW-Madison ______Psychology GPA at UW-Madison ______

(both cumulative GPA and Psychology GPA can be found on your DARS report)

If you transferred, pleaselist your previous campus(es)______

(Include copy of transcript from previous institution with application)

Total Credits completed at previous campus ______

Cumulative GPA at previous campus ______

Psychology GPA at previous campus ______

If there is anything you feel the Faculty Honors Committee should know regarding your academic record, please tell us here:

The following questions are intended to allow you to describe your interests, skills, and experiences within the field of psychology. This is your opportunity to tell the committee more about yourself.

1. Please describe your research interests and/or experiences to date.

2. Please describeyour volunteer and/or internship experiences to date.

3. Please describe any other experience (employment, study abroad, academic experience/honors, etc.) you would like the committee to take into consideration when evaluating your application.

Please explain why you have chosen Psychology as a major, and why you would like to complete honors in the major. If you've developed a more specific interest within the broader field, please explain this.

Please provide contact information for one of your current or former instructors who can give us feedback, if needed, on whether you are a good fit for the Psychology Honors Program. Ideally, this individual should be the instructor of record for one of your UW-Madison courses (the instructor named on the timetable). However, if you have only had contact with a TA to date, you may list a TA. You do NOT need to provide a letter of recommendation.

Instructor’s name: ______

Instructor’s email address: ______

What is the context within which you know this instructor (e.g., course number, semester, etc.)

Thank you for your interest in the Honors in the Major Program. If you have any questions regarding the application process or Honors in the Major contact