APPLICATION FORM
HDEV 470: Seminar/Practicum in Human Development
To apply for admittance to a section of HDEV 470 in SUMMER or FALL 2015 you must submit the following to the Human Development Department Office, LA3-202 no later than Wednesday, March 11, 2015 at 12:00 NOON. Applications must be submitted in person; no applications will be accepted via email or fax. Please submit:
· The completed form below.
· A copy of your full Academic Requirements Report located on MyCSULB. You must click “Expand All” at the top of the report (you can find this button under the “General Information” subheading and above the “Your Degree Audit” subheading). Make sure ALL Grades required for the HDEV major are visible. (Including Lower Division, Core & Foundation classes)
You must also attend ONE of the mandatory orientation meetings:
· Monday, March 9, 2015 at 1:00 PM in PH1-112
· Monday, March 9, 2015 at 5:00 PM in LA5-247
· Tuesday, March 10, 2015 at 3:00 PM in LA5-247
· Wednesday, March 11, 2015 at 8:00 AM in LA5-247
Please type or print clearly
Name: / CSULB ID#:Phone: / Email:
Class Status: / Expected Graduation Term:
Have you turned in your Request to Graduate form to Enrollment Services? / ¨ Yes ¨ No
Total Units Taken:
Provided on your Academic Requirements Report under Unit Requirements Summary; it reflects the units you have completed and are enrolled in. / Total Units Remaining:
Provided on your Academic Requirements Report under Unit Requirements Summary; it reflects the total units you need to reach the 120 units minimum for graduation.
Would you like to be considered for the Summer 2015 section of HDEV 470?
To be held on Mondays @ 5:00-7:45pm (May 26 - Aug.14)
Priority will be given based on total units, total remaining courses, and expected graduation term. / ¨ Yes
Please identify the grade you earned in each of the following HDEV courses that you have taken. Remember you must have a C or better grade to have successfully passed a course. Please signify your courses that are In Progress this semester, by writing “IP”.
______HDEV 180 Lifespan Development
______HDEV 250 Statistics (or equivalent statistics course ______)
______HDEV 300I Death and Dying
______HDEV 307I Child Development through Adolescence
______HDEV 320 Research Methods
______HDEV 340 Families and Work
______HDEV 357I Adult Development and Aging
______HDEV 360 Cultural Foundations
______HDEV 402 Development of Thought
______HDEV 403 The Acquisition of Culture
______HDEV 499 Independent Study
List ALL courses (HDEV and other) you plan to take in Fall 2015 Include any repeat/delete classes.