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Please remember that the Admission Office is here to assist you with the entire admission process. Please contact us at 800.721.8072 with any questions or concerns.
Note: In order to secure a place in the incoming class, a non-refundable tuition deposit of $500 will be required by the deposit deadline indicated in the offer of admission. The non-refundable deposit will be applied in full toward the students tuition upon enrollment.
Enrollment Status:
I am applying for admission in: _____________________
(mm/dd/yyyy)
o o
Note: University Center of Lake County (UCLC) is located in Grayslake, Illinois. Programs offered at UCLC are part-time, cohort, and in a blended format for the working adult. Contact the Office of Admission for programs offering a spring term start.
6. How did you hear about The Chicago School? ______________________________________________________________________ _ ________________________ _ 7. Who or what influenced you to apply? _____________________________________________________________________________ ___ _________________ ____ _ _ 8. Have you previously applied to or attended* The Chicago School of Professional Psychology?
o Yes
o No
*If yes, I authorize the release of my previous TCSPP transcripts to the Office of Admission for review. 9. Are you currently, or have you ever been, enrolled at The Chicago School as a Special Student/Student-at-Large or in a Certificate Program? o Yes 10. Are you currently employed by The Chicago School of Professional Psychology? o Yes
o No
o No
__________________
(mm/yyyy to mm/yyyy)
__________________
(mm/yyyy to mm/yyyy)
__________________
(mm/yyyy to mm/yyyy)
o Yes
o No
13. Which of the following best describes your current primary occupation? oStudent oPart-time Employment oFull-time Employment oNot Currently Working or Attending School
o No
15. n addition, a resume and/or curriculum vitae must be submitted as part of your application: I Clearly outline the following information: Full-or part-time work experiences Field-related training Volunteer work Research work For each experience outlined please include the following: Dates, length, and number of hours worked/volunteered Position title Responsibilities you performed
Section 5 Essay
Essays must be submitted as part of your application or sent via email as word documents to admissions@thechicagoschool.edu. Please answer the essay questions for the program to which you are applying (see below). Psy.D. applicants: essay questions should be answered separately within two double-spaced typed pages (approximately 500 words). M.A. and Ed.S. applicants: essay questions should be answered in three double-spaced typed pages (approximately 500-750 words). Essay questions appear at the end of this document. The Chicago School Commitment to Diversity: The Chicago School of Professional Psychology is committed to being the school of choice by building an environment of mutual respect and inclusion where all individuals will be valued for who they are and what they can contribute, and in turn, are expected to be participatory members of an active learning community that promotes cultural awareness, competence, and understanding of diversity.
Section 7 References
Appropriate references are from academic professors and/or supervisors from significant work or volunteer experiences who can appraise your academic or professional performance. (Do not submit references from family, friends, colleagues, or acquaintances.) Please ask these individuals to submit a letter of reference and the recommendation form. The recommendation form and letter should be placed in an envelope, sealed, and signed across the back flap. Recommendation envelopes can be returned to you for submission with your application or sent directly to the Office of Admission.
Reference 1
Name ___________________________________________________________________________ Relationship ____________________________________ Address ___________________________________________________________________________________________________________________________ (Number/Street) (Apt/Unit Number) ___________________________________________________________________________________________________________________________ (City) (State/Country) (Zip/Postal Code) Telephone Number ________________________________________________ Email Address _________________________________________________________ (Area Code) (Phone Number)
Reference 2
Name ___________________________________________________________________________ Relationship ____________________________________ Address ___________________________________________________________________________________________________________________________ (Number/Street) (Apt/Unit Number) ___________________________________________________________________________________________________________________________ (City) (State/Country) (Zip/Postal Code) Telephone Number ________________________________________________ Email Address _________________________________________________________ (Area Code) (Phone Number)
Reference 3
Name ___________________________________________________________________________ Relationship ____________________________________ Address ___________________________________________________________________________________________________________________________ (Number/Street) (Apt/Unit Number) ___________________________________________________________________________________________________________________________ (City) (State/Country) (Zip/Postal Code) Telephone Number ________________________________________________ Email Address _________________________________________________________ (Area Code) (Phone Number)
18. Citizenship/Status: o U.S. Citizen o U.S. Permanent Resident (Please include a copy of your immigration Permanent Resident Card.) oInternational Applicant (If you are already in the United States, please list your current status (ie. F-1, H-1B): ___________________________________________
* Note: Due to the nature of The Chicago Schools program requiring practical training, most international applicants will need to be in F-1 (non-immigrant student) status. Please contact the Office of International Student Services for additional information regarding your immigration status and eligibility to study in the United States. 19. Gender o Male
o Female
o Yes
o No
If you are not a first generation college graduate, what was the highest degree one of your parents or grandparents obtained? ____________________________________________ in _________________________________________________________ Degree Earned Program or Field I consider myself a member of the following race group(s). Please check all that apply.
o American Indian or Alaska Native o Asian o Black or African American o Native Hawaiian or Other Pacific Islander o White o Active/Reserves o Yes o Veteran o Eligible dependent o No o N/A
If yes, please submit a statement explaining the circumstances of the crime and the reasons why this should not impact your admission to, attendance at, and graduation from The Chicago School. Note: Consistent with the institutions commitment to the safety and security of its students, employees, and the general public, The Chicago School requires all degree-seeking students to complete a Criminal Background Check (CBC) after admission into the program. Students will be provided the necessary information to complete the CBC in a timely manner through an outside vendor at his or her own expense. Admission is considered conditional until the results of the CBC is reviewed. Admission may be denied depending upon the results of the CBC. 24. I understand that if admitted to The Chicago School, I must uphold and adhere to the standards established in the American Psychological Associations Code of Conduct and Ethical Principles, and I will conduct myself according to these principles. I must also comply with all rules, regulations, and policies of The Chicago School. I understand that admission to and matriculation in the program in no manner guarantees successful completion of the program and the awarding of the degree. I understand that all materials submitted to the school as a part of my admission process become the sole property of The Chicago School, and will not be released to me or to any other individual or institution. Falsification of information on any and all school documents, including this application, may result in disciplinary action up to and including a revocation of an admission offer or a dismissal from the school. I hereby affirm that the information supplied by me on this application form is true and correct to the best of my knowledge.
Letter of Recommendation
Applicant:
Letters of recommendation are required and used for admission purposes only. Appropriate recommenders include: Professors or administrative officers at your undergraduate or graduate school Supervisors from significant work or volunteer experiences Please complete the following before giving this form to those who are providing the recommendation. Last Four Digits of Social Security Number: _____________ Applicant: ______________________________________________________________ Former Last Name: ________ ___________________
(print) (Last) (First) (Middle)
I am applying for admission to the following campus: ___________________________________________________________________ I am applying for admission for the following degree: o Ph.D. o Psy.D. o Ed.S. o M.A. o Certificate o Other: ________
I am applying for admission to the following program: __________________________________________________________________ I have requested that this recommendation form be completed by: Recommender: ___________________________________________________________________________________________________
(Please Print) (Name) (Title)
Relationship: ___________________________________________________________ Years known: _____________________________ for use in the admission process. In accordance with the Family Educational Rights and Privacy Act of 1974 applicants are advised that upon their admission to the Chicago School of Professional Psychology, the Family Educational Rights and Privacy Act of 1974 accords them the right to review these recommendations unless that right is waived. While applicants are not required to make such a waiver, they are advised that some individuals may not be willing to supply an appraisal in its absence. I hereby (check one) o waive access to this report, which will be confidential. o do not waive access to this report. Date: ____________________ Applicants Signature: ______________________________________________________________
Recommender:
Please complete the reverse side and return this form and any attached materials to the applicant in a sealed envelope signed across the flap, or, send it directly to The Chicago School. Information appears above regarding whether the student has waived access to this recommendation report.
+
(over)
Recommender:
We would greatly appreciate your candid appraisal of the applicants abilities and potential for the study of psychology at the graduate level. The Chicago School is interested in knowing how long, how well, and in what connection you have known the applicant. We are also particularly interested in your comments regarding the applicants: 1. intelligence and independence of thought, 2. special interests, motivations, personal qualities, social and academic background, or emotional makeup that may distinguish the applicant from other applicants, and 3. overall promise, character, and fitness to practice professional psychology. Your prompt completion and return of this form and any attachments is appreciated. This form and any attachments should be placed in a sealed envelope, signed across the flap, and returned directly to the applicant or the school. Please rate the applicant generally on the following attributes: Intellectual ability Capacity for critical thinking Ability to work with others Ability to express ideas orally Ability to express ideas in writing Creative/innovative thinking Emotional maturity Professionalism under stressful situations Judgment Evaluation of self Leadership skills Openness to feedback Openness to cultural diversity Exceptionally Good o o o o o o o o o o o o o Very Good o o o o o o o o o o o o o Good; no major weaknesses o o o o o o o o o o o o o Fair o o o o o o o o o o o o o Poor o o o o o o o o o o o o o Not known o o o o o o o o o o o o o
Please use the remainder of this form for additional comments or you may, if you prefer, simply attach a letter to this form. Comments:
o I highly recommend
o I recommend
o I do not recommend
Recommender: ______________________________________________________________ Title: _______________________________________ Address: ___________________________________________________________________________________________________________ City: ___________________________________________________________________ State: ___________ Zip: _____________________ Telephone: ______________________________________________________________ E-mail: _____________________________________ Relationship to applicant: o Faculty o Academic Advisor o Work/Volunteer Supervisor o Other: ___________________________
(please specify)
Letter of Recommendation
Applicant:
Letters of recommendation are required and used for admission purposes only. Appropriate recommenders include: Professors or administrative officers at your undergraduate or graduate school Supervisors from significant work or volunteer experiences Please complete the following before giving this form to those who are providing the recommendation. Last Four Digits of Social Security Number: _____________ Applicant: ______________________________________________________________ Former Last Name: ________ ___________________
(print) (Last) (First) (Middle)
I am applying for admission to the following campus: ___________________________________________________________________ I am applying for admission for the following degree: o Ph.D. o Psy.D. o Ed.S. o M.A. o Certificate o Other: ________
I am applying for admission to the following program: __________________________________________________________________ I have requested that this recommendation form be completed by: Recommender: ___________________________________________________________________________________________________
(Please Print) (Name) (Title)
Relationship: ___________________________________________________________ Years known: _____________________________ for use in the admission process. In accordance with the Family Educational Rights and Privacy Act of 1974 applicants are advised that upon their admission to the Chicago School of Professional Psychology, the Family Educational Rights and Privacy Act of 1974 accords them the right to review these recommendations unless that right is waived. While applicants are not required to make such a waiver, they are advised that some individuals may not be willing to supply an appraisal in its absence. I hereby (check one) o waive access to this report, which will be confidential. o do not waive access to this report. Date: ____________________ Applicants Signature: ______________________________________________________________
Recommender:
Please complete the reverse side and return this form and any attached materials to the applicant in a sealed envelope signed across the flap, or, send it directly to The Chicago School. Information appears above regarding whether the student has waived access to this recommendation report.
+
(over)
Recommender:
We would greatly appreciate your candid appraisal of the applicants abilities and potential for the study of psychology at the graduate level. The Chicago School is interested in knowing how long, how well, and in what connection you have known the applicant. We are also particularly interested in your comments regarding the applicants: 1. intelligence and independence of thought, 2. special interests, motivations, personal qualities, social and academic background, or emotional makeup that may distinguish the applicant from other applicants, and 3. overall promise, character, and fitness to practice professional psychology. Your prompt completion and return of this form and any attachments is appreciated. This form and any attachments should be placed in a sealed envelope, signed across the flap, and returned directly to the applicant or the school. Please rate the applicant generally on the following attributes: Intellectual ability Capacity for critical thinking Ability to work with others Ability to express ideas orally Ability to express ideas in writing Creative/innovative thinking Emotional maturity Professionalism under stressful situations Judgment Evaluation of self Leadership skills Openness to feedback Openness to cultural diversity Exceptionally Good o o o o o o o o o o o o o Very Good o o o o o o o o o o o o o Good; no major weaknesses o o o o o o o o o o o o o Fair o o o o o o o o o o o o o Poor o o o o o o o o o o o o o Not known o o o o o o o o o o o o o
Please use the remainder of this form for additional comments or you may, if you prefer, simply attach a letter to this form. Comments:
o I highly recommend
o I recommend
o I do not recommend
Recommender: ______________________________________________________________ Title: _______________________________________ Address: ___________________________________________________________________________________________________________ City: ___________________________________________________________________ State: ___________ Zip: _____________________ Telephone: ______________________________________________________________ E-mail: _____________________________________ Relationship to applicant: o Faculty o Academic Advisor o Work/Volunteer Supervisor o Other: ___________________________
(please specify)
Letter of Recommendation
Applicant:
Letters of recommendation are required and used for admission purposes only. Appropriate recommenders include: Professors or administrative officers at your undergraduate or graduate school Supervisors from significant work or volunteer experiences Please complete the following before giving this form to those who are providing the recommendation. Last Four Digits of Social Security Number: _____________ Applicant: ______________________________________________________________ Former Last Name: ________ ___________________
(print) (Last) (First) (Middle)
I am applying for admission to the following campus: ___________________________________________________________________ I am applying for admission for the following degree: o Ph.D. o Psy.D. o Ed.S. o M.A. o Certificate o Other: ________
I am applying for admission to the following program: __________________________________________________________________ I have requested that this recommendation form be completed by: Recommender: ___________________________________________________________________________________________________
(Please Print) (Name) (Title)
Relationship: ___________________________________________________________ Years known: _____________________________ for use in the admission process. In accordance with the Family Educational Rights and Privacy Act of 1974 applicants are advised that upon their admission to the Chicago School of Professional Psychology, the Family Educational Rights and Privacy Act of 1974 accords them the right to review these recommendations unless that right is waived. While applicants are not required to make such a waiver, they are advised that some individuals may not be willing to supply an appraisal in its absence. I hereby (check one) o waive access to this report, which will be confidential. o do not waive access to this report. Date: ____________________ Applicants Signature: ______________________________________________________________
Recommender:
Please complete the reverse side and return this form and any attached materials to the applicant in a sealed envelope signed across the flap, or, send it directly to The Chicago School. Information appears above regarding whether the student has waived access to this recommendation report.
+
(over)
Recommender:
We would greatly appreciate your candid appraisal of the applicants abilities and potential for the study of psychology at the graduate level. The Chicago School is interested in knowing how long, how well, and in what connection you have known the applicant. We are also particularly interested in your comments regarding the applicants: 1. intelligence and independence of thought, 2. special interests, motivations, personal qualities, social and academic background, or emotional makeup that may distinguish the applicant from other applicants, and 3. overall promise, character, and fitness to practice professional psychology. Your prompt completion and return of this form and any attachments is appreciated. This form and any attachments should be placed in a sealed envelope, signed across the flap, and returned directly to the applicant or the school. Please rate the applicant generally on the following attributes: Intellectual ability Capacity for critical thinking Ability to work with others Ability to express ideas orally Ability to express ideas in writing Creative/innovative thinking Emotional maturity Professionalism under stressful situations Judgment Evaluation of self Leadership skills Openness to feedback Openness to cultural diversity Exceptionally Good o o o o o o o o o o o o o Very Good o o o o o o o o o o o o o Good; no major weaknesses o o o o o o o o o o o o o Fair o o o o o o o o o o o o o Poor o o o o o o o o o o o o o Not known o o o o o o o o o o o o o
Please use the remainder of this form for additional comments or you may, if you prefer, simply attach a letter to this form. Comments:
o I highly recommend
o I recommend
o I do not recommend
Recommender: ______________________________________________________________ Title: _______________________________________ Address: ___________________________________________________________________________________________________________ City: ___________________________________________________________________ State: ___________ Zip: _____________________ Telephone: ______________________________________________________________ E-mail: _____________________________________ Relationship to applicant: o Faculty o Academic Advisor o Work/Volunteer Supervisor o Other: ___________________________
(please specify)
Psychology Program
In your role as a psychology student, you will likely assist individuals from diverse backgrounds in a variety of contexts. Please tell us in 750 (3 typed pages) reasons why you want to receive your Psy.D. in Psychology. Include what your career aspirations are and some of the challenges you might encounter when working with diverse individuals. Please remember that the Admission Office is here to assist you with the entire admission process. Please contact us at 800.721.8072 with any questions or concerns.
* Your essay must specifically address the programs specialization to which you are applying:
Applied Behavior Analysis Psychology Counseling Psychology Forensic Psychology Industrial & Organizational Psychology Marital and Family Therapy School Psychology Police Psychology Psychology
Please remember that the Admission Office is here to assist you with the entire admission process. Please contact us at 800.721.8072 with any questions or concerns.