APPLICATION INTO SPA DEGREE PROGRAM Communication ...

APPLICATION  INTO  SPA  DEGREE  PROGRAM  

                                                     Communication  Sciences  and  Disorders      

DATE:_________________________________Current GPA:_____________CSD Qualifying Exam Score = _____% (minimum 3.00 required)

Applicant’s Name: Current Major: Student Number: Campus Address: E-mail Address: Campus Phone (304) Permanent/Home Address:

(minimum 80% required)

@mix.wvu.edu Other email: Cell Phone: (

)

Permanent/Home Phone: Parents’ Names: I.

I acknowledge that I am taking or have taken (and am including the grades for) the following courses. COURSE  

GEF  1:    English  101   GEF  1:    English  102          Or  English  103  (equivalent  of  101+102/27ACT/640  SAT)   GEF  2B:    Biology  101  (or  higher)  and  Lab   GEF  3:    Statistics  211  or  Economics  225   GEF  4:    Psychology  101   GEF  8  Focus:  CS  101   GEF  8  Focus:  Ling  101   GEF  8  Focus:  CSAD  270  (minimum  grade  of  B  req)   Chemistry,  Physics,  or  Physical  Science   Math  126  or  higher   *CSAD  199,  Orientation  (if  pre-­‐SPA  is  declared  at   beginning  of  freshman  year)  

CSAD  200  (minimum  grade  of  B  required)   Foreign  Language  101  (or  equivalent  of  101+102)   Foreign  Language  102  (or  equivalent  of  101+102)   GEF  5:   GEF  6:   GEF  7:   Normal  Human  Development   Abnormal  Human  Development   Abnormal  Human  Development     II.

List  Course  if  not  shaded  

HOURS  

HAVE   TAKEN  

GRADE  

CURRENTLY   TAKING  

WILL  TAKE   IN  SUMMER  

                       

3  

                       

                       

                       

                       

                   

3  

                   

                   

                   

                   

3   3   4   3   3   3   3   3   3-­‐4   3   1  

3   3   3   3   3   3   3   3    

To date (not counting this semester), I have completed credit hours of course work. This semester I am taking ________ credit hours. (Note: 58 credit hours are required.)

III. I have received a grade of _____ in CSAD 200 and a grade of ______ in CSAD 270. (Minimum grade of B is required.) IV.

I have attached a current copy of my DegreeWorks audit printout (http://registrar.wvu.edu/dw). _______________________________________________________________________

Do not write in this space. Approved:_________Date: Reason:

Signature

Date

Disapproved: _________Date: By:

Final Application deadline is March 1 and is due to the Administrative Assistant or Secretary in 805 Allen Hall. Revised 2.25.16