SMEP Minority Student Conference

Society of Multivariate Experimental Psychology
2007 Minority Student Conference

Application

 

(Note: If you exceed the number of characters/lines that are visible for any field, your text will not all show on a printout, but all will be sent to us if you submit electronically.)

Last Name: Suffix (if any):
First & Middle Name:
Street Address:
City: State: Zip:
Tel.: Cell.:

E-mail:

Permanent Address:
Alternative way to reach you (in case of emergency-person and tel):
Gender: Date of Birth :
School:
Dept.:
Status (please select one):
Rising Sr. Entering Grad School Grad Student
 
Other
Degree working toward:
Major(s): Minor(s): GPA (4.0 = A):

APA Member? Yes No
Desire to attend APA? yes No thanks

Nominator:
E-mail:
Endorser:
E-mail:

SAT
Verbal:
Quantitative:
 
Not Taken :
GRE
Verbal:
Quantitative:
Analytic Writing:
Not Taken :
Other Placement Test:
Name:
Score:
 
Not Taken :

Selection will be based on small fragments of evidence pointing to outstanding talent or potential and not only on grades and test scores. Therefore, a space for comments regarding specific subjects is provided in the table below. Further on in this application a box is provided for lengthier, more general comments.
College Course Credits in Semester or Quarter Hours
Subject
Sem. Hrs.
Qtr. Hrs.
Grade(s)
Comments
Psychology
Other Social Science
Other Biolog. Science
Basic Statistics
Advanced Statistics
Advanced Algebra
Calculus
Advanced Calculus
Other Mathematics
Physics
Chemistry

Below, please tell us what attracted you to this conference and why you are applying.


In the following area, please discuss possible expenses that you might be able to contribute on your behalf (i.e., travel, lodging, APA registration, etc.).


Below please give any additional comments that may help us define you as an outstanding nominee for advanced scientific education and long range creative productivity.