| Name: (Last, First, MI) |
SSN: |
| Primary Address for WNMU mailings: |
Phone: |
| (Street): (City): |
(H) |
| (State): (Zip Code): |
(W) |
| MA Counseling Program Admissions Date: |
Undergraduate Degree: UG Major: Date received: Institution: |
Intake Interview Date: |
| Catalog Authority: |
Graduate Admission Date: |
Regular: |
Provisional: |
| Letters of Reference and Date Received: |
1. |
2. |
3. |
GPA (last 64 hours): |
| GRE Required: Y ___ N ___ (Scores Passed) Date of GRE: _____ |
 |
| Prerequisites: (9) |
Credit |
Term |
Grades |
| *PSY
|
412/512
|
Psychopathology |
3 |
 |
 |
| *PSY
|
420/520
|
Diagnostics and Evaluation |
3 |
 |
 |
| *PSY
|
425/525
|
Theories of Personality |
3 |
 |
 |
| Graduate Core: (12) |
| COUN
|
500
|
Methods of Research |
3 |
 |
 |
| COUN
|
501
|
Intro to Counseling Profession |
3 |
 |
 |
| COUN
|
505
|
Multicultural Counseling |
3 |
 |
 |
| COUN
|
507
|
Internship in Counseling |
3 |
 |
 |
| Other Required Courses: (27) |
| COUN
|
531
|
Theories & Techniques of Counseling |
3 |
 |
 |
| COUN
|
532
|
Program Development & Management |
3 |
 |
 |
| COUN
|
534
|
Life Themes and Stages |
3 |
 |
 |
| COUN
|
535
|
Topics in Counseling |
3 |
 |
 |
| COUN
|
581
|
Advanced Internship in Counseling |
6 |
 |
 |
| COUN
|
586
|
Career and Vocational Counseling |
3 |
 |
 |
| COUN
|
587
|
Seminar in Group Process |
3 |
 |
 |
| COUN
|
596
|
Marriage and Family Counseling |
3 |
 |
 |
| Maximum of 6 transfer credits accepted: Listed below |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
  |
| TOTAL HOURS |
48 |
 |
| NTE Specialty Examination Passed: Date ________________ National Counselor Examination
Passed: Date _____________________ Or Comprehensive Examination
Passed: Date _____________ |