Youth Development Project

Project Member Online Application Form

Home ]  


Welcome to the Youth Development Project Member Application Form. Both undergraduate and graduate students can participate as members of in the Youth Development Project. The first step for both undergraduate and graduate applicants is to submit an online application form. After you have been accepted, you may sign up for academic credit for participating at the levels described below.

If you are interested in becoming a member of the project, please fill in this form and hit the "Submit" button below.  If you experience any difficulties with this form please email your responses directly to ydpfiu@fiu.edu

Date: -- mm/dd/yy

Please provide the following contact information:

Name (First M. Last)
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country
Work Phone
Home Phone
Mobile Phone
FAX
E-mail

Please provide the following background information:

 Age 18-25,  26-35, 36 +   Ethnic Identity Gender Female Male

 

High School SATs or College GREs:  Verbal  Math

Year in School at FIU  Major GPA  

Full time student:  Yes  No  

What type of credit are you signing up for? (You Must Check one)

DEP 4720 Psychosocial Interventions in Field Settings Senior Lab (Lecture + Lab)

I have read and understood the DEP 4720 Syllabus and agree to its terms

Check this box if you have successfully completed STA 3123 Introduction Statistics II

Check this box if you have successfully completed PSY 3213 Research Methods in Psychology

PSY 4941 Undergraduate Independent Field Experience

I have read and understood the PSY 4941 Syllabus and agree to its terms 

Graduate Clinical Practicum and/or Clinical Internship or Credit For Licensure

Graduate Field Experience (PSY6956)

Do you work outside school? Yes  No.  If yes, how many hours.

Do you have more than one year of academic work at FIU? Yes  No.  

How many semesters left until you finish at FIU?

Previous Experience in Counseling Settings  Yes  No

If you are applying to take DEP 4720 Senior Lab or PSY 4941/4916 Field Experience, in the box below, please briefly state your reasons for signing up for this class .


Youth Development Project Member Application Form.
Copyright © 2002 [Youth Development Project,
Department of Psychology, FIU]. All rights reserved.
Revised: September 05, 2006