Request for Counseling Psychology Written Preliminary Examination
NAME:____________________________
PUID #__________________________
1. Completed 200 hours of research
Date Approved:_______________________
2. Conference Presentation completed
Date:_______________________________
3. Work Sample Completed
Date Submitted:______________________
4. Research Project/Paper Completed
Date Submitted:______________________
5. Plan of Study Approved by Graduate School
Date Submitted:______________________
The doctoral student must have all of the above signed and dated (i.e., completed or submitted) prior to scheduling a date for the written examination.
Advisor's Signature:___________________________
Signature of Preliminary Exam
Committee Chair:________________________________
College of Education : Purdue University : West Lafayette, IN 47907-2098
Phone: 765-494-2341 : Fax:765-494-5832 : Email: education-info@purdue.edu
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