Name

SSN or BCID

Program Completion Date

Comprehensive Exams Date

Course Number and Title	Credits	Semester	T/W*
Select one PY 415 Adolescent Psychology PY 447 Applied Developmental Psychology: Emphasis on Adolescent	3
Select one PY 416 Child Psychology PY 418 Applied Developmental Psychology: Emphasis on Child	3
PY 417 Adult Psychology	3
Select one PY 460 Interpretation and Evaluation of Educational Research PY 468 Introductory Statistics	3
PY 617 Learning and Cognition	3
Select one PY 397 Social Issues and Social Policy PY 445 Clinical Child Psychology PY 549 Psychopathology PY 611 Learning and Development: Special Needs of Early Learners PY 620 Educational and Social Issues and Social Policy	3
	3
	3
	3
	3
Total credits	30

* Insert a T (transfer) or W (waiver) as appropriate. If seeking a transfer of credits, you must also fill out a "transfer request form" available in Campion 104. If requesting a waiver, you must attach an official transcript to this form.

Student's signature				Date
			Initials
Advisor	Yes	No		Date
Department Chair	Yes	No		Date