Form

Master's Comprehensive Exam Application

Professional Counseling & Rehabilitation Counseling
Full Name*
First Name Last Name
Panther Number:*
Program of Study:*

Address

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Home Phone
- Area Code Phone Number
Business Phone
- Area Code Phone Number
E-mail
IMPORTANT:

A. The College of Education requires that all masters students pass a comprehensive examination as part of graduation requirements. This application, once approved, reserves a space for you to take the masters comprehensive examination. You will be notified be email if you are approved to take the exam.

B. The following classes must be completed PRIOR to taking the exam. Please indicate the semester/year in which each course was COMPLETED :

In order to ensure proper transmission of this form, you MUST be sure to answer "NO" in the Program Areas that do not apply to you and answer "YES" in the Program Area that does apply to you. Failure to do this will hinder transmission of your application.

PROFESSIONAL COUNSELING-----------------------------Click here
Is your program area PROFESSIONAL COUNSELING?*

Yes No
CPS 6010
CPS 6410
CPS 6450
CPS 7260
CPS 7300
CPS 7340
CPS 7450
CPS 7500
CPS 7540
CPS 8100
CPS 8380
CPS 8460
EPRS 7900

REHABILITATION COUNSELING-----------------------------Click here
Is your program area REHABILITATION COUNSELING?

Yes No
CPS 6050
CPS 6410
CPS 6450
CPS 7260
CPS 7300
CPS 7340
CPS 7430
CPS 7500
EPRS 7900
CPS 8410
CPS 8420
CPS 8460
Click to edit this text...
CPS 8100 - "Students admitted FALL 2010 and AFTER ONLY"
CPS 6150 - "Students admitted 2009 and PRIOR ONLY"

MENTAL HEALTH COUNSELING----------------------------Click Here
Is your program area MENTAL HEALTH COUNSELING?

Yes No
CPS 6010
CPS 6410
CPS 6450
CPS 7000
CPS 7260
CPS 7300
CPS 7340
CPS 7450
CPS 7500 or EPY 7500
CPS 8100
CPS 8380
CPS 8430
CPS 8460
CPS 8470
EPRS 7900

Click to edit this text...
GRADUATION DATE: TERM

....

	If applicable, please check the prerequisite course(s) in progress (this means courses in which you are presently enrolled )
CPS 7450
CPS 8460
EPRS 7900

By approving this statement you accept that the comperhensive exam content will cover the material in the above listed course in progress and you are accepting responsibility for such.

I Approve I Do Not Approve
I confirm that I have read the above information. I intend to take the masters comprehensive examination on:
Examination Semester & Year:*
Examination Date:*
Student Signature
Date:
/ Month / Day Year

FOR DEPARTMENT USE ONLY:
FOR DEPARTMENT USE ONLY
Date:
/ Month / Day Year
APPROVED
DISAPPROVED
Should be Empty: