Request to Enrol in Independent Study Course:
Honours Thesis (PSYC*4870/4880)
Students who wish to enrol in the honours thesis course for the Fall should submit this form by
the sixth week of the Winter term.
Date What is Your Degree What is your Major? List any
Program? Minors
BA (Honours)
BSc
Last Name First Name
Student Number
Email Address
I request to enrol in: Year
2017
2018
2019
Semester
Fall
Winter
Summer
My Psychology
average is:
My overall
average is:
I am interested in working with (list each faculty member; you can include faculty members
from other departments):
Of the faculty named above, who (if anyone) has indicated a willingness to supervise you?
I have attached my transcript I have attached my personal statement (interests and
qualifications; maximum 300 words)
SUBMIT THIS FORM VIA EMAIL (preferred) OR IN PERSON TO
MS. SHARON HELDER (MACKINNON EXTENSION 4015)
SHELDER@UOGUELPH.CA
PSYC*4870/4880
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