Page 1
Course Semester Completed Number of
Course Title
Number or Will Enroll Credit Hours
Semester Number
Course
Course Title Substitutes for Completed or of Credit
Number
Will Enroll Hours
Subtotal:
Subtotal:
Number
Course Faculty Semester Completed
Course Title Description of Credit
Number Supervisor or Will Enroll
Hours
Page 2
IV. Electives (Minimum 9 Semester Hours)
Subtotal:
Subtotal: 16
Subtotal:
Page 3
C. Evaluation (9 credit hours minimum)
Subtotal:
Subtotal:
Required Signatures:
Page 4
Course Work Taken Prior to Doctoral Admission That Pertains
To Planned Course Work/Career Goals
To assist in planning your program of studies, please list all previous graduate level course work that pertains to
your planned coursework and/or career goals.
A. Courses transferred from another institution (indicate total number in section VII).
Subtotal:
Page 5
Statement of Professional Goals and How These Goals are Reflected
in the Plan of Study
Directions: Please include a statement that describes how your selection of courses,
including electives, externship, and research tools, contribute to your professional goals.
Page 6