Practicum in Exceptionality in Human Learning Application Form

Application Form 2013-2014

DEADLINE:                         Friday, April 19th, 2013 – by 5pm

Course Instructor:           Dr. Stuart Kamenetsky

Exclusion:                         PSY345H5

Prerequisites:                  10.0 completed credits by Sept. 1
                                           PSY210H5/213H5
                                           1.0 additional 200+ level credit in Psychology

Personal Information

Current Programs of Study

List all programs you are currently enrolled in indicate whether there are specialist/major/minor.

Attachments to upload

The following attachments must be uploaded in order to have your application considered. (pdf preferred)

Minimum 200 words. a. What career you are working towards b. Why you have chosen your academic programs and future career c. Why you would like to take this course
First review the on-line tutorial on résumé writing at http://www.utm.utoronto.ca/career/toolkit.html. The resume should include all work and volunteer experience in reverse chronological order starting with the present.
A copy of your entire academic record (include other post-secondary institutions, if any)

Notice of Collection

The University of Toronto respects your privacy. The information on this form is collected pursuant to section 2(14) of the University of Toronto Act, 1971. It is collected for the purpose of administering accommodations for academic purposes based on medical grounds. The department will maintain a record of all medical certificates received. At all times it will be protected in accordance with the Freedom of Information and Protection of Privacy Act.

If you have questions, please refer to www.utoronto.ca/privacy or contact the University?s Freedom of Information and Protection of Privacy Office at 416-946-5835. Address: Room 201, McMurrich Bldg., 12 Queen?s Park Crescent, Toronto, ON, M5S 1A1.

Acknowledgment

I ACKNOWLEDGE THAT THE INFORMATION I AM ABOUT TO SUBMIT IS TRUE AND ACCURATE.