2027 Application for Communication Sciences & Disorders - College of Health Professions Student Services Office

Applicant Information

First Name: *

Last Name: *

Student G-number (if applicable):

Provide your GVSU Email Address (if applicable)

Provide your personal email address *

Cell phone or best number to reach you: *

Date of Birth: *

Campus/Local Address

Local Street Address: *

Local City: *

Local State: *

Local Zip Code: *

Permanent Address

Permanent Street Address: *

Permanent City: *

Permanent State: *

Permanent Zip Code: *

Emergency Contact Information

Emergency Contact (name): *

Emergency Contact Relationship: *

Emergency Contact Street Address: *

Emergency Contact City: *

Emergency Contact State: *

Emergency Contact Zip Code: *

Emergency Contact Phone: *

Academic Information

Please list all previous colleges/universities attended AND cumulative GPA from each school:

Are you officially admitted to GVSU? *

Are you currently taking classes at GVSU? *

Have you completed CSD 100 Intro. to Communication Disorders? *
Yes
No

Have you completed CSD 200 Communication Development? *
Yes
No

Have you completed CSD 220 Intro. to Hearing Sciences? *
Yes
No

Have you completed PHY 200 Physics for the Life Sciences? *
Yes
No

If you are not currently enrolled at GVSU or are enrolled but have not yet taken GVSU classes and have not met with a College of Health Profession (CHP) academic advisor, you should:

Meet with a CHP academic advisor as soon as possible to review your transfer course equivalencies and program eligibility.
Call the CHP Student Services Office at (616) 331-5900 to set up a prospective student advising appointment.

Will you or have you completed a bachelor's degree prior to the start of the program? *

Please list the college/university name, major and expected degree date: *

Have you previously applied to the Communication Sciences & Disorders program? *

If Yes, what application cycle? (PLEASE NOTE: All supplemental documents will NEED to be resubmitted.) *

Required Documents

Statement of Professional Goals
Please upload a file with the extension .pdf, .doc, or .docx with a maximum size of 10 MB.

Application Requirements Checklist

The following criteria must be met for your application to be complete:
Officially admitted to GVSU for the fall start of the program
All non-GVSU transcripts sent to GVSU (if taking courses elsewhere send transcripts at end of each semester)
Minimum cumulative GPA of 3.0 or higher
Statement of Professional Goals (attach above)
Submission of this secondary application

Acknowledgments & Signature

Read & Sign *

Legal Charges and/or Convictions
Individuals who have been involved in a criminal proceeding or charged with or convicted of a crime may not be eligible for clinical placement and/or national certification and/or licensure. Students who are unable to complete a clinical placement may not be able to meet program requirements for graduation. If you have been charged or been convicted of a crime please feel free to submit this application, however we encourage you to contact the Communication Sciences & Disorders (CSD) Program Director, Professor Wil Rankinen by email at [email protected] to inquire how this could impact your completion of the CSD program.

I have reviewed the requirements for admission into the respective program(s) and understand that the completion of this application does not guarantee that I will be accepted into the program.

Furthermore, if I am not currently enrolled at GVSU or am enrolled but have not yet taken GVSU classes and have not met with a College of Health Profession (CHP) academic advisor, I should:

Meet with a CHP academic advisor as soon as possible to review my transfer course equivalencies and program eligibility.
Call the CHP Student Services Office at (616) 331-5900 to set up a prospective student advising appointment.

Date: *

Human Verification *