St. Cloud State University

Behavior Analysis Welcome Packet

Name (required)

Last Name:

First Name:

Address (required)

Street:

City:

State:

Country:

Zip:

Phone:

Email:

Educational Background

Undergraduate University:

Major:

Degree:

Graduation Date:

GPA:

Graduate University:

Major:

Degree:

Graduation Date:

GPA:

GRE Scores:

You must take the courses in order and must receive a passing grade to register for the next semester. It is suggested that you take one or two courses per semester. Sample syllabi can be obtained by contacting Dr. Eric Rudrud at ehrudrud@stcloudstate.edu. Application for the BCAB (Masters Degree Level) The BCAB requires that you complete the following courses: CPSY 630 Advanced Behavior Analysis CPSY 641 Single Case Design CPSY 634 Behavioral Assessment CPSY 530 Advanced Applied Behavior Analysis II Choose either CPSY 530 Seminar: Autism CPSY 530: Seminar: Functional Assessment CPSY 633: Behavior Therapy I I plan to take the BCAB courses during these semesters.
CPSY 630 Advanced Applied Behavior Analysis
Fall	Spring	Summer	What Year?
CPSY 641 Single Case Design
Fall	Spring	Summer	What Year?
CPSY 634 Behavioral Assessment
Fall	Spring	Summer	What Year?
CPSY 530 Advanced Applied Behavior Analysis II
Fall	Spring	Summer	What Year?
Choose one of the following courses.
CPSY 530 Seminar: Autism
Fall	Spring	Summer	What Year?
CPSY 530 Seminar: Functional Assessment
Fall	Spring	Summer	What Year?
CPSY 633: Behavior Therapy I
Fall	Spring	Summer	What Year?

State the reasons why you are interested in taking the 5 courses: